Course Description This course is designed for the hand and upper extremity surgeon along with the general orthopedists. The course will provide a forum for discussing both surgical and non-surgical treatment options for both simple and complex fractures, deformities and other disorders involving the shoulder, elbow, wrist and hand. The presenta-tions will encompass the latest technological advances and clinical management of fixation devices and surgical techniques. Participants will take home “pearls of wisdom” from the experts and experience hands-on training in the workshops. The course format consists of case discussions, lectures, hands-on workshops and question and answer sessions.

Target Audience

ObjectivesUpon completion of this CME activity, the participant will be able to:

• Examine controversial surgical choices in fracture repair, weighing potential advantages and disadvantages.

• Demonstrate current practice techniques and methods to minimize the likelihood of intraoperative and postoperative surgical complications.

• Formulate strategies for managing fractures based on fracture type and patient factors.

• Evaluate and treat common and complex fractures of the hand and wrist.

• Classify the composition, structure and function of the musculoskeletal tissues to improve orthopedic treatment modalities.

• Evaluate the decision-making process behind the successful outcomes of frequently seen hand and wrist problems.

• Evaluate fixation devices and instrumentation required for surgical management of hand and wrist fractures.

AccreditationPhysicians: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accredita-tion Council for Continuing Medical Education through the joint sponsorship of USF Health, Case Medical School and the University of Minnesota. USF Health is accredited by the ACCME to provide continuing medical education for physicians.

USF Health designates this live activity for a maximum of 12 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: The University of South Florida College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is for 12 contact hours.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Orthopedic surgeons, fellows, residents, nurses, physician assistants, orthopedic surgical assistants and other healthcare professionals involved with orthopedic surgery of the hand and upper extremity.

FacultyCourse Chairmen

Harry A. Hoyen, MDAssociate ProfessorDepartment of OrthopaedicsCase Medical SchoolCleveland Combined Hand FellowshipCleveland, OH

Thomas F. Varecka, MDAssociate ProfessorDepartment of Orthopaedic SurgeryUniversity of MinnesotaHennepin County Medical CenterMinneapolis, MN

Faculty

Terry S. Axelrod, MD, MSc, FRCSCProfessorDivision of Orthopaedic SurgerySunnybrook Health Sciences CenterUniversity of TorontoToronto, ON, Canada

Carlton M. Clinkscales, MDHand Surgery AssociatesDenver, CO

Grady S. Clinkscales, Jr., MDGeorgia Hand, Shoulder & ElbowAtlanta, GA Thomas R. Hunt III, MDProfessor of SurgeryJohn D. Sherrill Endowed Chair ofOrthopaedic SurgeryUniversity of Alabama at BirminghamBirmingham, AL

Kevin W. Luke, MDClinical Assistant ProfessorUniversity of Illinois – ChicagoOrthopedic Residency DirectorAdvocate Christ Medical CenterOak Lawn, IL

Kevin J. Malone, MDAssistant ProfessorCase Western Reserve UniversitySchool of MedicineDepartment of Orthopaedic SurgeryMetroHealth Medical CenterCleveland, OH

Jeffrey S. Noble, MDAssociate Professor of Orthopaedics Northeastern Ohio Universities College of Medicine (NEOUCOM)Crystal Clinic Orthopaedic Center – CCOCSumma Health SystemAkron, OH

Elizabeth Anne Ouellette, MD, MBAPhysicians for the HandNorth Miami Beach, FL

Allan E. Peljovich, MD, MPHHand and Upper Extremity Center of GeorgiaAtlanta, GA

Melvin P. Rossenwasser, MDRobert E. Carroll Professor of Orthopaedic SurgeryDirector, Orthopaedic Hand and Trauma ServiceColumbia University Medical CenterNew York, NY

William Seitz, MDCleveland Clinic FoundationCleveland, OH

FACULTY DISCLOSURESThe USF Health adheres to the ACCME Standards regarding commercial support of continuing medical edu-cation. It is the policy of the USF Health that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved, and that speakers will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made in the course materials.

A special thank you to Stryker Trauma for their generous support of this program.

