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ForwardInternational Symposium on Surgery of the Spastic Upper Limb
This course offers Live (in-person) and Livestream (virtual) attendance options.
Course Directors:
 |  |
| Peter C. Rhee, D.O., M.S. | Michael C. Wainberg, M.D. |
A message from Dr. Peter C. Rhee, Course Director:
June 4 - 6, 2024 - Mayo Clinic - Rochester, Minnesota
The Mayo Clinic International Symposium on Surgery of the Spastic Upper Limb is a comprehensive course designed for physiotherapists, rehabilitation specialists, and surgeons who treat adult and pediatric patients with a spastic upper limb. The course revolves around a multidisciplinary approach to the procedural and surgical management of the spastic upper extremity utilizing didactic lectures reviewing current concepts, stimulating debates on controversial surgical techniques, all-access live surgery demonstrations with a master surgeon, and engaging case presentations.
A precourse is offered on June 4, 2024 to provide a thorough review of advanced surgical anatomy and hands-on dissection to learn and refine surgical techniques for the spastic upper extremity.
This United States based offering is a continuation from the International Symposium on Surgery of the Spastic Upper Limb held in Paris, France in 2017 under the direction of Dr. Caroline Leclercq.
Course Highlights:
- Renowned international guest speakers
- Live surgery demonstrations
- Case presentations
- Networking reception
| Course Registration Fees |
|---|
June 4, 2024 Optional Precourse: Hands-on Cadaver Workshop (In-person): All Attendees - $1400 Precourse registration fee includes breakfast, lunch, and refreshment breaks on June 4, 2024. |
June 5 - 6, 2024 General Session (In-person and virtual): M.D., D.O., Ph.D. - $800 Allied Health, PT, NP, PA, Retirees, Trainees, and Mayo Clinic Employees - $700 General in-person session registration fee includes breakfast, lunch, refreshment breaks on June 5-6, 2024, and course reception in the evening of June 5, 2024. |
Target Audience
This symposium is designed for physicians, residents, fellows, physician assistants, physical and occupational therapists interested in the procedural, surgical, and rehabilitative care of the spastic upper limb.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Define the role of nonoperative management for the spastic upper limb.
- Recognize the indications and principles of upper limb surgery for spasticity.
- Apply muscle tendon lengthening procedures to reduce spasticity and correct upper limb deformities with soft tissue contractures.
- Utilize peripheral nerve procedures to enhance function in the spastic upper limb.
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.
International Symposium on Surgery of the Spastic Upper Limb
Rochester, Minnesota, USA
June 4-6, 2024
All times noted are U.S. Central Time (CT)
Tuesday, June 4, 2024 | |
6:00 a.m. | Registration & Breakfast (Stabile Building – 9th Floor Conference Room) |
7:00 a.m. | Welcome and Lab Overview |
7:10 a.m. | Surgical Management of the Spastic Shoulder: Overview of Techniques |
7:30 a.m. | Live Surgery Demonstration |
7:40 a.m. | Walk to Anatomy Lab (Stabile Building – 9th Floor) |
7:50 a.m. | Participation in Dissection |
8:35 a.m. | Refreshment Break (Stabile Building – 9th Floor Conference Room) |
8:45 a.m. | Surgical Management of the Spastic Flexed Elbow: Peripheral Nerve Based Procedures |
9:00 a.m. | Live Surgery Demonstration |
9:15 a.m. | Surgical Management of the Spastic Flexed Elbow: Muscle Based Procedures |
9:30 a.m. | Live Surgery Demonstration |
9:45 a.m. | Walk to Anatomy Lab (Stabile Building – 9th Floor) |
9:55 a.m. | Participation in Dissection |
10:55 a.m. | Refreshment Break (Stabile Building – 9th Floor Conference Room) |
11:05 a.m. | Surgical Management of the Spastic Pronated Forearm and Flexed Wrist: Muscle Based Procedures |
11:20 p.m. | Live Surgery Demonstration |
11:35 p.m. | Surgical Management of the Spastic Pronated Forearm and Flexed Wrist: Peripheral Nerve Based Procedures |
