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Phone Number: 610-695-2459

AO NA and Boston Shoulder Institute Masters Course—Shoulder Tendon Transfers, Rotator Cuff Repairs

November 14, 2024 - November 16, 2024
Boston, Massachusetts, USA

Course Dates and Venue:

This course will be held at the Revere Hotel Boston Common and the Five Labs in Boston on Thursday, November 14. This 3-day course will include 2 days of didactic lecture at Revere Hotel Boston Common (200 Stuart Street, Boston, MA) and a day of cadaveric lab exercises at Boston Five Labs (899 Congress Street, Boston, MA).

Course Description:

This course is in collaboration with the Boston Shoulder Institute.  This course addresses current evidence-based techniques for shoulder tendon transfer, complex rotator cuff repair, diagnosis and management of STAM (Scapulo-Thoracic Abnormal Motion). Didactic lectures and small group discussions are moderated by expert faculty and open procedures are performed in the anatomy lab.

Faculty:

Chair:  Bassem T. Elhassan, MD

Co-Chairs:  JP Warner, MD and Joaquin Sanchez-Sotelo, MD, PhD

Director: Brent Ponce, MD

Target Participants:
Experienced Orthopedic Surgeons within the shoulder and sports medicine specialties and Orthopedic Sports Medicine Fellows who are technically proficient with arthroscopic shoulder surgery.

Goal of the Course:
The goal of this educational event is to facilitate decisions related to identifying the optimal treatment to improve postoperative function and patient satisfaction, enhance their technical skills, and better manage complex and rare cases.  Thus the learning experience will provide the experienced surgeon an understanding of shoulder tendon transfer, complex rotator cuff repair, and enhance the surgical skills needed to diagnosis and manage STAM (Scapulo-Thoracic Abnormal Motion).

 

Registration Information:

The registration fee for the three-day course, inclusive of 2-day didactic lecture a 1-day anatomical specimen lab exercise is $4,000.

 

Tuition:
Level Name: Participant-Sports
Pricing Tier: Attending
Tuition: $4,000.00

Course Prerequisite(s):
No Prerequisites

Questions:
Email Member Relations
Phone Number: 610-695-2459

Language(s):
English
Professional Level Prerequisite(s):
  • Fellow
  • Practicing

Continuing Education Credit: 19.50

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of AO North America and The Shoulder Institute. The AO North America is accredited by the ACCME to provide continuing medical education for physicians.

 

Designation Statement - AO North America designates this live educational activity for a maximum of 19.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Continuing Medical Education (CME) mission of AO North America (AONA®) is to provide comprehensive multidisciplinary needs based education to surgeons, fellows, and residents in the specialties of orthopedic, hand, craniomaxillofacial, spine, neurosurgery, and veterinary surgery in the areas of trauma (i.e.), operative reduction and fixation), degenerative disorders, deformities, tumors, and reconstruction.

Expected results of AONA's CME activities for surgeons, fellows, and residents are to:
• Increase their knowledge base and surgical skill level
• Improve competence by applying advances of knowledge in patient care in the areas of trauma, degenerative disorders, deformities, tumors, and reconstructive surgical techniques
• Address practice performance gaps by improving management of aspects of traumatic injuries and musculoskeletal disorders (i.e., pre-operative planning to post-operative care)