AgendaFriday, April 1, 2011 06:45-07:30am Continental Breakfast / Registration / Exhibits

07:30-07:45am Opening Remarks and Introduction Harry A. Hoyen, MD and Thomas F. Varecka, MD

Session I Moderator: Harry A. Hoyen, MD

07:45-07:55am Case presentation/Proximal Humeral Fractures: Different exposures for fixation/arthroplastyHarry A. Hoyen, MD

07:55-08:05am Proximal Humeral Fractures: Percutaneous and intramedullary fixationKevin W. Luke, MD

08:05-08:15am Proximal Humeral Fractures: Plate stabilization and reduction techniquesHarry A. Hoyen, MD

08:15-08:25am Proximal Humeral Fractures: Arthroplasty options - hemi and reverseJeffrey S. Noble, MD

08:25-08:40am Case Discussions - Faculty

08:40-08:50am Case Presentation/Diaphyseal Humeral Fractures: Different exposures / plate fixation Kevin J. Malone, MD

08:50-09:00am Diaphyseal Humeral Fractures: Plate and intramedullary stabilizationKevin W. Luke, MD 09:00-09:20am Case Discussions - Faculty

09:20-09:40am - Break / Exhibits

09:40-10:15am Keynote: Evolution of plate techniques: Have we reached the end of development Harry A. Hoyen, MD and Terry S. Axelrod, MD, MSc

10:15-10:25am Monteggia Fractures: Where Are We Now? Thomas F. Varecka, MD

10:25-10:40am Coronoid Fractures: Little Bone, Big Problem Thomas F. Varecka, MD

Session I Bioskills

10:40-11:40am - Lab 1 Group A: Proximal Humeral Fixation Faculty Demonstrator: Jeffrey S. Noble, MD Group B: Humeral NailingFaculty Demonstrator: TBD

11:40-11:45am - Break / Rotate Labs

11:45-12:45pm - Lab 2 Group A: Humeral NailingFaculty Demonstrator: Jeffrey S. Noble, MD

Group B: Proximal Humeral FixationFaculty Demonstrator: Harry A. Hoyen, MD

12:45-01:25pm - Lunch

01:25-02:30pm Case Presentations and Panel Discussion: clavicle, proximal humerus, midshaft, distal humerussmall group discussions - All Faculty

06:30-07:30pm - Welcome Reception

Saturday, April 2, 201107:00-07:30am Continental Breakfast / Registration / Exhibits

07:30-07:40am Announcements Harry A. Hoyen, MD and Thomas F. Varecka, MD

Session II Moderator: Anne Ouellette, MD, MBA

07:40-07:50am Distal Radius Fractures: Volar and dorsal exposures Terry S. Axelrod, MD, MSc

07:50-08:10am Distal Radius Fractures: Is pinning or external fixation effectiveAnne Ouellette, MD, MBA

08:10-08:20am Distal Radius Fractures: Volar reduction and stabilization methodsKevin J. Malone, MD

08:20-08:30am Distal Radius Malunion: When and how to correct Melvin P. Rossenwasser, MD

08:30-08:45am Panel Discussion - Faculty

08:45-09:10am Keynote: Hand Surgery – Atlanta Perspective Grady S. Clinkscales, Jr., MD

09:10-09:20am Distal ulna fractures Allan E. Peljovich, MD, MPH

09:20-09:35amBreak / Exhibits

08:20-08:30am Biceps Tendon Ruptures: Should these be repaired? William Seitz, MD

08:30-08:45am Galleazzi and Forearm Fractures: What do I need to know? Terry S. Axelrod, MD, MSc

08:45-09:05am Discussion & Case Presentations - Faculty

09:05-09:35am Keynote: The Stiff Elbow: Sources and solutions Melvin P. Rossenwasser, MD

09:35-09:45am Proximal Phalanx Fracture: Troublesome little bones Anne Ouellette, MD, MBA

09:45-09:55am The Thumb’s Ulnar Collateral Ligament: Treatment options - techniquesCarlton M. Clinkscales, MD

09:55-10:10am - Break / Exhibits

Session III: Controversial Topics/Debates Moderator: Harry A. Hoyen, MD

10:10-10:15am Debate Introduction: Show me the evidence, when to do what !!Faculty

10:15-10:40am Displaced Fractures of the Radial HeadORIF is the Way to Go!Prostheses Work Better 10:40-11:05am Carpal Tunnel SyndromeOpen ReleaseEndoscopic Procedure 11:05-11:30amNerve GraftingAllograftAutograftConduit 11:30-11:55amThe Chronic SLAC Wrist DilemmaI’m Partial to FusionI Prefer PRC

