ENGLISH PROGRAMME

Day 1
07:30	Registration
08:00	Introduction to the surgical treatment of the Spastic Upper Limb
08:10	A few definitions: spasticity, dystonia…
08:20	Clinical examination. filmación examen clínico. Tardieu/Ashwort
08:40	Botulinum toxin and nerve blocks: - Technical tips, general indication - Botulinum toxin and surgery: a necessary pair.
09:00	Non-surgical treatment. quien la puede dar. Medications, physiotherapy,orthoses.
09:25	When to decide on surgery: Debate	All Faculty
09:50	Coffee break
10:20	Surgical Strategy: a systematic approach
10:35	Hyperselective Neurectomy: Indications and results Discussion	All Faculty
11:00	The spastic shoulder The spastic shoulder muscles: patho-anatomy Surgical principles
11:30	Around the elbow: The spastic elbow flexors The spastic triceps Discussion
12:10	The spastic forearm: Pronator and supinator muscles
12:30	Clinical cases	All Faculty
12:50	Lunch on site
13:50	Around the wrist: Rebalancing the wrist Stabilizing procedures: radio-carpal fusion medio-carpal fusion
14:30	Spastic deformities of the fingers Extrinsics Intrinsics Discussion
15:20	Postoperative rehabilitation.
15:40	Coffee break
16:10	The spastic thumb: The deforming factors Surgical strategy: rebalancing the thumb Discussion
16:45	Specificity strategies: Children cerebral palsy Adult cerebral palsy The non-functional hand in the stroke patient
17:30	Workshop of clinical examination (1 hora)	All Faculty
18:30	End of the day

day 2
07:30	Registration
08:00	Lecture	Introduction to the workshop
8:30	ELBOW
15 min	Lecture	Elbow
15 min	Demo	Elbow HSN + flexor lengthening. Video
90 min	Dissection
10:00	Coffee break
10:30	FOREARM 1: Hyper-selective Neurectomy (HSN)
5 min	Lecture	Surgical technique HSN median + ulnar
15 min	Demo	HSN median + ulnar nerve forearm
40 min	Dissection
11:30	FOREARM 2: Release procedures
20 min	Lecture	Techniques of release and lengthening
20 min	Demo	Zancolli, PT, fractional, STP
60 min	Dissection	PT, fractional, STP
13:10	Lunch on site
14:30	TENDON TRANSFERS
10 min	Lecture	Techniques of tendon transfers

14:40	THUMB
15 min	Lecture		Rebalancing the thumb: techniques
15 min	Demo		First web release (Matev) / HSM (ulnar nerve)
30 min	Dissection
15:40	Coffee break
16:10	SHOULDER
15 min	Lecture	Surgical techniques shoulder
15 min	Demo	Tenotomy / lengthening of PM, TM, LD, SS
60 min	Dissection
30 min	Clinical cases in general
15 min	Wrap up / Course evaluation
18:25	End of the Course