Program Schedule - American Shoulder And Elbow Surgeons

MARCH 13, 2010MORIAL CONVENTION CENTERROOM 245AMERICAN SHOULDER ANDELBOW SURGEONSACCREDITATIONThe 2010 Open Meeting of the American Shoulder and ElbowSurgeons has been planned and implemented in accordance withthe Essential Areas and policies of the Accreditation Council forContinuing Medical Education through the joint sponsorship of theAmerican Academy of Orthopaedic Surgeons and the AmericanShoulder and Elbow Surgeons. The American Academy ofOrthopaedic Surgeons is accredited by the ACCME to providecontinuing medical education for physicians.The American Academy of Orthopaedic Surgeons designates thiseducational activity for a maximum of 6 AMA PRA Category 1Credits. Physicians should only claim credit commensurate withthe extent of their participation in the activity.AOSSM is the CME provider for the joint educational session.EDUCATIONAL OBJECTIVESUpon completion of this program, participants should be able to:• Review basic science and orthopaedic problems relative to theshoulder and elbow;• Examine the indications, techniques and results of various surgicalprocedures;• Describe the management of common orthopaedic problemsrelative to the shoulder and elbow;• Permit expert panelists to put into perspective new technologies.Ken Yamaguchi, MD, Program Chair7:25 am Welcome and AnnouncementsEvan L. Flatow, PresidentSESSION I: ROTATOR CUFF –BASIC SCIENCEModerators: Leesa M. Galatz, MD andDavid L. Glaser, MDPaper #17:30–7:35 am Does a Critical Rotator Cuff Tear Stage Exist?A Biomechanical Study of Rotator Cuff TearProgression in Human Cadaver ShouldersJoo Han Oh, MD, PhD, Bong Jae Jun, MS,Michelle H. McGarry, MS, Thay Q. Lee, PhDPaper #27:35–7:40 am Enhancement of Rotator Cuff Tendon Repairby Blockade of Matrix MetalloproteinaseJoshua S. Dines, MD, Michael Kessler, MD,David M. Dines, MD, J. Barr, PhD, R. Greenwald,PhD, Daniel Grande, PhDPaper #37:40–7:45 am Failed Healing of the Rotator CuffCorrelates with Altered MatrixMetalloproteinase and CollagenExpression in the Supraspinatus TendonCatherine M. Robertson, MD, Michael Shindle,MD, Camille Clinton, MD, Chris Chen, PhD, FrankA. Cordasco, MD, Russell F. Warren, MDPaper #47:45–7:50 am Diabetes Mellitus Impairs Tendon-BoneHealing After Rotator Cuff RepairAsheesh Bedi, MD, Alice Fox, MSc, XenghuaDeng, MD, Paul Harris, PhD, Russell F. Warren,MD, Scott A. Rodeo, MD7:50 am DiscussionSESSION II: ROTATOR CUFF REPAIR –CLINICAL RESEARCHModerators: John E. (Jed) Kuhn, MD andRobert Tashjian, MDPaper #58:00–8:05 am Revision Arthroscopic Rotator Cuff Repair:Repair Integrity and Clinical OutcomeJay D. Keener, MD, Anthony S. Wei, MD, H. MikeKim, MD, Edward S. Paxton, MD, Sharlene Teefey,MD, Leesa M. Galatz, MD, Ken Yamaguchi, MDPaper #68:05–8:10 am Ultrasound Evaluation of ArthroscopicFull-Thickness Supraspinatus Rotator CuffRepair: Single-Row vs. Double-Row SutureBridge (Transosseous Equivalent) Fixation.Results of a Randomized, Prospective StudyGary M. Gartsman, MD, Gregory Drake, DO, T.Bradley Edwards, MD, Hussein Elkousy, MD,Steven M. Hammerman, MD, Dan O’Connor, PhDPaper #78:10–8:15 am Timing of Rotator Cuff RepairAnshu Singh, MD, Ben Sanofsky, BA, Jae Kim,MD, Jon J.P. Warner, MD, Laurence D. Higgins, MDPaper #88:15–8:20 am Healed Cuff Repairs Allow Scores Equal toUntorn Shoulders in Those 65 and OlderMichael J. Carlson, MD, Junfeng Sun, PhD,Erica M. Burns, MD, Jonathon Cotton, MD, EdwardV. Fehringer, MDPaper #98:20–8:25 am Subscapularis Function after Open andArthroscopic Repair of Isolated SubscapularisTendon TearsChristoph Bartl, MD, Gian Salzmann, MD,Gernot Seppel, MD, Eichhorn Stefan, Dipl Ing,Konstantin Holzapfel, MD, Klaus Wörtler, MD,Andreas Imhoff, MD8:25 am DiscussionAMERICAN SHOULDER AND ELBOW SURGEONS12 Presenters are listed in bold.