11:55-12:10pm - Closing Remarks

Agenda subject to change

Faculty - Group AHarry A. Hoyen, MDTerry S. Axelrod, MD, MSc, FRCSCCarlton M. Clinkscales, MDKevin W. Luke, MDJeffrey S. Noble, MDMelvin P. Rossenwasser, MD

Faculty - Group BThomas F. Varecka, MDGrady S. Clinkscales, MDThomas R. Hunt, MDKevin J. Malone, MDElizabeth Anne Ouellette, MD, MBAAllan E. Peljovich, MD, MPHWilliam Seitz, MD

09:35-09:50am Scaphoid Non-union: Mid-waist injuries Carlton M. Clinkscales, MD09:50-10:00am Scaphoid Non-union: Proximal injuries Kevin J. Malone, MD 10:00-10:10am Scaphoid Non-union: Salvage Thomas R. Hunt, III, MD 10:10-10:20am Acute Carpal Instability: Evaluation and initial management Thomas R. Hunt, III, MD perilunate injuries 10:20-10:35am Panel Discussion - Faculty 10:35-10:50am - Break / Exhibits

Session II Bioskills

10:50-11:50am - Lab 3 Group A: Scaphoid Fracture Management & Hand Plating for FingersFaculty Demonstrator: Carlton M. Clinkscales, MD

Group B: Distal Radius PlatingFaculty Demonstrator: Kevin J. Malone, MD

11:50-12:00pm - Break / Rotate Labs

12:00-01:00pm - Lab 4 Group A: Distal Radius PlatingFaculty Demonstrator: Kevin J. Malone, MD

Group B: Scaphoid Fracture Management & Hand Plating for FingersFaculty Demonstrator: Carlton M. Clinkscales, MD

01:00-01:35pm - Lunch

01:35-02:35pm Case Presentations and Panel Discussion: Wrist, forearm, elbow Small Group Discussions – All Faculty

Sunday, April 3, 201107:00-07:30am Continental Breakfast / Registration / Exhibits

07:30-07:40am Announcements Harry A. Hoyen, MD and Thomas F. Varecka, MD

Session IV Moderator: Thomas F. Varecka, MD 07:40-08:00am Case Presentation/Elbow Instability: Causes and concerns Harry A. Hoyen, MD

08:00-08:10am DRUJ Instability: Can this be salvaged? William H. Seitz, MD

08:10-08:20am Elbow Instability Harry A. Hoyen, MD

AccommodationsGrand Hyatt Atlanta3300 Peachtree Road, NEAtlanta, GA 30305Phone: 404-237-1234http://www.grandatlanta.hyatt.com/hyatt/hotels/

The Grand Hyatt Atlanta is a tranquil retreat located within a vibrant urban setting. With an exceptional staff, luxurious accommodations and a full array of business services, the Grand Hyatt Atlanta is centrally located to professional offices, major transportation, enter-tainment, dining and shopping. The hotel provides the ultimate convenience of being located in the heart of Atlanta’s Buckhead neighborhood. Experience gracious Southern hospitality featuring breathtaking views of Stone Mountain, downtown Atlanta and the tranquil Japanese Zen garden.

A block of rooms has been reserved for our conference at the special group rate listed below plus applicable sales tax. The cut off date for the special group rate is March 10, 2011. For reservations, please call 888-421-1442 and identify yourself as an attendee of the CUER conference.

Single/Double ..................................................$149.00Triple .............................................................$174.00Quadruple.......................................................$199.00

AirportHartsfield Jackson International Airport is just minutes away

DirectionsFrom: Hartsfield-Jackson ATL Int’l Airport: (21.12 miles) Merge onto I-85 N. Stay left to I-85 N / GA-403 N via Exit 251 toward GA-400 / Greenville. Keep right to take GA-400 N via Exit 87 toward Buckhead / Cumming (Portions toll). Take the Lenox Rd / GA-141-CONN exit (Exit 2) toward Buckhead. Take the GA-141 East ramp toward Peachtree Rd. Merge onto Lenox Rd NE / GA-141 CONN East / Buckhead Loop Northeast. Turn right onto Peachtree Rd Northeast / GA-141. The hotel will be on the right.

