Barcelona Hip Meeting

UPDATE COURSE IN HIP PATHOLOGY

25 June 2012

BHM´12

Update course in hip pathology
25 June 2012

Hip preserving surgery course
26 June & 27 June 2012

Monday June 25th, 2012 [+]

8:00 - 8:45h
Registration and collection of documents.

8:45 - 9:00h
Introduction and inauguration of the Meeting. Prof. E. Caceres Palou

9:00 - 10:30h
SESSION 1: PATHOGENESIS/BIOMECHANICS

Objective: To review the anatomical structures of the hip and the new biomechanical concepts identified as causes of osteoarthritis.

Moderator M. Ribas

Anatomy of the hip, defining the parameters of normality. Vascularization of the hip. A. Rodríguez Baeza 12'
Phylogeny of the hip. Causes of osteoarthritis; dysplasia/pathogenesis FAI. M. Aguirre 12'
Biomechanics of the hip. R. Olivé 12'
Mechanical causes of osteoarthritis of the hip in young adults. O. Marin 12'
Biological causes and inflammatory osteoarthritis of the hip. D.Vazquez 12'
Debate. 30'

10:30 -11:00h
Coffee break

11:00 - 12:30h
SESSION 2: DIAGNOSIS

Objective: To identify the patient at risk and discover the potential of Clinical Trials in detecting structural abnormalities of the hip as well as injury to articular cartilage and labrum.

Moderator M.Tey

Detection of patients at risk: Clinical evaluation and physical examination. V.Bellotti 10'

Confirming patients at risk: Imaging, conventional radiology. Radiological techniques and parameters, and radiological parameters of normality. A. Rivas 10'
NMR, radial cuts, alpha angle. R. Vidal 10'
Radiology in femoroacetabular impingement. C. Segura 10'
Other tests, CAT scan, scintigraphy, SPECT: When to use them and why? A. Rivas 10'
Ultrasonography. Intra-articular injection. R. Olivé 10'
Assessment questionnaires. O. Marin 10'
Debate and clinical cases session. C. Cárdenas, M. Aguilar

12:30 - 13:30h
Finger-lunch

13:30 - 15:00h
SESSION 3: THERAPEUTIC OPTIONS IN INFLAMMATORY DISEASES AND FEMORAL HEAD NECROSIS

Objective: Current status of pharmacological and biological treatments in hip pathology. To discover how long drug treatments can be extended, what roles infiltration and chondrotoxicity play. Limits and evidence.

Moderator Prof. A. Navarro

Oral pharmacological treatments. R. Soler / D.Vazquez 10'
Local pharmacological treatments. J Sanchez 10'
Cellular therapy; scientific and legal framework. LL.Orozco 10'
Biological treatments: PRP. R. Seijas 10'
Biological treatments: Stem cells. D. Dallari 10'
Status of cellular therapy in skeletal muscle pathology. LL. Orozco 10'
Surgical treatment. M Ribas 10'
Debate.20'

15:00 -15:30h
Coffee break

15:30 -17:00h
SESSION 4: TREATMENT OPTIONS IN MECHANICAL HIP PATHOLOGY

Objective: evaluate rehabilitation therapy and osteopathy before and after surgery, and arthroscopic and open surgery options.

Moderator C. Cárdenas

Conservative treatment: what and till when? N. Jou 10'
Osteopathy. D. Gutierrez 10'
Surgical options. Arthroscopic surgery. M. Tey 10'
Surgical options. Open surgery. D. Collado 10'
Functional RHB. C. Fernandez 10'
Sport rehabilitation. A. León 10'
Presentation and discussion of clinical cases. 30'

17:15 - 18:30h
WORKSHOP: TECHNIQUES FOR FUNCTIONAL RECUPERATION OF THE HIP

Moderator A Sanchez, J Sanchez

Physiotherapy in hip pathology
Physiotherapy in hip prosthesis
Physiotherapy in femoroacetabular impingement
Physiotherapy and rehabilitation of the professional sportsman

Monday June 25th, 2012 [+]
Tuesday June 26th, 2012 [+]
Wednesday June 27th, 2012[+]

UPDATE COURSE IN HIP PATHOLOGY

Monday, June 25th 2012

Anatomy of the hip, defining the parameters of normality. Vascularization of the hip. A. Rodríguez Baeza 12'
Phylogeny of the hip. Causes of osteoarthritis; dysplasia/pathogenesis FAI. M. Aguirre 12'
Biomechanics of the hip. R. Olivé 12'
Mechanical causes of osteoarthritis of the hip in young adults. O. Marin 12'
Biological causes and inflammatory osteoarthritis of the hip. D.Vazquez 12'
Debate. 30'

10:30 -11:00h
Coffee break

Confirming patients at risk: Imaging, conventional radiology. Radiological techniques and parameters, and radiological parameters of normality. A. Rivas 10'
NMR, radial cuts, alpha angle. R. Vidal 10'
Radiology in femoroacetabular impingement. C. Segura 10'
Other tests, CAT scan, scintigraphy, SPECT: When to use them and why? A. Rivas 10'
Ultrasonography. Intra-articular injection. R. Olivé 10'
Assessment questionnaires. O. Marin 10'
Debate and clinical cases session. C. Cárdenas, M. Aguilar