SESSION III: USE OF PLATELETRICH FIBRIN TO ENHANCE ROTATORCUFF HEALINGModerators: Joseph P. Iannotti, MD, PhD andChristopher S. Ahmad, MDPaper #108:35–8:40 am Platelet-Rich Fibrin Matrix in theManagement of Arthroscopic Repairof the Rotator Cuff: A Prospective,Randomized StudyStephen C. Weber, MDPaper #118:40–8:45 am SECEC Research Grant Award 2008: Can aNatural Insertion of the Rotator Cuff beInduced by Tenocytes of Chronic ChronicTears? The Role of Platelet Released GrowthFactors on Cell-Proliferation and ECMSynthesis in VitroMatthias A. Zumstein, MD, Sven Hoppe, MD,Richard Nyffeler, MD, Pascal Boileau, MD, MauroAlini, PhDPaper #128:45–8:50 am SECEC Research Grant Award 2008: A NewTechnique of Biologic Augmentation inRepair of Chronic Rotator Cuff Tears usingAutologous Platelet Rich Fibrin (PRF):Vacularization Response and Tendon Healingin a Prospective Randomized TrialMatthias A. Zumstein, MD, Virginie Lesbats, MD,Christophe Trojani, MD, PhD, Pascal Boileau, MD8:50 am Discussion9:00 am How-To Video I: Arthroscopic SuprascapularNerve ReleaseLaurent Lafosse, MDSYMPOSIUM I: WHEN SHOULD WETREAT THE SUPRASCAPULAR NERVE?9:10 am Moderator: Gerald R. Williams, Jr., MDRarely: William N. Levine, MDCommonly: Jon J.P. Warner, MD9:30 am Discussion9:40–10:00 am BreakSESSION IV: SHOULDERARTHROPLASTYModerators: Michael L. Pearl, MD and J. MichaelWiater, MDPaper #1310:00–10:05 am Radiographic Evolution of the Glenoid andHumeral Implant in Grammont Reverse TotalShoulder Arthroplasty with Follow Up from 8to 12 YearsBarbara Mélis, MD, Jacob Fant Kidder, MD,Cécile Nérot, MD, Daniel Molé, MD, CarlosMaynou, MD, Luc Favard, MD, Pascal Boileau,MD, Gilles Walch, MDPaper #1410:05–10:10 am Do the Indications, Results andComplications of Reverse ShoulderArthroplasty Change with Surgeon’sExperience?Guillaume Bacle, MD, Barbara Mélis, MD, JacobFant Kidder, MD, Laurent Nové-Josserand, MD,Gilles Walch, MDPaper #1510:10–10:15 am Biomechanical Evaluation of ThreeSubscapularis Repairs after ShoulderArthroplastyGeoffrey S. Van Thiel, MD, MBA, Fan ChiaWang, MS, Vincent Wang, PhD, Shane J. Nho,MD, MS, Dana Piasecki, MD, Bernard R. Bach,Jr., MD, Anthony A. Romeo, MDPaper #1610:15–10:20 am Revision Surgery of ReverseShoulder ArthroplastyBarbara Mélis, MD, David Duperron, MD,Gregory Moineau, MD, Pascal Boileau, MDPaper #1710:20–10:25 am A Preliminary Report on the Influence ofGlenosphere Design Features on thePolyethylene Wear of Reverse Total ShoulderArthroplasty Systems: An In Vitro WearSimulationZachary Vaupel, MD, Kevin C. Baker, MSc,Jimmi Mangla, MD, J. Michael Wiater, MD10:25 am Discussion10:35 am How-To Video II: Reverse ShoulderArthroplasty for Proximal Humerus FracturesT. Bradley Edwards, MDSYMPOSIUM II: REVERSE VS. HEMIFOR COMPLEX 4-PART PROXIMALHUMERAL FRACTURES10:45 am Moderator: Christian Gerber, MDReverse: Pascal Boileau, MDHemi: Louis U. Bigliani, MD11:10 am Discussion11:20 am Neer Award PresentationPresenters are listed in bold.13AMERICAN SHOULDER AND ELBOW SURGEONS