From Atlanta: (10.16 miles) Merge onto I-75 N / I-85 N / GA-401 N / GA-403 N via ramp on the left. Keep right to take GA-400 N via Exit 87 toward Buckhead / Cumming (Portions toll). Take the Lenox Rd / GA-141-CONN exit (Exit 2) toward Buckhead. Take the GA-141 E ramp toward Peachtree Rd. Merge onto Lenox Rd NE / GA-141 CONN East / Buckhead Loop Northeast. Turn right onto Peachtree Rd Northeast / GA-141. The hotel is on the right.

Registration FeesThe registration fee includes the course, breakfast, breaks, lunch and a welcome reception for the participant only. A confirmation letter will be sent upon receipt of your regis-tration and payment (no registration is confirmed without full payment).

Fees On or Before March 3, 2011 After March 3, 2011Physicians ..................$250...................................$275 Other Healthcare Professionals .............$150...................................$200

Guest Fee for Welcome Reception .......$35.00 per person

Refund Policy Registration fees will be refunded minus a cancellation fee of $40.00 until March 21, 2011 with written notifica-tion. No refunds will be made after March 22, 2011. The University of South Florida Office of Continuing Professional Development reserves the right to cancel the course due to unforeseen circumstances. The USF Health will not be responsible for travel expenses incurred by the participant in the case of cancellation.

Accommodations for Disabilities:Please notify the Education office at (813) 974-4296 within a minimum of 10 working days in advance of the event if a reasonable accommodation for a disability is needed.

Events, activities, and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age or Vietnam veteran status as provided by law in accordance with the University’s respect for personal dignity.

REGISTRATION FORM RETURN REGISTRATION FORM AND PAYMENT TO:UNIVERSITY OF SOUTH FLORIDAHEALTH PROFESSIONS CONFERENCING CORPORATION (HPCC)PO BOX 864240ORLANDO, FL 32886-4240

NAME

TITLE (MD, RN, ETC.) SPECIALTY

ADDRESS COUNTY

CITY STATE ZIP

DAYTIME PHONE FAX NUMBER

EMAIL ADDRESS

TYPE OF CREDITREQUESTED:

GENDER: MALE FEMALE

PHYSICIANRESIDENTFELLOWNURSE

ARNPPAOTHER _______________

REGISTRATION FEESFEES ON OR BEFORE MARCH 3, 2011 AFTER MARCH 3, 2011PHYSICIANS .........................................$250 ......................................... $275OTHER HEALTHCARE PROFESSIONALS ................................$150 ......................................... $200GUEST FEE FOR WELCOME RECEPTION .............$35.00 PER PERSON

I WILL ATTEND THE WELCOME RECEPTION NOT ATTEND THE WELCOME RECEPTION BRING A GUEST TO THE WELCOME RECEPTION – SEE GUEST FEES

NUMBER OF GUESTS ___________

IF YOU ARE A RESIDENT/FELLOW APPLYING FOR A SCHOLARSHIP, PLEASE USE THE RESIDENT/FELLOW SCHOLARSHIP REGISTRATION FORM.

ENCLOSED IS MY CHECK MADE PAYABLE TO: USF HPCC IN THE AMOUNT OF $____________________________. PN2010646/1170

“BURNING QUESTION” I WOULD LIKE THE FACULTY TO ADDRESS DURING THE PROGRAM:

LICENSE # REQUIRED FOR NURSES

REGISTER ONLINE AT WWW.CME.HSC.USF.EDUCLICK ON COURSE CALENDAR, SELECT APRIL FROM START MONTH, CLICK CONTINUEREGISTER BY FAX: (813) 974-3217

A CONFIRMATION LETTER WILL BE SENT UPON RECEIPT OF YOURREGISTRATION AND PAYMENT (NO REGISTRATION IS CONFIRMED WITHOUT FULL PAYMENT)

CREDIT CARD: VISA MASTERCARD AMEX DISCOVER

IN THE AMOUNT OF $ ____________________________

CARD NUMBER

EXP. DATE SECURITY CODE/CCV

NAME ON CARD (PRINT)

SIGNATURE

(AMEX-4 digits on front, MC/Visa-3 digits on back)

Resident/Fellow Scholarship Policy and Procedure Form3rd Annual Current Concepts in Upper Extremity Restoration (CUER) Conference Grand Hyatt Atlanta, Atlanta, GeorgiaApril 1-3, 2011

Scholarship Funds will provide for:•AtuitionwaiverandattendanceatthespecifiedCMEactivitylistedabove.•Oneroundtripcoachairlineortrainticketfromyouroffice/worktothecoursedestinationormileage reimbursement (up to a maximum of $500 for transportation). Taxi, rental car and other ground transportation are not included in the scholarship. • Three(3)nightsatthecourselocation/hotel,roomandtaxonly(sharing a room).• Meals,receptionsandrefreshmentbreaksassociatedwiththeCMEcourse.

