PROGRAM

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COURSE CHAIRMENPhilippe Collin

Alexandre LädermannLionel Neyton

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Dear Friends

It is a great pleasure to invite you to the 2019 Val d’Isère Shoulder Course. This 11th edition will take place in the newly and beautifully restyled Centre des Congrès with its whole team ready to welcome you in a friendly atmosphere.

The amazing field of shoulder surgery and arthroscopy is in continuing evolution and world famous experts will be there to discuss with you and update your knowledge. The Faculty will this year introduce new speakers beside historical leaders.

Shoulder anterior instability is rich of many procedures to treat our patients (Latarjet, Bankart, Eden Hybinette), all of them being performed arthroscopically. In addition, re-visited Trillat procedure is now back on stage (why and how?).

Rotator cuff pathology care benefits from various options and questions still arise: Repairs (knotted or knotless?), tendon transfers (when? under scope?), SCR (what the hell!?) and biology (is this really useful?).

Imaging techniques take an increasing importance in our routine practice. What’s new in this field? How to and when use ultrasound? (don’t miss live ultrasound workshop!)

Many other topics will be screened and the place of arthroscopy discussed.

Apart from other meetings, the Val d’Isère Shoulder Course will allow you to attend true “fights” (under the supervision of a referee…) and you will design the winner. You can also expect to be chosen to come up on the stage and be an invited Faculty because we learn from each other through discussions!

Once again, the outstanding Val d’Isère resort, heart of the French Alps, will welcome you from January 20th to 25th for the unique Val d’Isère Shoulder Course!

See you soon!

Lionel Neyton, Alex Lädermann and Philippe CollinCourse chairmen

OPENING CEREMONYSunday 20th January 201904:00-7:00 PM

04:00-05:00 PM

NEW TECHNOLOGIES Chairman: Calvo

Is planification, navigation, augmented reality relevant in arthroscopic shoulder surgery?Lädermann 15’

Shoulder imaging. What’s new in shoulder imaging (MRI, AI, US and elastography)? Kolo 15’

Office arthroscopy: is this the future? Dines 5’Discussion

Discussion Collin/Kolo/Dines/Sugaya/Funk/Participant 15’

5:00-5:20 PM

ULTRASOUND Chairman: Funk

Vote: Who is actually using US in clinic?

Debate:US performed by the surgeon Clavert/Savoie vs by the radiologist Kolo 15’

05:20-6:30 PM DATABASE AND BIG DATA Chairman: Funk

Debate: Local but shared Collin vs Institutional Sirveaux vs National Gerber vs Own by scientific societies vs Own by companies Denard 30’Vote

Discussion: Big data and artificial intelligence. When will we be all unemployed? What will change? Nourissat 20’

FACULTY

ATHWAL GEORGE (Canada)BARTH JOHANNES (France)BOILEAU PASCAL (France)CALVO EMILIO (Spain)CASTAGNA ALEX (Italy)CLAVERT PHILIPPE (France)COLLIN PHILIPPE (France)DENARD PATRICK (USA)DINES JOSHUA (USA)EL HASSAN BASSEM (USA)FUNK LENN (England)GERBER CHRISTIAN (Switzerland)GODENECHE ARNAUD (France)

JIANG CHUNYAN (China)KANY JEAN (France)LAEDERMANN ALEXANDRE (Switzerland)LAFOSSE LAURENT (France)MEYER DOMINIQUE ( Switzerland)NEYTON LIONEL (France)NOURISSAT GEOFFROY (France)PALADINI PAOLO (Italy)PROVENCHER MATT (USA)SAVOIE FELIX (USA)SCHEIBEL MARKUS (Germany)SIRVEAUX FRANCOIS (France)SUGAYA HIRO (Japan)VALENTI PHILIPPE (France)VERBORGT OLIVIER (Belgium)ZUMSTEIN MATTHIAS (Switzerland)

ROTATOR CUFF PATHOLOGY / IMonday 21rd January 20198:00-10:45 AM

08:00-09:30 AM

8:00-8:50 LONG HEAD OF THE BICEPS Chairman: Lafosse

MRI vs US in LHB pathology Kolo 8’

Biceps pathology in the groove. Myth or reality? Dines 5’