SESSION V: SHOULDER –MISCELLANEOUSModerators: Anand M. Murthi, MD andBradford O. Parsons, MDPaper #1811:30–11:35 am Interscalene Block Anesthesia forShoulder Arthroscopy: A ProspectiveStudy of 1333 PatientsAnshu Singh, MD, Charles Kelly, MD, TravisO’Brien, BA, Jeffrey Wilson, MD, Jon J.P. Warner, MDPaper #1911:35–11:40 am What is a Safe Blood Pressure DuringShoulder Arthroscopy in the Beach ChairPosition? A Prospective Study UsingContinuous EEG MonitoringReuben Gobezie, MD, Yousef Shishani, MD, TroyMounts, MD, Tanvir Syed, MD, Adam Haas, MDPaper #2011:40–11:45 am Circumferential Lesions of the GlenoidLabrum: A Prospective Cohort Study ofArthroscopic Repair with Minimum 2-YearFollow-up: A Multi-Center StudyJohn Tokish, MD, Lcol, MC, USAF, ColleenMcBratney, MD, Maj, USAF, Daniel J. Solomon,MD, Lance LeClere, MD, LT, MC, USN, ChristopherB. Dewing, LCDR, MC, USN, Matthew T.Provencher, MD, LCDR, MC, USN11:45 am Discussion11:55 am How-To Video III: ArthroscopicBicep TenodesisGary M. Gartsman, MD12:05–1:05 pm LunchSESSION VI: ELBOWModerators: Michael Hausman, MD and Scott P.Steinmann, MDPaper #211:05–1:10 pm Linked Semiconstrained Total ElbowArthroplasty in Rheumatoid Arthritis:A 2 to 25 Year Follow-up Study of 461Consecutive CasesJoaquin Sanchez-Sotelo, MD, PhD, Bernard F.Morrey, MDPaper #221:10–1:15 pm Combined Flexor-Pronator Mass and UlnarCollateral Ligament Injuries in the Elbow ofOlder Baseball PlayersDaryl C. Osbahr, MD, Swarup S. Swaminathan,Answorth A. Allen, MD, Joshua S. Dines, MD,Struan H. Coleman, MD, PhD, David W. Altchek, MDPaper #231:15–1:20 pm Proximal Radioulnar Impingement: TheImpact of Radial Tuberosity Size on DistalBiceps Tendonopathy and RuptureMilford H. Marchant, Jr., MD, Tony Wanich, MD,Melissa M. Gross, Neal S. ElAttrache, MD1:20 pm Discussion1:30 pm How-To Video IV: Surgical Exposure forElbow ArthroplastyMatthew L. Ramsey, MDSESSION VII: ELBOW –RADIOCAPITELLAR JOINTModerators: Jay D. Keener, MD and JoaquinSanchez-Sotelo, MD, PhDPaper #241:40–1:45 pm Unstable Radial Head FracturesCraig A. Rineer, MD, Thierry G. Guitton, MSc,David C. Ring, MD, PhDPaper #251:45–1:50 pm Radiocapitellar Arthritis: Outcomes UtilizingAllograft Interposition ArthroplastyAnand M. Murthi, MD, Jason A. Stein, MDPaper #261:50–1:55 pm Arthroscopic Debridement and Microfractureof Capitellar Osteochondritis DessicansChris Pokabla, MD, Larry D. Field, MD, Felix H.Savoie, III, MD, J. Randall Ramsey, MD, E. RhettHobgood, MD, Chris K. John, MD1:55 pm DiscussionSYMPOSIUM III: RADIAL HEAD ORIFVS. ARTHROPLASTY2:05 pm Moderator: Graham J.W. King, MDIndications for Radial Head Arthroplasty:Matthew L. Ramsey, MDIndications for Non-Operative or ORIFManagement of Radial Head Fractures:David C. Ring, MD, PhD2:30 pm Discussion2:40pmBreak3:00–5:03 pm Adjourn to La Nouvelle Ballroom A for thecombined session with Arthroscopy Association ofNorth America and American Orthopaedic Societyfor Sports MedicineAMERICAN SHOULDER AND ELBOW SURGEONS14Presenters are listed in bold.

