Current Concepts 2024
Necessary vs. Unnecessary Surgery ?…

preliminary Program

THURSDAY, JUNE 6

ANTERIOR INSTABILITY - POSTERIOR INSTABILITY - FAILED STABILIZATION - AC JOINT

Welcome – Opening

I- FIRST ANTERIOR DISLOCATION: DO WE HAVE TO FIX?

Bankart Repair for First Time Dislocators: Necessary or Unnecessary Surgery ?
First-time Traumatic Anterior Dislocation with Glenoid Rim Facture: Nonoperative Treatment or Surgery?
Recurrent Traumatic Shoulder Instability in Young Males: Arthroscopic Bankart or Open Latarjet? A Randomised Controlled Trial
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

II- PREDICTING RECURRENCES IN ANTERIOR SHOULDER INSTABILITY

Open Latarjet in Patients with No or Minimum Glenoid Bone Loss
Measuring Shoulder Glenoid Bone Loss with MRI: Useful or Useless? 
Critical Glenoid Bone Loss: Does Size matter? Or Does Glenoid concavity matter?
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

III- RECURRENCE OF INSTABILITY AFTER BANKART REPAIR

Outcomes of Arthroscopic Latarjet as a Revision Surgery After Failed Arthroscopic Bankart 
Revision of Failed Bankart Repair: Outcomes of Arthroscopic Latarjet 
Management of the Failed Arthroscopic Bankart repair: New Bankart Repair or Latarjet Procedure?
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

IV- BIPOLAR BONY LESIONS

The Glenoid Track Concept: Is Measuring Glenoid and Humeral Bone Loss in the Unstable Shoulder Really Useful ? 
Latarjet Surgery can Convert many preoperative OFF TRACK Hill-Sachs lesions, but not all of them !
Off-track Shoulders with Bipolar Bone Loss: Outcomes of Combined Latarjet with Hill-Sachs Remplissage 
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

V- ANTERIOR GLENOID RIM RECONSTRUCTION

Is Bone Grafting Necessary or Not in the Presence of a Bony Bankart lesion?
Arthroscopic Distal Clavicular Autograft (DCA) for Treating Anterior Shoulder Instability with Glenoid Bone Loss
Congruent-Arc Distal Clavicle Autograft for Anterior Glenoid Reconstruction: A CT-scan Analysis
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

VI- ARTHROSCOPIC LATARJET

Arthroscopic Guided  Latarjet with Cortical-Button Fixation: An Independant French Experience & Results
 Arthroscopic Suture-Button Latarjet: The Chinese Perspective
Arthroscopic Guided-Bristow Latarjet procedure with Button fixation: Long-term results (>10 years) 
The Arthroscopic Latarjet Procedure: My 20-Year Odyssey (Dreams, Failures, and Sucesses…)
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

VII- MANAGEMENT OF THE FAILED LATARJET PROCEDURE

Screw removal after open Latarjet procedure: A Meta-analysis
Screw removal after open Latarjet procedure? A retrospective series of 692 cases at 6.5 years follow-up
Recurrence of instability after Latarjet procedure: causes and results
Arthroscopic Revision of Failed Latarjet with Glenoid Bone Loss: Decision-Making Process & Treatment Options
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

VIII- OTHER OPTIONS TO STABILIZE THE SHOULDER

Dynamic Anterior Stabilization: Technique, Pitfalls, and Limits
The Flipped Latarjet Concept: Technique & Early Results
The Arthroscopic Trillat Procedure: Technique, Indications and results
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

IX- POSTERIOR INSTABILITY (DIAGNOSIS, CLASSIFICATION)

The ABC Classification for Posterior Instability
Classification of Posterior Instability
Posterior Unstable  Painful shoulder (POST-UPS)
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

X- POSTERIOR INSTABILITY (SURGICAL TREATMENT)

Static Posterior Shoulder Instability: The PACS Procedure (Posterior Articular Coverage and Shift) – A new Acronym for a Posterior Bankart Repair?
Arthroscopic Bone Block Procedure for Posterior Shoulder Instability
Arthroscopic Bone Graft for Dynamic Recurrent Posterior Instability: Mid to Long-Term Results 
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE 

XI- AC-JOINT DISLOCATION

The ‘‘Circles Measurement’’ on Alexander views: The New Gold Standard to Diagnose AC-joint dislocations?
Rockwood Type 4 AC Joint Dislocation: How to make the Diagnosis?
Procedure for Chronic AC-Joint Dislocation
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

LIVE & RE-LIVE SURGERIES

RE-LIVE SURGERY: Arthoscopic Bankart with Hill-Sachs Remplissage
RE-LIVE SURGERY: Mini-open Latarjet with Suture-Button Fixation
LIVE SURGERY: Arthroscopic Guided Latarjet
RE-LIVE SURGERY: Arthroscopic Posterior Glenoid Osteotomy
RE-LIVE SURGERY: Arthroscopic Modified Weaver-Dunn Procedure for Chronic ACJ Dislocations

AFTERNOON WORKSHOPS

Welcome Cocktail

FRIDAY, JUNE 7

ROTATOR CUFF - FAILED CUFF REPAIRS - TENDON TRANSFER - FRACTURES

I- ACROMIOPLASTY: USEFUL OR USELESS ?

