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ForwardAdvanced Surgical Techniques for the Spastic Upper Limb 2027
This course offers Live (in-person) attendance only
Course Director: Peter C. Rhee, D.O., M.S.
April 9 - April 10, 2027 - Mayo Clinic Rochester - Stabile 9 - Rochester, MN
This 1.5-day advanced cadaveric surgical skills course is designed for surgeons seeking to expand beyond the foundational techniques of upper limb spasticity surgery. Through a focused blend of expert didactic instruction and intensive hands-on cadaver laboratory training, participants will explore contemporary and emerging reconstructive strategies for complex spastic upper limb deformities, with particular emphasis on advanced tendon transfers, nerve transfers, and joint-stabilizing procedures.
The course will highlight thoughtful patient and procedure selection, technical execution, and integration of complementary reconstructive techniques, providing participants with practical exposure to cutting-edge approaches intended to restore balance, improve positioning, and optimize upper-extremity function. It is expected that participants will have a thorough understanding of basic principles in the surgical management of the spastic upper limb.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Assess patients with upper-extremity spasticity and identify appropriate surgical treatment options.
- Compare nerve-based and muscle-tendon surgical techniques for management of spastic deformities.
- Demonstrate operative approaches and cadaveric techniques for treatment of spasticity affecting the shoulder, elbow, forearm, wrist, hand, and thumb.
- Incorporate advanced reconstructive procedures, including tendon transfers and nerve transfers, into patient-specific surgical treatment plans.
- Apply acquired surgical knowledge and skills to improve upper-extremity function and patient outcomes.
Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.
Course summary
- 11.50 AMA PRA Category 1 Credit™
- 11.50 Attendance
Advanced Surgical Techniques for the Spastic Upper Limb 2027 | ||
Stabile 9, Mayo Clinic Rochester, MN | ||
April 9-10, 2027 | ||
Day 1 | Friday, April 9, 2027 | |
7:00 AM | Registration & Breakfast | |
8:00 AM | Welcome & Introduction (change into scrubs) Peter C. Rhee, D.O., M.S. | |
Module I: Shoulder Moderator: Peter C. Rhee, D.O., M.S. | ||
8:10 AM | Lecture: Surgical Management of the Spastic Shoulder: Overview of Techniques Peter C. Rhee, D.O., M.S. | |
8:30 AM | Live Dissection: Mini-incision pectoralis major (PM) fractional lengthening, Deltopectoral approach, Axillary approach, PM, latissimus dorsi (LD), teres major (TM ), subscapularis (SSc) fractional lengthening (FxL) Peter C. Rhee, D.O., M.S. | |
8:45 AM | Travel to Lab | |
8:55 AM | Participant Dissection: Mini-incision pectoralis major (PM) fractional lengthening, Deltopectoral approach, Axillary approach, PM, latissimus dorsi (LD), teres major (TM ), subscapularis (SSc) fractional lengthening (FxL) Peter C. Rhee, D.O., M.S. | |
9:55 AM | AM Break | |
Module II: Elbow Moderator: Peter C. Rhee, D.O., M.S. | ||
10:10 AM | Lecture: Surgical management of the Spastic Flexed Elbow: Peripheral-nerve based techniques Peter C. Rhee, D.O., M.S. | |
10:25 AM | Live Dissection: Medial brachial approach, Biceps and brachialis hyperselecive neurectomy (HSN), Lateral elbow approach, Brachialis HSN Peter C. Rhee, D.O., M.S. | |
10:35 AM | Lecture: Surgical management of the Spastic Flexed Elbow: Muscle-based techniques Peter C. Rhee, D.O., M.S. | |
10:50 AM | Live Dissection: Antecubital Fossa Z-plasty incision, Biceps Z-lengthening (ZL), Brachialis FxL and origin release, Brachioradialis origin release, Pedicled brachioradialis flap, Osteocapsular release Peter C. Rhee, D.O., M.S. | |
11:00 AM | Travel to Lab | |
11:10 AM | Participant Dissection: Medial brachial approach: Biceps and Brachialis HSN, Lateral elbow approach: Brachioradialis HSN Antecubital Fossa Z-plasty incision Biceps ZL, Brachialis FxL (will not do brachioradialis or brachialis origin release), Pedicled brachioradialis flap, Osteocapsular release Peter C. Rhee, D.O., M.S. | |
12:15 PM | Working Lunch (Clean-up/Grab Food/Sit Down) | |
Module III: Forearm Moderator: Peter C. Rhee, D.O., M.S. | ||
12:30 PM | Lecture: Surgical Management of the Spastic Pronated Forearm Peter C. Rhee, D.O., M.S. | |
12:45 PM | Live Dissection: Mini-incision pronator teres (PT) FxL and brachioradialis FxL, Biceps rerouting for supination Peter C. Rhee, D.O., M.S. | |
1:00 PM | Lecture: Surgical Management of the Spastic Forearm, Wrist, and Extrinsic Finger Flexors: Nerve-Based Procedures Peter C. Rhee, D.O., M.S. | |
1:15 PM | Live Dissection: Proximal forearm approach, Median nerve exposure - motor branch PT, PL, FCR, FDS, FDP (IF-MF), FPL, Ulnar nerve exposure - FCU and FDP (RF-SF), Nerve Transfers: BR-ECRL, PT-ECRB, FCR-PIN, FCU-ECRB Peter C. Rhee, D.O., M.S. | |