You are responsible for providing and payment of:•Allgroundtransportationincludingtaxi,rentalcar,tollsandparkingfees.• Meals/foodnotprovidedaspartoftheCMEcourse• Phone,fax,internet,in-roomdining,movies,recreational,andpersonalandmiscellaneous hotel amenities. • Scholarshipfundscannotbeusedtopayforanyexpendituresinconnectionwithaspouse/guest attending any portion of this activity

Steps to Follow:•CompletetheResident/FellowScholarshipForm.BesuretohaveyourResidency/FellowshipProgram Director sign the form. • Faxtheformasdirected. You will be required to provide credit card information – if you register and do not attend, the cost of your hotel room (plus all applicable taxes) will be billed to your credit card. Your credit card will not be billed unless you no show for the conference. • AtravelandexpenseformandW9willbeprovidedat the program for reimbursement purposes.• Yoursignatureonthisformsignifiesacceptanceoftheseterms.No Exceptions. Hotel Reservations:Hotel reservations will be made for you. Please do not make your own hotel reservation. Room and tax will be billed to our master account. Three night’s room and tax are allowed. Additional nights are at your personal expense.

If cancellation becomes necessary, please contact USF OCPD as soon as possible, so that residents who become wait-listed can be registered for the course.

Register By Fax: (813) 974-3217 Attn: Paula Neal (include a cover sheet with contact information) Incomplete forms will not be accepted. Questions and Information: (813) 974-7542

Return Registration Form To:University of South Florida, Continuing Professional DevelopmentAttn: Paula Neal12901 Bruce B Downs Blvd, MDC 46Tampa, Florida 33612

PLEASE PRINT LEGIBLY FAX TO: 813-974-3217 ATTN: PAULA NEAL

NAME

ACADEMIC DEGREE

ADDRESS

CITY STATE POSTAL CODE

DAYTIME PHONE CELL PHONE FAX

EMAIL ADDRESS

TYPE OF CREDIT REQUESTED: MD DO RESIDENT FELLOW

PLEASE CHECK ALL THAT APPLY:

YES, I WILL ATTEND, NO ROOM NEEDED YES, I WILL ATTEND, ROOM REqUIRED

ROOMING INFORMATION

THURSDAY, MARCH 31 FRIDAY, APRIL 1 SATURDAY, APRIL 2 ALL ROOMS ARE DOUBLES NON-SMOKING. YOU WILL BE SHARING A ROOM.

GENDER: MALE FEMALE

TO ATTEND THIS CME ACTIVITY AND RECEIVE SCHOLARSHIP FUNDS, YOU MUST HAVE THE ORTHOPAEDICRESIDENCY/FELLOWSHIP PROGRAM DIRECTOR SIGN THIS CME REGISTRATION FORM.

AS DIRECTOR OF THE ORTHOPAEDIC RESIDENCY/FELLOWSHIPPROGRAM, IT IS ACCEPTABLE FOR THE RESIDENT/FELLOW LISTED ON THIS COURSE REGISTRATION FORM TO ATTEND THIS CMEACTIVITY.

PRINT PROGRAM DIRECTOR’S NAME:

________________________________________________________________

SIGNATURE OF PROGRAM DIRECTOR:

_________________________________________ DATE_________________

INSTITUTION/HOSPITAL NAME:

_______________________________________________________________PN2010646/1170

CREDIT CARD: VISA MASTERCARD AMEX DISCOVER

IN THE AMOUNT OF $ ____________________________

CARD NUMBER

EXP. DATE SECURITY CODE/CCV

NAME ON CARD (PRINT)

SIGNATURE

(AMEX-4 digits on front, MC/Visa-3 digits on back)

RESIDENT/FELLOW SCHOLARSHIP REGISTRATION FORM

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