Start Date:5/24/2018
Start Time:8:00 PM EDT
Duration:60 minutes
Abstract:
The incidence of proximal humerus fractures is increasing with the aging of the population worldwide and the associated rise in prevalence of osteopenia and osteoporosis. Anecdotally, the incidence of high-energy proximal humerus fractures in the nonelderly also seems to be on the rise. In cases of complex, comminuted fractures, interest in surgical management has increased due to favorable reported outcomes with locking-plate fixation and reverse shoulder arthroplasty. Still, many questions remain about how best to manage these fractures in individual patients and by surgeons with varying levels of experience. Beyond the dilemma of operative versus nonoperative management lie many decisions about technical details if surgical treatment is selected.
On Thursday, May 24, 2018 at 8:00 pm EDT, the Journal of Shoulder and Elbow Surgery (JSES) and The Journal of Bone & Joint Surgery (JBJS) will host a complimentary one-hour webinar—co-moderated by JSES Editor-in-Chief Bill Mallon, MD and JBJS Deputy Editor Andy Green, MD—that will address some of these questions.
JSES co-author Mark A. Frankle, MD will discuss findings from a recently published decision analysis that found experienced shoulder surgeons agreeing on optimal treatment for these fractures only 64% of the time. Patients may have poorer range-of-motion outcomes in scenarios where uncertainty exists.
Brent A. Ponce, MD, co-author of a cadaveric study published in JBJS, explains how his research team concluded that medial comminution is a predictor of poor stability in proximal humerus fractures treated with locking plates, but that stability may be improved in such cases (and in non-comminuted fractures) when fixation includes the calcar.
After each author’s presentation, an additional shoulder-fracture expert will add clinical perspective to these important findings. Xavier A. Duralde, MD will shed additional light on Dr. Frankle’s paper, and Joaquin Sanchez-Sotelo, MD will comment on Dr. Ponce’s paper. ________________________________________________________ CME Available: The Journal of Bone and Joint Surgery Inc. designates this webinar for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Journal of Bone and Joint Surgery Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. If you are unable to attend, an on-demand version will be posted on the JBJS Orthopaedic Education Center within 1 week of the live webinar and available free of charge.
If you're already registered for the JBJS/JSES Webinar - Proximal Humerus Fractures: Improving Outcomes Amid Uncertainty webcast, click below:
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Speakers
Andrew Green, MD Co-Moderator
Deputy Editor, JBJS
Professor Department of Orthopaedic Surgery
Warren Alpert Medical School Brown University
Chief of Division of Shoulder and Elbow Surgery
Dr. Green is Chief of the Division of Shoulder and Elbow Surgery at Brown University’s Warren Alpert Medical School and a JBJS Deputy Editor. Dr. Green is also Co-Director of the Brown University Shoulder and Elbow Fellowship and Medical Director of the arthroscopy bioskills laboratory. His clinical practice encompasses all aspects of shoulder and elbow surgery. His research interests have focused on the role of outcomes assessment in shoulder conditions. Dr. Green is also an innovator in the development of instrumentation and implants for shoulder and elbow surgery.
Bill Mallon, MD Co-Moderator
Editor-in-Chief, Journal of Shoulder and Elbow Surgery
Dr. Mallon completed his residency in orthopaedics at Duke University followed by a fellowship with Richard Hawkins at University of Western Ontario in Canada. For 25 years he subspecialized in shoulder and elbow surgery at Triangle Orthopaedics (now EmergeOrtho) in Durham, NC. Dr. Mallon was named Associate Editor of the Journal of Shoulder and Elbow Surgery (JSES) in 2003, and became Editor-in-Chief of JSES in 2008. Dr Mallon was also named to the presidential line of the American Shoulder and Elbow Surgeons (ASES) in 2012, and served as President of ASES in 2014-15.
Mark A. Frankle, MD JSES Assistant Editor
Chief, Shoulder & Elbow Service, Florida Orthopaedic Institute
Clinical Professor of Orthopedics, University of South Florida Morsani College of Medicine
Director, Florida Orthopaedic Institute/Foundation for Orthopaedic Research and Education (FORE) Shoulder & Elbow Fellowship
Dr. Mark A. Frankle has been with Florida Orthopaedic Institute since 1991. He attended Rush University College of Medicine after completing three years of undergraduate studies at Grinnell College in Iowa. Dr. Frankle completed his residency training at the University of South Florida. After residency, he completed an orthopedic pathology and orthopedic implants fellowship at Rush-Presbyterian St. Lukes Hospital. He then completed a reconstructive technique research fellowship program at the prestigious AO/ASIF Prosthetic/Implant Research and Development Complex in Davos, Switzerland. Dr. Frankle then completed an adult reconstructive surgical fellowship at the Mayo Clinic in Rochester, Minnesota.
