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? VoteDemo Hololens Lädermann 15’

Shoulder imaging. What’s new in shoulder MRI (dynamic MRI, 4 Tesla,…)? Utility of EOS in shoulder surgery? Kolo 10’

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

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

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

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

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

6:30-7:00 PM

Social media (Academia, Researchgate, Vumedi) A necessary evil? Warner

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)WARNER JP (USA)

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

08:00-09:30 AM

LONG HEAD 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 15’ Referee Lafosse Reasons to keep it Godenèche Reasons to remove it Vote “Who’s your winner?”

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

Debate #2 Interference screw fixation:Why is still use it? Boileau 5’Why I stopped Denard 5’

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’

Clinical Case Discussion #1 10’Biceps tenodesis failure. Case presentation How to manage? Discussion (animated by Romeo)Boileau/Provencher/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 (animated by Denard)Boileau/Provencher/Godenèche/Collin/Participant What I did...Denard

09:45-10:45 AM

SUBSCAPULARIS TEARS Chairman: Athwal

US of anterior impingement Relive Vuillemin 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’

Fight Upper third subscapularis lesion 15’ Referee: Athwal I repair Sugaya Biceps tenodesis is enough Boileau Vote “Who’s your winner?”

Clinical Case Discussion #1 10’Subscapularis lesionsClinical case presentation Athwal How to manage? DiscussionLädermann/Vuillemin/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 20194:00-07:00 AM

04:00 PM

ULTRASOUND WORK SHOP Vuillemin/Kolo

05:00-4:45 PM

IRREPARABLE SUBSCAPULARIS TEARS Chairman: Castagna

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’

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 Castagna How to manage? Paladini/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) Vuillemin/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? Standard vs balneo Lädermann 5’Debate: Paladini/Godenèche/Calvo/Denard/Participant 10’Should we use the Sugaya classification?Debate Paladini/Godenèche/Calvo/Denard/Participant 10’VoteIsolated 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 Blizzard!

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

08:00-8:20 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’

08:20-10:00 AM

IRREPARABLE (NOT PSEUDOPARALYTIC) ROTATOR CUFF TEAR

State of the art: Nourrissat 5’

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

IA could help for FI analysis ? Gerber 5’

Discussion 15’Nourrissat/Kolo/Jiang/Vuillemin/Participant

What is the SCR rationale? Funk 5’

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

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

Fight in Space Balloon 15’ Referee better in the air Boileau than in shoulder Lafosse? Vote “Who’s your winner?”

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

ROTATOR CUFF PATHOLOGY / IVTuesday 22th January 201904:00-07:00 PM

04:00 PM

ULTRASOUND WORK SHOP Vuillemin/Kolo

05:00-07:00 PM

TENDON TRANSFERS FOR POSTEROSUPERIOR LESIONS

LATISSIMUS DORSI TRANSFER 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: Scheibel

What 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 Tendons transfers are useful when you don’t need it Collin 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’ Castagna/Sirveaux/Nourissat/Zumstein/ParticipantWhen should we add a LDT? CollinDebate: Collin/Lädermann/Valenti/Neyton/Participant

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

08:00-08:30 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? 10’ Referee: Zumstein Nothing works Verborgt It does work Dines Vote who is the winner

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

08:40-09:50 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 Romeo 5’Sham surgery works too! Schröder 5’

Discussion 15’ 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

Swimmer Shoulder 5’Para-labral cysts: isolated labral repair Schröder 5’*not confirmed yet

09:50-10:15 AM

AM WHY DO WE NEVER SPEAK ABOUT SCAPULA? Chairman: Paladini

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

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

Discussion El Hassan/Clavert/Barth/Athwal/Participant

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

05:00-06:20 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 discussionCase presentation Discussion 10’ Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Participant

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

Clinical case discussionCase presentation Discussion 20’ Kany/Godenèche/Athwal/Savoie/Barth/Lafosse/Participant

06:20-07:00 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 presentation and 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 cases discussion How to manage chronic AC joint dislocations, recurrences and complicationsCase presentation: FunkScheibel/Zumstein/Barth/Participant 20’

09:20-10:10 AM

FRACTURES Chairman: Verborgt

Relive surgery of glenoid fracture Scheibel 20’

Tuberosity fractures. How do I manage? Jiang 5’

Clinical cases discussionCase presentation: VerborgtCalvo/Castagna/El Hassan/Jiang/Kany/Participants 20’

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

05:00-05:30 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 cases Sugaya/Jiang/Boileau/Verborgt/Funk/Participant 20’

05:30-06:00 PM

ANTERIOR INSTABILITY AND BONE LOSS

What are the options? Distal tibia allograft/Eden Hybinette/Latarjet/distal clavicle Verborgt 7’Relive surgery: #1 @Eden Hybinette Athwal 3’/ #2 Distal Tibia Allograft Provencher 3’Clinical cases discussion 15’Case presentation: Verborgt/Athwal/Provencher/Collin/Participant

06:00-06:15 PM

HUMERAL BONE LOSS RECONSTRUCTION Chairman: Dines

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 Dines 3’Discussion 4’

06:15-06:45 PM

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

Shoulder instability in the setting of bipolar (glenoid and humeral head) bone loss: the glenoid track concept Provencher 5’Fight: Glenoid Track 15’Referee: DinesI believe in the track concept SugayaI don’t care FunkWho is the winnerDiscussion and vote

06:45-07:15 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: Valenti/Boileau/Gerber/Barth/Participant

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’

Fight: Instability and cuff tear #1 10’Referee: ClavertInstability repair and cuff repair Lafosse (relive surgery) Instability repair and debridement Sirveaux (relive surgery)VoteDiscussion: Savoie/Lafosse/Denard/Participant 15’

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

Fight: Instability and cuff tear #2 10’Referee: DinesInstability repair and cuff repair Paladini (relive surgery)@Trillat procedure Neyton (relive surgery) Vote

09:00-10:00 AM

ARTHROSCOPIC LATARJET Chairman: Jiang

Update on the results Barth 5’

Fight: Arthroscopic Latarjet #1 10’Referee: JiangScrew fixation w/o guide Lafosse 5’Endobutton fixation with guide Valenti 5’Vote

Debate illustrated with relive surgery animated by Jiang 15’Lafosse/Boileau/Barth/Valenti/Participant

Fight: Arthroscopic Latarjet #2 10’Referee: CollinWhy I keep on going Athwal Why I stopped Castagna VoteAdverse event in arthroscopy: how to manage? Lafosse 20’

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Val d’Isère Congrès

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