COMBINED SESSION (FOR GENERALINFORMATION, SEE PAGE 11)ARTHROSCOPY ASSOCIATION OFNORTH AMERICAAMERICAN ORTHOPAEDIC SOCIETYFOR SPORTS MEDICINEAMERICAN SHOULDER ANDELBOW SURGEONS3:00–3:03 pm WelcomeJeffrey S. Abrams, MD, AANA 2010 Program ChairNeal S. ElAttrache, MD, AOSSM 2010 Program ChairKen Yamaguchi, MD, ASES 2010 Program ChairCONTROVERSIES IN PATIENTMANAGEMENT: CASE STUDIES3:04–3:33 pm Treatment Options for Patients with DistalBiceps TearsModerator: Bernard F. Morrey, MDPanelists:Patrick M. Connor, MDGraham J.W. King, MDFelix H. Savoie, III, MD3:34–4:03 pm Treatment Options for Patients with PartialThickness Rotator Cuff TearsModerator: Russell F. Warren, MDPanelists:John E. Conway, MDRichard K. N. Ryu, MDGerald R. Williams, Jr., MD4:04–4:33 pm Treatment Options for Patients with First-TimeTraumatic Anterior DislocationsModerator: Richard J. Hawkins, MD, FRCSCPanelists:Jeffrey S. Abrams, MDRobert A. Arciero, MDAnthony A. Romeo, MD4:34–5:03 pm Treatment Options for Patients with FailedRotator Cuff RepairsModerator: Robert T. Burks, MDPanelists:Stephen S. Burkhart, MDJoseph P. Iannotti, MD, PhDJames E. Tibone, MDObjectives:Upon completion of these Case Studies, learnersshould be able to:• Improve diagnosis, evaluation, and treatment oftraumatic injuries to the upper extremity• Evaluate patient selection predicated on activitydemands and expectations• Apply technical pearls to enhance management• Avoid complications5:03 pm Conference AdjournsDISCLOSURE STATEMENTEach participant in the meeting has been asked to disclose if he or she has received something of value from a commercial company or institution, whichrelates directly or indirectly to the subject of their presentations. The American Shoulder and Elbow Surgeons has identified the options to disclose as follows:a. Research or institutional support has been received;b. Miscellaneous non–income support (e.g., equipment or services), commercially derived honoraria, or other non–research related funding (e.g., paid travel);c. Royalties have been received;d. Stock or stock options held;e. Consultant or employee;f. The author (or member of their immediate family) has not received anything of value from or own stock (or stock options) in a commercial company orinstitution related directly or indirectly to the subject of his/her presentation.Complete disclosure information for all faculty and presenters will be listed in the final program.The American Shoulder and Elbow Surgeons does not view the existence of these interests or commitments as necessarily implying bias or decreasing thevalue of the author’s participation in this educational activity.15AMERICAN SHOULDER AND ELBOW SURGEONS