Dr. Frankle serves as the Director of the Biomechanical Shoulder and Elbow Research Lab at the University of South Florida College of Engineering and is the Director of the annual course, “Current Concepts in Shoulder and Elbow Surgery.” He has published numerous articles in professional journals and maintains ongoing research projects, presenting his work annually at various professional conferences. Dr. Frankle has designed implants and instrumentation used in shoulder replacement for several different orthopedic companies. Dr. Frankle received the prestigious Charles S. Neer Award for Basic Science from the American Academy of Orthopaedic Surgeons. Dr. Frankle is board-certified by the American Board of Orthopaedic Surgery and a member of the American Shoulder and Elbow Society.
Brent A. Ponce, MD JBJS Author
UAB, School of Medicine
Dr. Brent Ponce earned his M.D. from the Vanderbilt University School of Medicine in 1996. His Orthopaedic Surgery residency, as well as, a Shoulder Fellowship was completed at Harvard Medical School. He then fulfilled his military commitment at the Air Force Academy Hospital in Colorado Springs, Colorado.
Dr. Ponce is a full professor at the University of Alabama in Birmingham in the Department of Orthopaedic Surgery. Dr. Ponce’s Clinical practice is primarily dedicated to reconstruction of acute and chronic injuries and disorders about the shoulder girdle. He is a resident advocate and has served as the Co-Director of the School of Medicine Musculoskeletal Medicine Special Topics Course, faculty liaison for the SOM Surgical Interest Group, faculty leader of the Orthopaedic Journal Club, member of the SOM Student Academic Standing Committee, and member of the Orthopaedic Residency Education Committee. He has served as Principal Investigator on numerous funded grants to date, analyzing specific aspects of shoulder/bone healing, particularly biomechanical implications of differing stitches, screws or plates. Dr. Ponce has both published and lectured on his research findings.
Joaquin Sanchez Sotelo, MD, PhD JBJS Commentator
Consultant and Professor
Department of Orthopedic Surgery
Mayo Clinic and Mayo College of Medicine
Dr. Joaquin Sanchez-Sotelo, practices as a Consultant in Orthopedic Surgery at Mayo Clinic. Dr. Sanchez-Sotelo was born in Madrid, Spain. He graduated as Medical Doctor from Universidad Autonoma de Madrid Medical School (Spain) and obtained the #1 position in the Spanish National Exam for Medical Graduates in 1992. Dr. Sanchez-Sotelo completed his Residency Program at Hospital Universitario La Paz and his PhD Program at Universidad Autonoma de Madrid. He was then selected for a fellowship position at Mayo Clinic.
Currently, Dr. Sanchez-Sotelo practices as Consultant in the Department of Orthopedic Surgery at Mayo Clinic. Dr. Sanchez-Sotelo is also appointed as full Professor at Mayo College of Medicine. He serves as Program Director for the Mayo Clinic Shoulder and Elbow Fellowship, and ViceChairman for the Division of Adult Reconstruction. He has been presented the Mayo Clinic Teacher of the Year Award on two separate occasions and has received other research recognitions in the past, including the Mark B. Coventry, Melvin Post, MidAmerica Orthopedic Association, Knee Society, AAOS Achievement’s Awards, and MCSCME Course of the Year Award.
Dr. Sanchez-Sotelo has published over 175 articles in the peer-reviewed literature in addition to over 50 book chapters. He is co-editor of the most widely read textbook on elbow surgery, “The Elbow and Its Disorders”. Dr. Sanchez-Sotelo just published Mayo Clinic Principles of Shoulder Surgery. Dr. Sanchez-Sotelo serves as course co-director for the Mayo Clinic Annual Elbow Course “Teach the teachers”, and the Mayo Clinic Course on Shoulder Tendon Transfers and Complex Rotator Cuff Tears. He has presented his research in numerous occasions at national and international meetings.
Xavier A. Duralde, MD JSES Commentator
Peachtree Orthopedics
Xavier A. Duralde, MD, joined Atlanta-based Peachtree Orthopaedic Clinic in 1993. He also served as an associate adjunct professor at the Emory University School of Medicine in Atlanta, and as lead orthopedist for the Atlanta Braves. He is a member of the American Shoulder and Elbow Surgeons, Association of Bone and Joint Surgeons, where he is currently serving as President, and the Major League Baseball Physicians Association. He has also served as President of the Georgia Orthopaedic Society.
Dr. Duralde focuses on shoulder surgery. He has authored numerous research papers and book chapters on conditions of the shoulder. In 2013, Piedmont Atlanta Hospital named Dr. Duralde winner of the Montague Boyd Excellence in Publishing Award, which is given annually to clinical staff to recognize research and publishing achievements. He has served as a major in the United States Air Force. While in the Air Force, he served as chief of surgical services and chief of the orthopedics department at a military hospital in Oxfordshire, England. He is also a member of the Peachtree Orthopaedic Clinic volunteer team and offers charity care in Haiti each year.
Dr. Duralde obtained his undergraduate degree at Harvard University. He earned his medical degree, completed his residency as well as a shoulder and elbow fellowship at Columbia University College of Physicians and Surgeons in New York City.
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JBJS/JSES Webinar - Proximal Humerus Fractures: Improving Outcomes Amid Uncertainty
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