Upon completion, participants should be able to:
  • Discuss current evidence-based techniques for shoulder tendon transfer, complex rotator cuff repai
  • Review the diagnosis and management of STAM
  • Describe surgical reconstruction options for Irreparable tears ?
  • Perform arthroscopic and/or open procedures based on best scientific guidelines
  • Develop an appropriate post-operative rehab plan?
  • Manage potential intra and postoperative complications?
  • Explain complex shoulder disorders specifically those centered around massive rotator cuff tear and scapulothoracic disorders
Thursday, November 14, 2024 - 06:00 - 16:40
Schedule
Title
Moderator
Faculty
Registration and Continental Breakfast
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Session I: Cuff Tears - Evaluation
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Essential Anatomy & Biomechanics of the Rotator Cuff
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Physical Examination Pearls
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MRI and CT Scan for Evaluation of Rotator Cuff Tear
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The Role of Ultrasound in Evaluating the Rotator Cuff
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Discussion | Q & A
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Live Demonstration: Physical Examination of the Rotator Cuff
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Session II: Surgical Reconstruction Options for Irreparable Tears Other Than Tendon Transfers
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What defines the Irreparable Rotator Cuff Tear
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Critical Shoulder Angle: Should We Always Address it?
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Is there a Role of Suprascapular Nerve Release in Patients with Massive Rotator cuff tears
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ReLive Surgery: Attempted Cuff Repair for Massive “Irreparable” Cuff Tears: Tips and Tricks to Fix the Unfixable
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Discussion | Q & A
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Role of Tissue Augmentation in Massive Rotator Cuff Tear
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Role of Arthroscopic Rotoator Cuff Advancement in Massive Tear
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Why I Stopped Doing Superior Capsular Reconstruction and I Use Biceps Instead
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Superior Capsular Reconstruction: Outcomes, What is the Evidence?
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Indications and Outcomes of Subacromial Balloon
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Discussion | Q & A
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ReLive Surgery: Biceps as Biologic SCR
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ReLive Surgery: Superior Capsular Reconstruction
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ReLive Surgery: RC Mobilization/Repair
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Session III: Tendon Transfer Options for Posterior-Superior Rotator Cuff Deficiency
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Lower Trapezius and Latissimus Dorsi Transfer relieve Teres Minor Activity into the Physiological Range in Collin D Irreparable Posterosuperior Massive Rotator Cuff Tears: A Biomechanical Analysis
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Clinical Biomechanics of Tendon Transfer for Irreparable Postero-Superior Rotator Cuff Tears
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Latissimus Dorsi Transfer for Posterosuperior Cuff Tears: Long-term Outcome
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Latissimus Dorsi Transfer: Does it work after 12 years? The Toulouse Experience
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Arthroscopic Lower Trapezius Transfer Augmented with Achilles Tendon: Indications and Outcomes
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Arthroscopic Lower Trapezius Transfer Augmented with Tibialis Posterior Autograft
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How do the Lower Trapezius and Latissimus Transfer Compare with SCR in Terms of Outcome?
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Discussion | Q & A
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Session IV: Additional Tendon Transfer Options for Complex Posterosuperior Cuff Tears II and Rotator Cuff Paralysis?
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Latissimus dorsi outcome: All arthroscopic or arthroscopic-assisted? Does it work in the elderly?
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What are the healing rates of the Achilles tendon allograft in lower trapezius transfer
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Does the lower trapezius transfer remain active at longer-term follow-up?
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Return to sports after lower trapezius transfer (Guest Speaker: Evan O’Donnell)
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Is there a role for contralateral trapezius transfer?
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Discussion | Q & A
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Relive Surgery: Arthroscopically Assisted Latissimus Transfer
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Relive Surgery: All Arthroscopic Latissimus Dorsi Transfer
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Relive Surgery: Arthroscopically Assisted Lower Trapezius Transfer
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Relive Surgery: Arthroscopically Assisted Lower Trapezius Transfer
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Discussion | Q and A
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Day-1 Closing/Take-away Messages
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Friday, November 15, 2024 - 06:15 - 16:30
Schedule
Title
Moderator
Faculty
Breakfast
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Session V - Subscapularis I
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How to Recognize Subscapularis Tears: Physical Examination, Imaging and Intraoperative Assessment
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Arthroscopic Subscapularis Repair: Types I to III
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Can We Repair an Apparent Irreparable Subscapularis Tear? Fixing the Bad Type IV
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The role of soft tissue augmentation to reconstruct the subscapularis
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Relive Surgery: Arthroscopic Assisted Anterior Latissimus Transfer for Irreparable Subscapularis Tear
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Discussion | Q & A
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Session VI - Subscapularis II
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Anatomy and Biomechanics of Latissimus Dorsi/Teres Major Transfer for Irreparable Subscapularis Tears
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My Preferred Reconstruction for Irreparable Subscapularis Tears
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Anterior Latissimus transfer for Irreparable Subscap: This is the outcome in my hand
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Outcome of Latissimus Dorsi Transfer for Irreparable Subscapularis Tears
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Arthroscopic Anterior Latissimus Dorsi Transfer for Irreparable Subscapularis Tears
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Relive Surgery: Anterior Latissimus/Teres Major Transfer all Arthroscopic Anterior Transfer
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Is it Possible to Transfer the Lower Trap to Reconstruct the subscapularis?
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Discussion | Q & A
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Session VII – Reverse Arthroplasty for the Irreparable Cuff Tear
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The borderline between joint preservation and RTSA: Factors which lead me to decide one or the other
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Rotator Cuff Biomechanics when Reverse is Performed: A Biomechanical Analysis (Guest Speaker: Gus Mazzocca)
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Tendon Transfers in the Setting of Reverse Arthroplasty: A Biomechanical Analysis
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How to Optimize Reverse Arthroplasty for the Irreparable Cuff Tear
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RSA and Lat Dorsi for CLEER: Principles and Outcome
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Discussion | Q & A
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Session VIII – Reverse Arthroplasty for the Irreparable Cuff Tear-2
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Reverse L’Episcopo for restoration of internal rotation in primary RSA
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Tendon Transfers to Restore External Rotation in Revision RSA
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Relive Surgery: Reverse Arthroplasty Combined with Latissimus Dorsi Transfer: The Pec Major Sparing Approach
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Relive Surgery: and Lower Trapezius Transfer in RSA with Allograft Prosthetic Composite
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Revision of CLEER Patients after Failed Shoulder Arthroplasty with Proximal Humeral Bone Loss: The benefit of using Combined Humeral Bone and Cuff Tendon Allograft with Reverse Shoulder Arthroplasty
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Discussion | Q & A
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Session IX: Additional Surgical Options for Complex Shoulder Disorders
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Patient Live Examination
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Tendon Transfers for Combined Irreparable Anterosuperior and Posterosuperior Rotator Cuff Tears
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Secondary L’Episcopo Tendon transfer for patients with Residual Dysfunction and Dropping arm after RSA
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Muscle Transfer for Deltoid Paralysis in Reverse Arthroplasty
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What to expect from a shoulder arthrodesis when there are no other options?
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Non-traditional surgical options for unexplained pain after reverse shoulder arthroplasty
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Discussion | Q & A
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Session X: All about The Scapula - 1
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Physical examination of the scapula
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Evaluation and Classification of STAM
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The role of PT, Botox and Shoulder Pacemaker (SPM) in the Management of Functional STAM
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Arthroscopic Pectoralis Minor Release for Pect Minor Syndrome or Functional STAM 1
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Additional Surgical Options for Functional STAM
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Discussion | Q & A Patient Live Exam
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Session XI: All about The Scapula - 2
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Pectoralis Major Transfer for Serratus Anterior Insufficiency
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Scapulothoracic Arthrodesis
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Relive Surgery: Triple Transfer
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Discussion | Q & A
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Day- 2 Closing/Takeway Messages
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Saturday, November 16, 2024 - 07:00 - 18:15
Schedule
Title
Moderator
Faculty
Breakfast
Venue:
Room:

 

Skills Lab: Group A
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Lab I: Group A- 1. Arthroscopically assisted lower trapezius transfer. 2. Arthroscopically assisted lat dorsi transfer to the lesser tuberosity
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Skills Lab: Group A Continued
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Lab I Continued: Group A - 3. Triple Transfer Rhomboids and levator transfer to scapular spine for trapezius palsy 4. Direct pectoralis major transfer to inferior scapular angle 5. Pedicled pectoralis for deltoid insufficiency
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Lunch Group A & B
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Skills Lab: Group B
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Lab II: Group B- 1. Arthroscopically assisted lower trapezius transfer 2. Arthroscopically assisted lat dorsi transfer to the lesser tuberosity
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Venue:
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Skills Lab: Group Continued
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Lab II Continued: Group B -3.Triple Transfer Rhomboids and levator transfer to scapular spine for trapezius palsy 4. Direct pectoralis major transfer to inferior scapular angle 5. Pedicled pectoralis for deltoid insufficiency
Venue:
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Take Aways Closing Remarks
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Faculty Disclosure:

It is the policy of AO North America to abide by the Accreditation Council for Continuing Medical Education Standards for Commercial Support. Standard 2: “Disclosures Relevant to Potential Commercial Bias and Relevant Financial Relationships of Those with Control over CME Content,” requires all planners, including course directors, chairs, and faculty, involved in the development of CME content to disclose their relevant financial relationships prior to participating in the activity. Relevant financial relationships will be disclosed to the activity audience. The intent of the disclosure is not to prevent a faculty with a relevant financial or other relationship from teaching, but to provide participants with information that might be of importance to their evaluation of content. All potential conflicts of interest have been resolved prior to the commencement of this activity.


Off-Label / Experimental Discussions:

Some medical devices used for teaching purposes and/or discussed in AO North America’s educational activities may have been cleared by the FDA for specific uses only or may not yet be approved for any purpose. Faculty may discuss off-label, investigational, or experimental uses of products/devices in CME certified educational activities. Faculty have been advised that all recommendations involving clinical medicine in this CME activity are based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients.

All scientific research referred to, reported or used in this CME activity in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection and analysis.


Disclaimer:

AONA does not endorse nor promote the use of any product/device of commercial entities.  Equipment used in this course is for teaching purposes only with the intent to enhance the learning experience.

The opinions or views expressed in this live continuing medical education activity are those of the faculty and do not necessarily reflect the opinions or recommendations of AO North America or any commercial supporter. The certificate provided pertains only to the participants’ completion of the course.


Conflict of Interest Resolution Statement:
When individuals in a position to control or influence the development of the content have reported financial relationships with one or more commercial interests, AO North America utilizes a process to identify and resolve potential conflicts to ensure that the content presented is free of commercial bias.

Liability Statement:
AO North America faculty and staff assume no personal liability for the techniques or the use of any equipment and accessories used for teaching purposes in the laboratory. The certificate provided pertains only to the participants’ completion of the course and does not, in any way, attest to the proficiency of the participants’ clinical experience.

Laboratory Waiver:
To participate in this surgical skills course, you will be required to sign a waiver of liability prior to the course. In order to participate, AONA’s policy mandates that every individual must wear appropriate protective garments provided by AO NA during the lab sessions. Participants who do not sign the waiver and wear protective garments will not be allowed to participate in the laboratory sessions.

Human Anatomic Specimens:
This course will involve exposure to and contact with human anatomic specimens. These specimens are being utilized for purposes of teaching and learning and are to be treated with the utmost respect. Participants should be familiar with and understand the potential risks involved and will be required to observe all customary safety procedures.


In-Kind Support
AO North America gratefully acknowledges in-kind support for equipment and technical staff from J&JMedTech.

Educational Grant
AO North America gratefully acknowledges funding for its education activities from the AO Foundation.  The AO Foundation receives funding for education from Synthes GmbH.