Fight Biceps and supraspinatus repair 12’ Referee Lafosse Reasons to keep it Godenèche 5’ Reasons to remove it Funk 5’ Vote “Who’s your winner?” 2’

Debate #1 12’Postoperative Popeye sign Not acceptable in USA Dines 5’ Patients don’t care in Brittany Collin 5’Vote “Who do you agree with?” 2’

Debate #2 12’Interference screw fixation:Why I still use it Boileau 5’Why I stopped Denard 5’Vote “Who do you agree with?” 2’

8:50-9:05 Relive Surgery : The lasso-loop biceps tenodesis technique Lafosse 5’ Relive Surgery: Interference screw fixation in the groove Neyton 5’ Relive Surgery: Subpectoralis tenodesis Denard 5’9:05-9:30

Clinical Case Discussion #1 10’Biceps tenodesis failure. Case presentation LafosseHow to manage? Discussion Boileau/Dines/Godenèche/Denard/Collin/ParticipantWhat I did...

Clinical Case Discussion #2 10’Pain in the groove after interference screw tenodesis. Case presentation DenardHow to manage ? Discussion Boileau/Dines/Godenèche/Collin/ParticipantWhat I did...

09:30-10:30 AM

SUBSCAPULARIS TEARS Chairman: Athwal

9:30-9:55US of anterior impingement Relive Kolo 5’US of subscapularis tears Relive Scheibel 5’Digitation sign. A new MRI diagnostic sign Neyton 5’ Relive Surgery A new (Fussi) lesion Lädermann 5’ Relive Surgery Hidden lesion: don’t miss the subscapularis Detachment from lesser tuberosity Neyton 5’9:55-10:10Fight Upper third subscapularis lesion 15’ Referee: Athwal I repair Sugaya 5’ Biceps tenodesis is enough Boileau 5’ Vote “Who’s your winner?”10:10-10:30

Clinical Case Discussion #1 10’Subscapularis lesionsCase presentation Athwal How to manage? Discussion Lädermann/Denard/Participant

Clinical Case Discussion #2 10’Comma signCase Presentation: JiangHow to manage ? Discussion Boileau/Scheibel/Neyton/Athwal/Participant3 4

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2 ROTATOR CUFF PATHOLOGY / IIMonday 21rd January 20195:00-07:00 AM

05:00-5:45 PM

IRREPARABLE SUBSCAPULARIS TEARS Chairman: Paladini

What do they complain about (loss of strength, pain?...) Paladini 5’

Debate#1Retracted subscapularis with stage 4 fatty infiltrationThey need a transfer El Hassan 5’They don’t need any transfer! Boileau 5’Vote “Who’s your winner?” 2’

Relive surgery Open Latissimus Dorsi transfer El Hassan 5’Relive surgery Arthroscopic Latissimus Dorsi transfer Kany 5’Relive surgery Pectoralis major transfer Scheibel 5’

Clinical Case Discussion #1 10’Case presentation Paladini How to manage? Castagna/Kany/Collin/El Hassan/Boileau/Participant

05:45-6:30 PM

MODERN MANAGEMENT OF POSTERO-SUPERIOR TEARS Chairman: Lädermann

US live demonstration (US guinea pigs Savoie/Lädermann) Kolo 10’Critical analysis of Bigliani’s classic article: Morphology of the acromion and its relationship to rotator cuff tears Orthop Trans 10:228, 1986 Zumstein 5’Critical analysis of the Lancet acromioplasty paper Barth 5’Discussion Zumstein/Barth/Clavert/Gerber/Participant 10’What is more important today about the acromion? CSA, inclination, GT angle or none of these guys? Sirveaux 5’

Clinical case Discussion #1 10’Case presentation LädermannWhat’s your option?Discussion Zumstein/Barth/Gerber/Clavert/Participant

06:30-7:00 PM

POSTOPERATIVE CARE, COMPLICATIONS AND FAILURES Chairman: Sirveaux

Rehabilitation: state of the art. Postoperative care and rehabilitation. Sling vs nothing? Lädermann 5’Discussion: Paladini/Godenèche/Calvo/Denard/Participant 10’DebateShould we use the Sugaya classification?Paladini/Godenèche/Calvo/Denard/Participant 10’Vote

Isolated supraspinatus tear Single row / Double row / Triple row / No row No surgery?Do not vote. We don’t care!Let’s speak of that with a drink at the bar!