11:45 a.m. | Live Surgery Demonstration |
11:55 p.m. | Walk to Anatomy Lab (Stabile Building – 9th Floor) |
12:05 p.m. | Participation in Dissection |
12:50 p.m. | Working Lunch (Stabile Building – 9th Floor Conference Room) |
1:05 p.m. | Spastic Extrinsic Finger Flexors: Muscle-Tendon Lengthening Procedures |
1:20 p.m. | Live Surgery Demonstration |
1:30 pm. | Clenched Fist in the Non-functional Hand |
1:40 p.m. | Live Surgery Demonstration |
1:50 p.m. | Walk to Anatomy Lab (Stabile Building – 9th Floor) |
2:00 p.m. | Participation in Dissection |
2:50 p.m. | Refreshment Break (Stabile Building – 9th Floor Conference Room) |
3:00 p.m. | Intrinsic Muscle Spasticity and Contracture: Overview of Techniques |
3:10 p.m. | Live Surgery Demonstration |
3:20 p.m. | Management of the Thumb-in-Palm Deformity |
3:35 p.m. | Live Surgery Demonstration |
3:50 p.m. | Walk to Anatomy Lab (Stabile Building – 9th Floor) |
4:00 p.m. | Participation in Dissection |
5:00 p.m. | Closing Remarks (in the Anatomy Lab)/Adjourn |
Wednesday, June 5, 2024 | |
6:30 a.m. | Registration (Leighton Auditorium – Siebens 2) |
7:30 a.m. | Welcome and Course Overview |
7:40 a.m. | Setting the Tone for the Symposium: Pathophysiology of Spasticity versus Dystonia |
8:00 a.m. | Pathoanatomy of Spastic Deformities: Spasticity, Muscle Contracture, and Joint Contracture |
8:10 a.m. | Rehabilitation Techniques for the Spastic Upper Limb |
8:25 a.m. | Updates in the Pharmacologic Management of the Spastic Upper Limb |
8:40 a.m. | Panel Questions and Answers Session |
8:50 a.m. | The Role and Indication for Cryoneurotomy |
9:05 a.m. | Dynamic EMG and Motion Analysis for the Spastic Upper Limb |
9:20 a.m. | Pre-operative Counseling Prior to Upper Limb Reconstructive Surgery: What Patients Need to Know |
9:30 a.m. | Perioperative Anesthetic Management for Surgery on the Spastic Upper Limb |
9:45 a.m. | Panel Questions and Answers Session |
9:55 a.m. | Refreshment Break (In Front of the Leighton Auditorium – Siebens 2) |
10:10 a.m. | Surgery for the Spastic Shoulder: My Approach |
10:30 a.m. | Debate: Muscle versus Peripheral Nerve Based Procedures for the Spastic Shoulder |
10:50 a.m. | A Physiatrist’s Approach for Shoulder Spasticity Management |
11:00 a.m. | Peripheral Nerve Stimulation for Hemiplegic Shoulder Pain |
11:10 a.m. | Livestream Surgical Tips and Tricks: Spastic Shoulder Techniques |
11:30 a.m. | Case Presentations and Panel Discussions |
12:00 p.m. | Lunch and Exhibits (Rochester Marriott Mayo Clinic Area Hotel Ballroom – Connected to Siebens Building on the 2nd Floor) |
13:00 p.m. | Surgery for the Spastic Elbow: My Approach |
13:20 p.m. | Debate: Chemical/Thermal Neurotomy vs Hyperselective Neurectomy |
13:40 p.m. | Debate: Triceps Spasticity – Staged versus Single Event Approach |
14:00 p.m. | Livestream Surgical Tips and Tricks: Spastic Elbow Techniques |
14:20 p.m. | Case Presentations and Panel Discussions |
14:50 p.m. | Refreshment Break (In Front of the Leighton Auditorium – Siebens 2) |
15:05 p.m. | Surgery for the Spastic Forearm and Wrist: My Approach |
15:25 p.m. | Minimally Invasive Approach for the Flexed Wrist Deformity: Percutaneous Procedures |
15:35 p.m. | Debate: Flexed Wrist Deformity – Total Wrist Arthrodesis vs Soft Tissue Rebalancing |
15:55 p.m. | Livestream Surgical Tips and Tricks: Spastic Wrist Techniques |
16:15 p.m. | Case Presentations and Panel Discussions |
17:00 p.m. | Closing Remarks/Adjourn |
18:00 p.m. | Course Reception |
Thursday, June 6, 2024 | |
6:30 a.m. | Breakfast and Exhibits (Rochester Marriott Mayo Clinic Area Hotel Ballroom – Connected to Siebens Building on the 2nd Floor) |
7:25 a.m. | Welcome and Review Day 1 |
7:30 a.m. | Heritage Lecture: History of Surgery for the Spastic Upper Limb |
8:00 a.m. | Surgical Management for the Spastic Clenched Fist: My Approach |
8:20 a.m. | Intrinsic Spasticity and Contractures: Surgical Options |
8:30 a.m. | Swan Neck and Claw Deformities: What Should We Do? |