1:30 PM | Travel to Lab | |
1:40 PM | Participant Dissection: Biceps rerouting for supination, Median nerve exposure - motor branch PT, PL, FCR, FDS, FDP (IF-MF), FPL, Ulnar nerve exposure - FCU and FDP (RF-SF), Nerve Transfers: BR-ECRL, PT-ECRB, FCR-PIN, FCU-ECRB Peter C. Rhee, D.O., M.S. | |
2:50 PM | PM Break | |
Module IV: Wrist & Fingers Moderator: Peter C. Rhee, D.O., M.S. | ||
3:00 PM | Lecture: Spastic Extrinsic Wrist and Finger Flexors: Muscle-Tendon Procedures Peter C. Rhee, D.O., M.S. | |
3:15 PM | Live Dissection: Volar distal forearm approach, Flexor carpi ulnaris FxL, FCR FxL + ZL, FDS + FDP IF-SF FxL + ZL, Total wrist arthrodesis with volar locking plate, Superficialis to profundus transfer Peter C. Rhee, D.O., M.S. | |
3:30 PM | Travel to Lab | |
3:40 PM | Participant Dissection: Volar distal forearm approach, Flexor carpi ulnaris FxL, FCR FxL + ZL, FDS + FDP IF-SF FxL + ZL, Total wrist arthrodesis with volar locking plate, Superficialis to profundus transfer Peter C. Rhee, D.O., M.S. | |
4:50 PM | Closing Remarks and Adjourn Peter C. Rhee, D.O., M.S. | |
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Day 2 | Saturday, April 10, 2027 | |
7:00 AM | Registration & Breakfast (Change into scrubs) | |
7:50 AM | Welcome & Introduction (Rules of the day) Peter C. Rhee, D.O., M.S. | |
Module V: Wrist & Finger Moderator: Peter C. Rhee, D.O., M.S. | ||
8:00 AM | Lecture: Spastic Wrist and Finger Deformity: Tendon Transfer Peter C. Rhee, D.O., M.S. | |
8:10 AM | Live Dissection: ECU to ECRB transfer, FCU to ECRB transfer, ECRB Tenodesis with suture anchor, Brachioradialis to extensor digitorum transfer Peter C. Rhee, D.O., M.S. | |
Module VI: Hand/Thumb Moderator: Peter C. Rhee, D.O., M.S. | ||
8:25 AM | Lecture: Intrinsic Muscle Spasticity and Contractures: Overview of Techniques Peter C. Rhee, D.O., M.S. | |
8:35 AM | Live Dissection: Distal intrinsic tenotomies, Proximal intrinsic tenotomies, Deep motor branch of ulnar nerve neurectomy, FDS Lasso, FDS Hemi tenodesis with internal brace Peter C. Rhee, D.O., M.S. | |
8:50 AM | Travel to Lab | |
9:00 AM | Participant Dissection: ECU to ECRB transfer, FCU to ECRB transfer, ECRB Tenodesis with suture anchor, Brachioradialis to extensor digitorum transfer, Distal intrinsic tenotomies, FDS Lasso, FDS hemi-tenodesis with internal brace Peter C. Rhee, D.O., M.S. | |
10:10 AM | AM Break | |
10:20 AM | Lecture: Management of the Thumb-in-Palm Deformity Peter C. Rhee, D.O., M.S. | |
10:35 AM | Live Dissection: FPL FxL, Adductor Pollicis HSN, FPB origin release vs selective neurectomy, Adductor Pollicis distal tenotomy vs origin release, EPL rerouting, FDI origin release, Split-FPL to EPL Transfer, EPB to PL Transfer Peter C. Rhee, D.O., M.S. | |
10:50 AM | Travel to Lab | |
11:00 AM | Participant Dissection: FPL FxL, Adductor Pollicis HSN, FPB origin release vs selective neurectomy, Adductor Pollicis distal tenotomy vs origin release, EPL rerouting, FDI origin release, Split-FPL to EPL Transfer, EPB to PL Transfer Peter C. Rhee, D.O., M.S. | |
12:10 PM | Closing Remarks and Adjourn Peter C. Rhee, D.O., M.S. | |
All travel and lodging expenses are the sole responsibility of the individual registrant.
Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Credit Statements:
AMA
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 11.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Healthcare Professionals:
A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations.
For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
| Day | Credits |
|---|---|
| Friday | 7.75 |
| Saturday | 3.75 |
Available Credit
- 11.50 AMA PRA Category 1 Credit™
- 11.50 Attendance
Mayo Clinic recognizes these types of educational programs would not be possible without your support; however, Advanced Surgical Techniques for the Spastic Upper Limb 2027 is not able to offer any opportunities at this time.
Price
Commitment to Belonging and Inclusion
Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which all individuals are valued, allowing all to achieve their fullest potential.
Every effort will be made to accommodate dietary requirements; however, some requests may not be feasible based on venue kitchen capabilities. Attendees will be contacted in advance if a dietary restriction cannot be fulfilled.
The Mayo Clinic School of Continuous Professional Development strives for fully accessible learning experiences. If you anticipate any barriers while attending this course, please reach out to the course coordinator who will be in touch with all registrants. If you need disability-related accommodations, please contact the Office of Wellness and Academic Support – Disability Access Services at MCCMS.DS@mayo.edu.
Cancellation and Refund Policy
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