Is Acromioplasty unnecessary? A New Classification for Subacromial Impingement Etiology and Treatment
Arthroscopic Rotator Cuff Repair with Concomitant Subacromial Decompression is Associated with Lower rate of Reoperation 
Small, Nontraumatic Supraspinatus Tears In Patients Older than 55 years:  Operative Treatment is No Better than Conservative Treatment
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

II- REPAIR OF DEGENERATIVE ROTATOR CUFF TEARS: NECESSARY OR UNECESSARY ?

Untreated Asymptomatic degenerative rotator cuff tears in patients 65 years and younger: a prospective analysis with long-term follow-up
Who Really Needs Rotator Cuff Repair?  How can we assess repairability?
Fatty Degeneration of the Rotator Cuff Muscles Improves in Shoulders with Successful Arthroscopic Rotator Cuff Repair
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

III - BICEPS & FROZEN SHOULDER MANAGEMENT

Repair of small Supraspinatus Tears: Can the Biceps tendon  be Conserved ?
Primary Rotator Cuff Repair: Concomitant Biceps Tenodesis is Associated with Lower Reoperation Rates
Management of Primary Frozen Shoulder: To Manipulate?… To Release?… or To Inject?…
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

IV- ROTATOR CUFF TENDON DELAMINATION / SHORTENING

Location and Thickness of Delaminated Rotator Cuff Tears: Does it have a Surgical Impact
Double-Layer Rotator Cuff Repair with Infraspinatus Capsular Repair (ICR)    
Massive Rotator Cuff Tears With Short Tendon Length Can Be Successfully Repaired Using Synthetic Patch Augmentation
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

V- SUBSCAPULARIS TEARS & REPAIR

 What is the evidence to  Repair Subscapularis Tendon Clivage Associated with Biceps Subluxation?
Arthroscopic Subscapularis Repair: 10-year Results
Arthroscopic Repair of Isolated Subscapularis Tears: High Retear Rate in Larger Tears
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

VI- TENDON TRANSFERS FOR IRREPARABLE SUBSCAPULARIS TEARS

Pectoralis Major Transfer for Irreparable Subscapularis Tears : Useful or Useless?
Latissimus Dorsi For Irreparable Subscapularis Tears: Useful or Useless? 
Tendon Transfer for Irreparable Subscapularis Tears: Useful or Useless?
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

VII- REVISION ROTATOR CUFF REPAIR: SHOULD WE REPAIR AGAIN ?

Revision rotator cuff repair: Can a Sugaya III Tendon Considered to be Healed or Not?
Symptomatic Failed Rotator Cuff Repair: Is it Worth Attempting a Re-repair? A Minimum 10-year Follow-up Study
Sex Hormone and Vitamine D Deficiencies are Highly Prevalent among Patients Undergoing RCR: Could  Hormone Supplementation Improve Tendon Healing?
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

VIII- SHOULDER "PSEUDOPARALYSIS" vs. "PSEUDOPARESIS": REVISITED DEFINITIONS

Shoulder Pseudoparalysis: Variable Definitions – Can we get a Consensus?
Shoulder Pseudoparalysis: Lack of Agreement among Shoulder Surgeons
Chronic Pseudoparalysis & Pseudoparesis are Associated with Different Structural Lesions
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

IX- MASSIVE ROTATOR CUFF TEARS: IS REPAIR BENEFICIAL ?

Isolated Biceps Tenotomy or Tenodesis for Massive Irreparable Rotator Cuff Tear: Long-term Outcomes (minimum 10 years). 
Massive Rotator Cuff Tears: Partial Repair With or Without Biceps Tendon Augmentation?
The Use of PRP as Biologic Augmentation in Rotator Cuff Surgical Repair: Useful or Useless?
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

X- TENDON TRANSFERS FOR IRREPARABLE CUFF TEARS

Latissimus Dorsi Transfer for Massive Irreparable Posterosuperior Cuff Tear: Is the Tendon Transfer Still Useful at Minimum 10-Year Follow up ?…
Arthroscopic Latissimus Dorsi Transfer for Irreparable Posterosuperior Cuff Tears: Tips & Tricks
Outcomes after Arthroscopically Assisted Lower Trapezius Transfer with Semitendinosus Tendon Augmentation
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

XI- SUPERIOR CAPSULAR RECONSTRUCTION (SCR): USEFUL OR USELESS ?

