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Why a Master Class in surgery for the spastic upper limb?

Surgery for the spastic upper limb, which used to be reserved primarily for severe deformities where other options had failed, has gained increased awareness over the recent years, as attested by the large international attendance at two recent Symposia (Paris, 2017 and Venice 2019). It is now recognized as a full part of the treatment options to improve deformities and function of the upper limb.

Today the surgical management of upper limb spasticity focuses on all involved tissues and every joint of the upper limb. The surgical armamentarium includes a great variety of procedures, from skin flaps and releases, nerve procedures, muscle releases, tendon lengthening and transfers, to joint releases and fusions, not to mention neurosurgical procedures.

The first Master Class was held in Budapest last November. All positions were claimed quickly, again indicating great interest among surgeons in gaining knowledge and skills in this clinical area and encouraging us at Stanford University to organize the Second Master Class to be held at Stanford, California May 29-30, 2020. This course combining cadaver lab dissections and lectures will allow the participants to practice these techniques themselves, and become familiar with their respective indications, under the guidance of experts in the field.
Committed faculty include Marybeth Ezaki, Ann Van Heest, Michelle James, Scott Kozin, Caroline Leclercq and Scott Oishi.

The full course including cadaver lab is open to the first 24 registrants. There is the possibility to register as an observer. We look forward to having you participate with us at Stanford in May, 2020.

Paige Fox, Vincent R. Hentz and Amy L Ladd, 
Course Organizers

A proposed list of procedures to be discussed, demonstrated and practiced include:

1. Tenotomies and tendon lengthening including fractional lengthening for the shoulder, elbow wrist and hand
2. Hyperselective neurectomies for deformities of the elbow, wrist and hand
3. Arthrodesis for wrist and hand
4. Tendon transfers
5. Selective procedures to manage digital deformities such as thumb in palm, swan-neck, joint instabilities

FACULTY MEMBERS

Caroline Leclercq, France, Course chair
Marybeth Ezaki, Scottish Rite Children’s Hospital, Dallas, Tx
Ann Van Heest, University of Minnesota, Minneapolis, Mn
Michelle James, Shriner’s Hospital, Sacramento, Ca
Scott Kozin, Shriner’s Hospital, Philadelphia, Pa
Scott Oishi, Scottish Rite Children’s Hospital, Dallas, Tx

COURSE ORGANIZERS

Robert A Chase Center for Hand and Upper Limb Surgery

COURSE SPONSORS

Division of Plastic Surgery, Stanford University
Department of Orthopaedic Surgery, Stanford University

 For more information visit http://plasticsurgery.stanford.edu/education/surgical-skills-course.html