8:40 a.m. | Debate: Extrinsic Finger Flexor Spasticity [Volitional Control Present] – Hyperselective Neurectomy vs Muscle Lengthening |
9:00 a.m. | Rehabilitation Techniques after Finger Flexor Lengthening |
9:10 a.m. | Livestream Surgical Tips and Tricks: Clenched Fist Deformities |
9:30 a.m. | Case Presentations and Panel Discussions |
10:00 a.m. | Refreshment Break (In Front of the Leighton Auditorium – Siebens 2) |
10:15 a.m. | Surgical Management for the Thumb-in-Palm Deformity: My Approach |
10:35 a.m. | Adductor Pollicis Spasticity and Contracture: What Can We Do? |
10:50 a.m. | Is There a Role for Thumb CMC, MCP, or IP Arthrodesis |
11:00 a.m. | Tendon Transfers Around the Thumb: When and Why? |
11:10 a.m. | Livestream Surgical Tips and Tricks: Thumb-in-Palm Deformity |
11:30 a.m. | Case Presentations and Panel Discussions |
12:00 p.m. | Lunch and Exhibits (Rochester Marriott Mayo Clinic Area Hotel Ballroom – Connected to Siebens Building on the 2nd Floor) |
13:00 p.m. | Cerebral Palsy: When Should We Operate on the Growing Child? |
13:20 p.m. | Debate: The Pediatric Spastic Flexed Wrist – Flexor Carpi Ulnaris vs Extensor Carpi Ulnaris Transfers |
13:45 p.m. | Debate: Severe Flexed Wrist Posture in Children: Midcarpal Osteotomy versus Proximal Row Carpectomy and Soft Tissue Rebalancing |
14:10 p.m. | Livestream Surgical Tips and Tricks: Pediatric Spastic Wrist/Hand |
14:30 p.m. | Rehabilitation Approach and Techniques for the Pediatric Spasticity Patient |
14:45 p.m. | Refreshment Break (In Front of the Leighton Auditorium – Siebens 2) |
15:00 p.m. | “Reset” Neurorrhaphy of the Spastic Nerve: Will It Stay Spastic? |
15:15 p.m. | Nerve Transfers to the Spastic Upper Limb: Is It Feasible? |
15:25 p.m. | Contralateral C7 Transfer for Spasticity: Indications and Limitations |
15:40 p.m. | Hyperselective Neurectomy in the Patient with Dystonia: Pump the Brakes or Accelerate? |
15:55 p.m. | Role of Amputation and Prosthetic Fitting for the Severely Spastic and Non-functional Hand |
16:10 p.m. | Spasticity in the Spinal Cord Injured Patient: Special Considerations for Reconstruction |
16:25 p.m. | The Parkinsonian Hand Deformity: Classification and Treatment |
16:40 p.m. | The Spastic Pronated Forearm: Can We Do Better? |
16:55 p.m. | Spotlight Lecture: Current and Future of Surgical Innovation for the Spastic Upper Limb |
17:25 p.m. | Wrap-up/Closing Remarks/Adjourn |
*Mayo Clinic Faculty
Rochester, Minnesota is a friendly city that greets thousands of visitors from around the world each year. The city is serviced by a modern international airport with multiple flights daily via American, Sun Country and Delta Airlines. Access to and from the airport is provided by taxi, shuttle service, and rental car. The airport is located approximately 10 miles from the Marriott Hotel Rochester Mayo Clinic Area and the Mayo Clinic campus.
A limited number of guest rooms have been reserved with special CPD course rates at the Rochester Marriott Mayo Clinic Area Hotel. To receive the special group rate, reservations must be made before the room blocks are filled or before the cutoff date of May 16, 2024, whichever comes first. Please click on this reservation link to make reservations. After May 16, 2024, reservations will be taken based on space and rate availability.
Note to Travelers: several cities in the United States are named Rochester. When you make airline reservations and check your baggage, be sure that your destination is Rochester, Minnesota (RST) and that your baggage has been properly tagged.
Flying through the Minneapolis/St. Paul International Airport (MSP) is another option. The following car and shuttle services offer multiple trips daily. Travel time is approximately 75 minutes.
Star Transportation
Groome Transportation
Rochester Shuttle Service
You may wish to visit the Experience Rochester website for additional travel information, accommodation options, and area information: Rochester, MN | Hotels, Things To Do & Restaurants (experiencerochestermn.com).