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ROTATOR CUFF PATHOLOGY / IIITuesday 22th January 201908:20-10:00 AM

08:20-8:40 AM « PSEUDOPARALYTIC » SHOULDER Chairman: Gerber

Introduction and state of the art Collin 10’

Debate about the “true” definition El Hassan/Jiang/Provencher/Denard/Collin/Participant 10’

08:40-10:10 AM

IRREPARABLE (NOT PSEUDOPARALYTIC) ROTATOR CUFF TEAR Chairman: Neyton

State of the art: Nourrissat 5’

MRI and head migration. How to analyse? Kolo 5’

How to analyze Fatty infiltration? Kolo 5’

Discussion 15’Nourrissat/Kolo/Jiang/Participant

What is the SCR rationale? Funk 5’

SCR alone or together with repair? 5’ Relive surgery SCR 5’ Provencher Debate 10‘ I will do it Sugaya 5’ I will not Verborgt 5’

Alternative to dermal allograft: Preliminary results of the Chinese way Barth 5’

Fight #1 Inspace Balloon 15’ Referee Athwal better in the air Boileau 5’ than in the shoulder Lafosse? 5’ Vote “Who’s your winner?”

Fight #2 Humeral head can be recentered 15’ Referee: Nourissat Sometimes Savoie 5’ No Way Gerber 5’ Vote “Who’s your winner?”

ROTATOR CUFF PATHOLOGY / IVTuesday 22th January 201905:00-07:00 PM

05:00-07:00 PM

TENDON TRANSFERS FOR POSTEROSUPERIOR LESIONS

LATISSIMUS DORSI TRANSFER FOR PAINFUL MASSIVE TEAR Chairman: CollinHow do I do? Relive surgery Gerber 5’ / Kany 5’ / Lafosse 5’Discussion 15’

Alternative: Lower Trapezius transferRelive surgery: Arthroscopic assisted Lower Trapezius transfer. How do I do? Valenti 5’ / El Hassan 5’Discussion 10’

ISOLATED LOSS OF ACTIVE EXTERNAL ROTATION Chairman: ScheibelWhat is this? Clinical presentation Boileau 5’What can we do? Results of the open l’Episcopo procedure Neyton 5’ Fight Tendons transfers 15’ Referee: Calvo Transfers are « the solution » for irreparable and or pseudoparalytic posterosuperior cuff tear El Hassan 5’ Tendons transfers are useful when you don’t need them Collin 5’ Vote “Who’s your winner?”

REVERSE SHOULDER ARTHROPLASTY AND MASSIVE ROTATOR CUFF TEAR Chairman: Denard

What are my indications Clavert 5’Results in young patient population Gerber 5’

Clinical case Discussion 15’Case Presentation DenardDiscussion 15’ Castagna/Sirveaux/Nourissat/Zumstein/Participant

DebateWhen should we add a LDT? CollinCollin/Lädermann/Valenti/Neyton/Participant

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ROTATOR CUFF PATHOLOGY / VWednesday 23th January 201908:00-10:15 AM

08:00-08:35 AM

HEALING PROCESS Chairman: Zumstein

DebateNumber of preoperative injections, smokers, drinkers & cholesterolI do care Sirveaux 5’I don’t care Calvo 5’Vote

Fight Biology in Rotator cuff repairs. Is there still a place? 15’ Referee: Zumstein Nothing works Verborgt 5’ It does work Dines 5’ Vote who is the winner

Discussion 10’ Sirveaux/Dines/Calvo/Provencher/Verborgt/Participant

08:35-09:50 AM

SHOULDER AND SPORT SLAP LESION Chairman: Savoie

Debate #1A specific baseball pitcher pathology?A lot of pitchers, a lot of SLAP lesions! Savoie 5’No pitchers, (almost) no SLAP! Godenèche 5’

Debate #2 SLAP lesion: How to treat?LHB Tenodesis Jiang 5’Repair Dines 5’Sham surgery works too! Schröder 5’

Discussion 10’ Dines/Godenèche/Jiang/Schröder/Participant POSTEROSUPERIOR GLENOID IMPINGEMENT Chairman: Jiang

