Brussels Sonographically Guided Upper Limb Surgery Courses
Second edition
28/9/2019 Course 1: The Basics
09/11/2019 Course 2: Healthy upper limb sonography
14/12/2019 Course 3: Sonographically guided procedures
01/02/2020 Course 4: Cadaver workshop
Course Directors: F. Moungondo, F. Schuind, L. Van Overstraeten
Saturday 28/09/2019, 8a.m-4p.m
Course 1 :
The basics
Venue: ULB Erasme hospital, Consultation d’Orthopédie-Traumatologie, Salle de biomécanique (Level 0, Route 188)
Expert: Pr E. Vogelin
8:00-08:45 1. Introduction of Sonography and Technical aspects (F. Moungondo and L. Van Overstraeten)
Why do we need to use sonography in hand surgery (L. Van Overstraeten) (5’)
Technical aspects: Basic concepts of sonography (F. Moungondo) (20’)
Sonographic view of hand and wrist structures (L. Van Overstraeten) (20’)
08:45-09:30 Exercises (landmarks bone wrist, carpus, fingers, extensor tendons, flexor tendons)
09:30-09:45 Break
09:45-10:30 Imaging of anatomy, structured approach to bones, extensor tendons, flexor tendons, vessels, muscles, nerves (Pr E. Vogelin)
10:30-11:30 Exercise
11:30-12:15 2. Sono-Pathology of traumas: (Pr E. Vogelin)
– Ulnar ligament tear, flexor/extensor tendon rupture, palmar plate rupture, pulley insufficiency, bone implants, foreign bodies,
– Typical tumors (ganglion cysts, epidermoid cyst, glomus tumor, bony (enchondroma), soft tissue (lipoma, giant cell) tumors
12:15-13:15 Lunch
13:15-14:15 Exercise Carpal tunnel, Trigger digit, palmar plate, dynamic flexor tendons, crossing of first-second-third extensor compartment
14:15-15:15 3. Sonopathology of other conditions (Pr E. Vogelin)
– Neuropathies and nerve injuries, nerve tumors
– Connective tissue disorders (A1 pulley tendovaginitis, de Quervain, FCR Tendinopathy
– Arthrosis
– Dupuytren’s disease
– Deposition diseases (gout, hydroxyapatite, chondrocalcinosis, CPPD)
– Infections
15:15-16:00 Exercise Trigger digits, carpal tunnel dynamic/static, repeat other sections
16:00 End of the course
Saturday 09/11/2019 8a.m-4p.m
Course 2:
Sonography of healthy upper limb and introduction to intra-operative sonography
Brussels Sonographically Guided Upper Limb Surgery
Venue: ULB Erasme hospital, Consultation d’Orthopédie-Traumatologie, Salle de biomécanique (Level 0, Route 188)
Course Experts: Dr G. Candelier, Dr I. David
Section I: Fingers
8:00- 8:45
Technical aspects: Sonography advanced setup (F. Moungondo)
Experts presentations: Finger anatomy sonography and surgical techniques
8:45-9:30 Workshop Duo Anatomical exploration:
- Bony anatomy
- Joints and Ligaments
- Flexor tendons
- Pulleys
- Extensor tendons
- Nerves
- Vessels (Doppler)
- Dynamic examination
9:30-9:45 Break
Section II: Hand
09:45-10:30 Experts presentations:
Hand anatomy sonography and surgical techniques
10:30-11:30 Workshop Duo Anatomical exploration:
- Bony anatomy (Carpus)
- Intrinsic muscles
- Flexor tendons
- Extensor tendons
- Nerves (carpal tunnel and median nerve, Guyon tunnel and ulnar nerve)
- Vessels (Doppler)
- Dynamic examination
Section III: Wrist:
11:30-12:15 Experts presentations:
Wrist anatomy sonography and surgical techniques
12:15-13:15 Lunch
13:15-14:15 Workshop Duo Anatomical exploration:
- Bony anatomy (Carpus, Distal radius, DRUJ)
- Ligaments
- Tendons
- Nerves
- Vessels (Doppler)
- Dynamic examination
Section IV: Forearm and Elbow:
14:15-15:15 Experts presentations:
Forearm and Elbow anatomy sonography and surgical techniques
15:15-16:00 Workshop Duo Anatomical exploration:
- Muscles
- Tendons
- Ligaments
- Nerves (Ulnar nerve, Median nerve, Radial nerves, cutaneous nerves)
- Vessels
Saturday 14/12/2019 8a.m-4p.m
Course 3 :
Sonographically guided procedures: Cadaveric animals (pig)
Venue: ULB Erasme hospital, Consultation d’Orthopédie-Traumatologie, Salle de biomécanique (Level 0, Route 188)
8:00- 8:45 Principles of sonographically guided procedures
8:45-9:30 Workshop: Infiltration techniques
9:30-9:45 Break
09:45-10:15 Assessment and percutaneous examination
10:15-11:30 Workshop: Assesment techniques (probes…)
11:30-12:15 Technique of percutaneous trigger finger release
12:15-13:15 Lunch
13:15-14:15 Workshop: Percutaneous pulleys section
14:15-15:00 Technique of percutaneous carpal tunnel release
15:00 -16:00 Workshop: Transverse carpal ligament
16:00 End of the course
Saturday 01/02/2020 8a.m-4p.m
Course 4 :
Cadaver workshop: Trigger fingers and carpal tunnel release
Venue:Erasmus University Campus, Faculté de Médecine, Building GE, Laboratoire d’Anatomie et de Biomécanique et d’Organogenèse
8:00- 8:45 Assessment and percutaneous examination
8:45-9:30 Workshop: Assesment techniques (probes…)
9:30-9:45 Break
09:45-10:30 Technique of percutaneous trigger finger release
10:30-12:15 Workshop: Percutaneous pulleys releases: A1, A2, A4
12:15-13:15 Lunch
13:15-14:00 Technique of percutaneous carpal tunnel release
14:00-15:00 Workshop: Transverse carpal ligament release
15:00-16:00 Extensive dissection
16:00 End of the course