PARKING
Parking is available in hotel and city ramps. The cost for parking is not included in the registration fee; parking will not be validated.
All travel and lodging expenses are the sole responsibility of the individual registrant.
Course Directors
- Peter C. Rhee, D.O., M.S.
- Michael C. Wainberg, M.D.
Mayo Clinic Faculty
- Erica Bellamkonda, M.D.
- Staci L. Eischen, PT, NCS
- Dmitry Esterov, D.O.
- Anna M. Goff, APRN, C.N.P., M.S.
- Jamie J. Hilker, C.H.T., O.T.
- Teresa A. Jeardeau, C.H.T., O.T.
- Stephanie N. Kannas, C.H.T., O.T., O.T.D.
- Mitchell J. Kerfeld, M.D.
- Ray M. Lunasin, P.T., D.P.T.
- Mary E. Lynch, M.D.
- William D. Mauck, M.D.
- Steven L. Moran, M.D.
- Geoffrey R. Smith II, M.D.
- F. Clay Smither, M.D.
- Kitty Y. Wu, M.D.
International Guest Faculty
- Praveen Bhardwaj, M.D., Ganga Hospital, Coimbatore, India
- Dean Boyce, M.D., Sancta Maria Hospital, United Kingdom
- Grainne Colgan, M.D., Mater Misericordiae University Hospital, Dublin, Ireland
- Bertrand Coulet, M.D., Montpellier University School of Medicine, Montpellier, France
- Andreas Gohritz, M.D., University Hospital, Basel, Switzerland
- Wee Leon Lam, M.D., Singapore General Hospital, Singapore
- Caroline Leclercq, M.D., Institute de la Main, Paris, France
- Sheng Li, M.D., Ph.D., McGovern Medical School, Houston, TX
- Shai Luria, M.D., Hadassah-Hebrew University Medical Center, Jerusalem, Israel
- Miryam Obdeijn, M.D., Amsterdam University Hospital, Amsterdam, Netherlands
- Paolo Panciera, M.D., Villa Salus Hospital, Mestre/Venice, Italy
- Eugene Park, M.D., Shriner’s Childrens Hospital, Philadelphia, PA, USA
- Simon Pickard, M.D., Robert Jones and Agnes Orthopedic Hospital, Oswestry, United Kingdom
- Eva Ponten, M.D., Karolinska University Hospital, Stockholm, Sweden
- Vaikunthan Rajaratnam, M.D., Khoo Teck Puat Hospital, Singapore
- Raja Sabapathy, M.D., Ganga Hospital, Coimbatore, India
- Marjorie Salga, MD, Hospital Raymond-Poincare, Paris, France
- Nadine Sturbois-Nachef, M.D., Institute de la Main, Paris, France
Accreditation Statement:
In support of improving patient care, this activity is planned and implemented by Mayo Clinic College of Medicine and Science and Dr. Caroline Leclercq, President of Institute de la Main, Paris, France. 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 24.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
| Day | Credit |
|---|---|
| Tuesday (precourse) | 8.25 |
| Wednesday | 7.75 |
| Thursday | 8.25 |
ANCC
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 24.25 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
AAPA
Mayo Clinic College of Medicine and Science has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 24.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Physical Therapy
Cosponsored by the Program in Physical Therapy, Mayo Clinic College of Medicine and Science/Mayo Clinic School of Health Sciences. This course meets the criteria for 16 hours of credit per Minnesota Physical Therapy Rules 5601.2400, 5601.2500.
ABS
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
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.
Available Credit
- 24.25 AAPA Category 1
- 24.25 ABS
- 24.25 AMA PRA Category 1 Credit™
- 24.25 ANCC
- 24.25 Attendance
- 24.25 PT
This symposium offers both in-person exhibit and sponsorship opportunities.
We invite your company to join us along with world renowned international guest speakers and support this symposium. Based on the level of support you are interested in providing, we can offer various levels of recognition. Each of the opportunities is explained in the 
sponsorship prospectus.
Please contact Kalene Collins if you have any questions.
Please update your profile to let us know if you have dietary restrictions or access requirements.
To claim credit for livestream participation in this course, learners must view the content during the hours posted for the live activity. This course is not approved for on-demand delivery.
Commitment to Equity, Diversity and Inclusion
Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which individual differences are valued, allowing all to achieve their fullest potential.
Cancellation and Refund Policy
View Cancellation and Refund Policy
All requests must be submitted in writing using the Contact Us Form.
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