Arthroscopic SCR using Fascia Lata Grafts with and without Polypropylene Mesh Augmentation
Superior Capsular Reconstruction for Irreparable Rotator Cuff Tears: Autografts versus Allografts
Superior Capsular Reconstruction for Massive Rotator Cuff Tears. Usful or Useless?
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

INDUSTRY WORKSHOPS

XII- SUBACROMIAL BALOON SPACER (SBS): USEFUL OR USELESS ?

Subacromial Balloon Spacer Does Not Reduce the Retear Rate for Massive Rotator Cuff Tears: A Comparative Study
Effectiveness of the In-Space balloon for Patients with irreparable rotator cuff tears: A Sequential, Double-blind, Multicentre Randomised Study
The use of a subacromial spacer-inspace balloon in managing patients with MICTs: A Sytematic Review
Massive Irreparable Chronic – Rotator Cuff Tears (MIC-RCT): A Symptom-Based Decision Making 
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

XIII- PROXIMAL HUMERUS FRACTURES ORIF: UNNECESSARY OR BENEFICIAL ?

Locking plate fixation of proximal humerus fractures continues to be associated with a high complication rate
The “Terrible Triad” After Proximal Humerus Fractures Plating
 Tuberosity-Based IM Nailing of 3- and 4-Part Fractures: Rationale, Technique & Results
Predicting Functional Outcome Following Nonoperative Treatment of Proximal Humeral Fractures
RSA with Alternative Distal Interlocking Humeral Fixation: Clinical & Radiological Results
Decision making in surgical treatment of Proximal Humerus Fractures
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

XIV- DOES IT REALLY WORK ?

RSA with Pedicled Pectoralis Transfer in Patients with Deltoid Paralysis: Does it Really Work?
Arthroscopic Brachial Plexus Neurolysis: Does it Really Work?
Anatomy and introduction to the scapula pathology
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

SPECIAL GUEST LECTURE

“Surgical effectiveness: Perception versus Reality”

LIVE & RE-LIVE SURGERIES

RE-LIVE SURGERY: RSA for Displaced 4-Part Fracture           
RE-LIVE SURGERY: Arthroscopic Cuff Repair with Scaffold                          
RE-LIVE SURGERY: Allograft Reconstruction & RSA for Severe Proximal Humeral Bone Loss    
LIVE SURGERY: Latissimus Dorsi Transfer & RSA for Shoulder Pseudoparlysis with Dropping Arm (CLEER- Combined Loss of Elevation & External Rotation)
RE-LIVE SURGERY: How I Plan and Perform a RSA  with a Patient-Specific Glenoid  for Glenoid Bone Loss 
RE-LIVE SURGERY: Arthroscopic Subscapularis Repair
RE-LIVE SURGERY: Reverse Shoulder Arthroplasty with Subscapularis Preservation

SATURDAY, JUNE 8

UPDATES ON SHOULDER HARWARE & SOFTWARE

I- 3D PLANNING SOFTWARES IN SHOULDER ARTHROPLASTY: USEFUL OR USELESS ?

The Golden Rules of Anatomic Glenoid Implantation: Did they Change Through Time ? What about Auto-Planning ?
Can we Separatly Measure Distalization and Lateralization in RSA ? Which Clinical Implications ?
Is Planning of the Humerus Needed ?
Current Preoperative Planning Softwares in Shoulder Arthroplasty: Useful or Useless ?
Planning Revision Surgery: Automated Preoperative Identification of the Previous Failed Soulder Arthroplasty
Ask the Experts : Interactive Case Presentations / Discussion + Audience VOTE

II- B2/B3 GLENOID OSTEOARTHRITIS

 The B2/B3 Glenoid Arthritis: Is there Rotator Cuff Muscle Imbalance ?
The B2 Glenoid: Outcomes of Anatomical TSA with Corrective Reaming (mean 8-year follow-up)
The B2 Glenoid: When do I do a PE Augment, and When a Reverse Augment ?
RSA in the Kyphotic Patient: Why and When Should We Modify Retroversion of the Humeral Component ?
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

III- TENDON TRANSFER COMBINED WITH RSA: WHY AND HOW ?

Onlay RSA with and without LDT
L’Episcopo versus Latissimus Dorsi Transfer with RSA for CLEER Patients: A Comparative Study
Lower Trapezius Transfer with RSA  for CLEER Patients: Technique and Early Results
Latissimus Dorsi and Teres Major Transfer in RSA: A Biomechanical and Electromyographic Study
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

IV- GLENOID BONE LOSS & RECONSTRUCTION: BONE vs. METAL ?