Clinical case presentation Europe (Handball) Neyton 5’Clinical case presentation US (Pitcher) Dines 5’Discussion 10’ Dines/Neyton/Funk/Participant

Para-labral cysts: isolated labral repair Schröder 5’

09:50-10:30 AM

WHY DO WE NEVER SPEAK ABOUT SCAPULA? Chairman: Paladini

Dyskinesia El Hassan 10’Long thoracic nerve release: Clavert 5’Snapping scapula El Hassan 5’

How to treat a pathologic scapula? Different techniques for different pathologies Athwal 10’

Clinical case discussion 10’Case presentation PaladiniDiscussion El Hassan/Clavert/Barth/Athwal/Participant

POSTERIOR INSTABILITYWednesday 23th January 201905:00-07:00 PM

05:00-06:10 PM

POSTERIOR INSTABILITY Chairman: Nourissat

SOFT TISSUE PROCEDURES Reverse Hill-Sachs remplissage. Concept and re-live surgery Kany 5’Reverse Hill-Sachs remplissage. Another way. Concept and re-live Godenèche 5’Posterior Bankart procedure in 2019 Athwal 5’Rotator interval closure Savoie 5’

Clinical Case discussion 10’Case Presentation NourissatDiscussion Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Participant

BONE BLOCK PROCEDURE Re-live surgery: Anterior approach through the rotator interval Barth 5’Re-live surgery: Arthroscopie Posterior approach Lafosse 5’Re-live surgery: Open acromial pediculated bone-block. Sirveaux 5’

Clinical Case discussion 20’Case Presentation Nourrissat Discussion Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Sirveaux/Participant

06:10-06:40 PM

STERNO-CALVICULAR JOINT Chairman: Valenti

Degenerative and unstable.I prefer soft tissue procedure. Relive surgery Dines 8’I prefer osteotomy. Relive surgery Gerber 8’

Clinical Case discussion 10’Case Presentation Valenti Discussion Neyton/Paladini/Provencher/Denard/Participant

ACROMIO-CLAVICULAR JOINT AND FRACTURESThursday 24th January 201908:00-10:10 AM

08:00-09:00 AM

ACROMIO-CLAVICULAR JOINT Chairman: Funk

Fight Should we operate on acute AC joint dislocations? 15’Referee: Funk Yes Scheibel 5’ No Zumstein 5’ Vote who is the winner

Debate Allo, auto grafts or synthetic AC reconstructions 20’ Scheibel/Zumstein/Barth/Sugaya/Participant

Clinical Case Discussion 20’Case Presentation FunkHow to manage chronic AC joint dislocations, recurrences and complicationsDiscussion Scheibel/Zumstein/Barth/Participant 20’

09:10-10:00 AM

FRACTURES Chairman: Verborgt

Relive surgery of glenoid fracture Scheibel 20’

Tuberosity fractures. How do I manage? Jiang 5’

Clinical Case Discussion 20’Case Presentation VerborgtDiscussion Calvo/Castagna/El Hassan/Jiang/Kany/Participants 20’

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I ANTERIOR INSTABILITY IThursday 24th January 201905:00-07:15 PM

05:00-05:30 PM

ANTERIOR INSTABILITY AND HYPERLAXITY Chaiman: Sugaya

Update on hyperlaxity and instability. Valenti 5’Ehler-Danlos. How do I diagnose? How do I manage ? Nourrissat 5’

Clinical Case Discussion 15’Case Presentation SugayaDiscussion Valenti/Boileau/Gerber/Barth/Participant

05:30-06:00 PM

ANTERIOR INSTABILITY Chairman: Boileau

Update on anterior instability lesions (What are we talking about?)Glenoid side Bankart, Bony Bankart, ALPSA, GLAD lesions, fractures, erosions Imaging assessment Sugaya 5’Humeral side: Small, deep, large Hills-Sachs? Imaging assessment Jiang 5’

Clinical Case discussion 20’Case Presentation Boileau Discussion Sugaya/Jiang/Boileau/Verborgt/Funk/Participant 20’