12:30 - 13:30h
Finger-lunch

Oral pharmacological treatments. R. Soler / D.Vazquez 10'
Local pharmacological treatments. J Sanchez 10'
Cellular therapy; scientific and legal framework. LL.Orozco 10'
Biological treatments: PRP. R. Seijas 10'
Biological treatments: Stem cells. D. Dallari 10'
Status of cellular therapy in skeletal muscle pathology. LL. Orozco 10'
Surgical treatment. M Ribas 10'
Debate.20'

15:00 -15:30h
Coffee break

Conservative treatment: what and till when? N. Jou 10'
Osteopathy. D. Gutierrez 10'
Surgical options. Arthroscopic surgery. M. Tey 10'
Surgical options. Open surgery. D. Collado 10'
Functional RHB. C. Fernandez 10'
Sport rehabilitation. A. León 10'
Presentation and discussion of clinical cases. 30'

17:15 - 18:30h
WORKSHOP: TECHNIQUES FOR FUNCTIONAL RECUPERATION OF THE HIP

Moderator A Sanchez, J Sanchez

Physiotherapy in hip pathology
Physiotherapy in hip prosthesis
Physiotherapy in femoroacetabular impingement
Physiotherapy and rehabilitation of the professional sportsman

Update Course on Hip Preservation Surgery I

Tuesday June 26th, 2012

8:00 - 9:15h
SESSION 5: VASCULAR ANATOMY OF THE HIP AND PELVIS

Objective: To determine the anatomical basis for new approaches to the hip that allow intra-articular and peri-acetabular surgery.

Moderator D. Collado

Introduction. R. Ganz 10'
Vascularization of the proximal femur and anatomical variants. Relevance to intra-articular hip surgery. M. Kalhor 20'
Vascularity of the pelvis relevant for pelvic osteotomies. R. Ganz 10'
Vascularity of the labrum and joint capsule of the hip. M. Kalhor 10'
Safe surgical dislocation of the hip. R. Ganz 10'
Debate. 15'

9:15 - 11:00h
SESSION 6: DEVELOPMENTAL DYSPLASIA OF THE HIP

Objective:To identify the patients who will benefit from conservative surgery and define its limits.

Moderator J. Girós

Concept and classification. D. Collado 10'
Direct and indirect Artro MRI (dGEMRIC) I.Ormazabal 10'
Clinical and radiological parameters relevant to the dysplastic hip. H Notzli 10'
PAO: history, technical developments and results. R. Ganz 15'
When not to carry out PAO. What to do with patients with clinical DDH but with border-line radiological parameters? When is it too late for conservative surgery? Age, degree of osteoarthritis. P. Rego 10'
Indications for femoral osteotomy. R. Ganz 10'
Role of arthroscopy in DDH, borderline dysplasia and dysplasia not benefitted by PAO. V. Ilizariturri 10'
Is there a conservative solution for Crowe 3-type medium DDH? Experience with capsular arthroplasty; Codiviglia-Colonna. R. Ganz 10'
Debate. 20'

10:30 - 11:00h
Coffee break

11:00 - 14:00h
SESSION 7: FAI

Objective: Discover the various surgical treatment options according to type of injury.

Moderator M Tey

The concept of "impingement". My indications for open surgery and arthroscopic surgery. R. Ganz 30'
Debate

Femoral Osteocondroplastia. Cam-type lesion

Limits of resection. M. Philippon 10'
Desired resection shape. M. Ribas 10'
360º Deformity of the head. H. Nötzli 10'
Debate. 20'

13:00 - 14:00h
Finger-lunch

14:00 - 15:30h
7ª SESSION: FAI ( continuación )

Acetabular Osteocondroplastia. Pincer lesion.

Determining beta angle during decision-making. H. Nötzli 10'
Treatment of abnormal acetabular version. R. Ganz 10'
Treatment of the anterior surface. V. Ilizaliturri 10'

Treatment of the Consequences of CFA.

Treatment of unstable chondral injury. M. Philippon 10'
Treatment of stable chondral injury. L. Pérez Carro 10'
Treatment of labral injury without pincer. V. Ilizaliturri 10'
Adjuvant biological treatments. PRP, chondrocytes culture, tissue adhesives. M. Schiraldi 10'
Debate. 20'

15:30 - 16:30h
SESSION 8: PERIARTICULAR HIP PATHOLOGY

Objective: To learn about new treatment options at the lateral compartment of a hip.

Moderator J. Altisench

Gluteus medius tendon injury. (Classification, tendon repair. Surgical Technique) M. Ribas 10'
Sciatic syndrome. (Clinical assesment, sciatic neurolysis. Surgical Technique) L. Perez Carro 10'

Coxa saltans interna. M Tey 10'
Coxa saltans externa. V. Ilizaliturri 10'
Clinical cases and debate. 10'

16:30 -17:00h
Coffee break

17:00 -18:30h
SESSION 9: SEQUELAE OF CHILD SCFE-Perthes PATHOLOGY

Objective: To introduce a new surgical approach to the hip that allows intra-articular correction of these deformities.

Moderator M Aguirre

Experience in femoral osteotomy. A. Coscujuela 10'
Soft tissue flap containing retinacular arteries. Relative elongation of the femoral neck. R. Ganz 20'
SCFE intraoperative findings and results of subcapital realignment. R. Ganz 20'
Severe deformity as a sequel of Perthes: intracapital osteotomy. R. Ganz 20'
Debate. 20'

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