Patient Specific VRS Glenoid for Severe Bone Loss
Patient Specific BIO-RSA for the Treatment of Osteoarthritis with Glenoid Dysplasia (Type C Glenoid): Technique & Results
Reconstruction of Severe Glenoid Defect with RSA  and Bone Graft: Should We Use Autograft or Allograft ?
Glenoid Revision with Custom Metal (Patient-Specific) Glenoid (ID)
Happy Birthday BIO-RSA !… 10 to 18-year Follow-up Outcomes
Patient Specific Bone Grafting
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

V- HUMERUS BONE LOSS & RECONSTRUCTION: BONE vs. METAL ?

Massive Humeral & Glenoid Bone Loss: The Next Challenge
Humeral Revision using a Press-fit Modular Humeral Stem: Postoperative Outcomes and Complications
The Revive stem: Tips, Pearls, and Challenges
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

VI- THE INFECTED SHOULDER ARTHROPLASTY: WHAT SHOULD WE DO ?

Infected Shoulder Arthroplasty:  Why Two-Stage Revision Surgery is Useless
Infected Shoulder Arthroplasty: Why Two-Stage Revision Surgery allows Better Infection Control
Infected Shoulder Arthroplasty: One-Stage versus Two-stage Revision: What is the Evidence ?
Infected Shoulder Arthroplasty in Patients Younger than 60 Years: Results of a Multicenter Study
Unexpected Positive Cultures (UPCs) Following Revision Shoulder Arthroplsaty: Which Strategy to Prevent PJI ?
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

VII- WHAT'S NEW IN CLINICAL RESEARCH ?

Retrospective Multicenter Studies: Necessary or Unnecessary?
The Prospective Randomized Controlled Trial: Is it still the Graal for Clinical Research ?
Teaching with Virtual Reality
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

VIII- AUGMENTED & MIXED REALITY, AI & ROBOTIC SHOULDER SURGERY

Can We Rely on Human Intelligence to Control Artificial Intelligence ?
What is  the Benefit of Navigation compared to Planification: Which One is Useless ?
Mixed Reality Guidance in Shoulder Replacement: Do the Benefits Justify the Cost ?
Robotic Assistance in Shoulder Arthroplasty with Use of ‘‘force-space navigation’’: Where are we Today ?
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

IX- COMPLICATIONS & REVISION IN SHOULDER ARTHROPLASTY

The Alternate Centerline of the Scapula in the Deformed/Eroded Glenoid: What is it? How to Use it?
Glenoid component loosening after anatomical total shoulder arthroplasty – Should you wait or push patients for revision?
Acromial & Scapular spine fractures ( Levy type II-III) : Is Double-plating Necessary or Unnecessary?
Glenohumeral suture cerclage for recurrent reverse shoulder arthroplasty instability
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

X- OPTIMIZAZING RANGE OF MOTION AFTER RSA

Scapulohumeral rhythm in shoulders with RSA measured with a new portable 3D scapular kinematics assessment system
Optimization of Internal Rotation in RSA: What Do We Know?… What should we do ?
Optimization of Elevation and Abduction: The Role of Acromioplasty and Tuberoplasty in RSA
Arm Change Position (ACP): Additional information for optimizing ROM after RSA
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

XI- UPDATES ON TSA & RSA

Inset vs. Inlay  vs. Hybrid Glenoids: The New Kids on the Block
Long-term Results with Stemless Reverse Prosthesis: The TESS Experience
Stemless reverse shoulder arthroplasty: clinical and radiologic outcomes with minimum 2 years’ follow-up
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

XII- PYROCARBON HUMERAL HEAD REPLACEMENT: IS IT BETTER THAN METAL ?

Hemi-Metal in Primary OA: What are the Long-term Outcomes ?
Anatomic Pyrocarbon Hemiarthroplasty (HA-PYC) in Young/High Demand Patients: The Nice Experience
Pyrocarbon HA Grant Satisfactory Outcomes with Minimal Glenoid Erosion at Mid-term Follow up
Pyrocarbon Resurfacing Humeral Head in Young Patients Has Low Revision Rate at Mid-term follow-up
Metal Hemiarthroplasty with “Ream & Run” Glenoid Reaming: Factors associated with success at a minimum of 5 years
Pyrocarbon Hemiarthroplasty with “C2 “Glenoid Reaming for B2/B3 Glenoid: The Nice Experience
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE

XIII- ALTERNATIVES TO REVERSE SHOULDER ARTHROPLASTY: NEW FRONTIERS

Pyrocarbon Interposition Shoulder Arthroplasty (PISA): Long-term (Minimum 10 Years Follow up) Outcomes
RSA with Inverted-Bearing Materials: Clinical and Radiological Results at 5 years Minimum Follow-up
Hemi-Reverse in Primary and Revision Surgery: Does it Last ?
Dual Mobility-Reverse Shoulder Arthroplasty: (DM-RSA):  A New Option for the Unstable Shoulder Arthroplasty
Ask the Experts: Interactive Case Presentations / Discussion + Audience VOTE
CONCLUSION – What Did We Learn Today ?
End of Meeting