06:00-06:30 PM

ANTERIOR INSTABILITY AND BONE LOSS Chairman: Scheibel

What are the options? Distal tibia allograft/Eden Hybinette/Latarjet/distal clavicle Verborgt 7’Relive surgery: #1 #2 Distal Tibia Allograft Provencher 5’

Clinical Case Discussion 15’Case Presentation ScheibelDiscussion Verborgt/Athwal/Provencher/Collin/Participant

06:30-06:45 PM

HUMERAL BONE LOSS RECONSTRUCTION Chairman: Provencher

What are the options? (update on humeral bone loss management options Castagna 5’Relive surgery: #1: Humeral Head Allograft Gerber 3’ / #2: Hill Sachs Remplissage Boileau 3’Discussion 4’

06:45-07:15 PM

BIPOLAR DEFECTS “Were you on or off the track today?” Chaiman: Athwal

Shoulder instability in the setting of bipolar (glenoid and humeral head) bone loss: the glenoid track concept Provencher 5’

Fight Glenoid Track 15’Referee: AthwalI believe in the track concept Sugaya 5’I don’t care Funk 5’VoteWho is the winner

ANTERIOR INSTABILITY IIFriday 25th January 201908:00-10:00 AM

08:00-09:00 AM

ANTERIOR INSTABILITY AND ROTATOR CUFF TEAR Chaiman: Funk

Hidden degloving rotator cuff tears secondary to glenohumeral dislocation. Godenèche 5’

Update on associated rotator cuff tears and anterior instability in young active patients Savoie 5’

Update on rotator cuff tears and anterior instability in older patients Calvo 5’

Fight Instability and cuff tear 15’Referee: ClavertInstability repair and cuff repair Lafosse (relive surgery) 5’@Trillat procedure Neyton (relive surgery) 5’Vote

Discussion: Savoie/Lafosse/Denard/Participant 10’

DYNAMIC ANTERIOR STABILIZATION ANOTHER CRAZY FRENCH IDEARationale and biomechamics Lädermann 5’Relive Surgery Collin 5’

Discussion: What do you think about it? Lafosse/Boileau/Collin/Lädermann 10’

09:00-10:10 AM

ARTHROSCOPIC LATARJET Chairman: Jiang

Update on the results Barth 5’

Fight #1 Arthroscopic Latarjet 15’Referee: JiangScrew fixation w/o guide Lafosse 5’Endobutton fixation with guide Valenti 5’Vote

Debate: SUBSCAPULARIS SPLIT/ How to do it? Relive surgery JiangDiscussion Lafosse/Boileau/Barth/Valenti

Fight #2 Arthroscopic Latarjet 15’Referee: CollinWhy I keep on going Athwal 5’Why I stopped Castagna 5’Vote

Adverse event in arthroscopy: how to manage? Lafosse 10’

OUPS! i broke the coracoid! Bouju 10’

MEETING ADJOURNSEE YOU IN 2021!!!

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US WORKSHOP - SONOSKILLSFrom Monday to ThursdayMorning & Afternoon sessionONLY ON RESERVATION

US WORKSHOP SCHEDULE

Thanks to our US Workshop you will have an opportunity, during the 11th. Val d’Isère Shoulder Arthroscopy Congress, to gain a first experience in Shoulder Ultrasound under the supervision of a SonoSkills trainer. In order to ensure quality, we will accept a maximum of 3 participants per available US system, meaning seats are limited to 15 participants per Workshop session. After getting the basic knowledge you need to be able to read the US image, you will be able to practice shoulder protocols for about 1 hour. The daily topics are set in close relation to the congress program, although other structures / transducer position could be seen on participant’s demand.

Morning session Afternoon session

Monday 21st 10:45 – 12:00 5:45 – 17:00

Tuesday 22nd 10:00 – 11:15 15:45 – 17:00

Wednesday 23rd 10:15 – 11:30 15:45 – 17:00

Thursday 24th 10:10 – 11:25 15:45 – 17:00

CONGRESS SPONSORSThe organization committee thanks the following sponsors for their support

SONOSKILLS – US WORKSHOP

RESERVE

YOUR SEAT

Val d’Isère Congrès

Frédéric CRETIN / Gaëlle BUSIRoute de la Face

73150 Val d’Isère+33 4 79 06 21 23

www.shouldercourse.cominfo@valdisereshoulder.com