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Management of Shoulder Injuries: Sixth Annual Evidence-Based Update Compendium

Management of Shoulder Injuries: Sixth Annual Evidence-Based Update Compendium

Jointly Provided by Robert Wood Johnson Medical School, Department of Orthopaedic Surgery, Rutgers Biomedical and Health Sciences and University Orthopaedic Associates, LLC

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Overview

Why this course?

The medical literature is constantly evolving and practitioners often find it hard to stay current with best practice guidelines. The shoulder is a complex structure involving four joints, working together to allow multi-planar motion. Consequently, patients who injure their shoulder, need to be closely evaluated as shoulder injuries can involve multiple structures which can impact recovery. Shoulder injuries among an active population are quite common. Studies have illustrated that roughly 15-20% of sports injuries occur to the shoulder. The most common injuries include dislocation, sprains, cartilage, tendon injuries, and fractures.

In order to provide optimal care, clinicians must be familiar with shoulder anatomy and recognize common signs and symptoms of injury. Practitioners should utilize appropriate clinical tests and imaging in order to make the correct diagnosis. Patient care is often difficult as injury can impact pain, function, sleep, daily activity, and sports participation. Treatment often varies between practitioners and is frequently not based on the best available evidence. The use of biologics may benefit some patients, but the proper patient selection and use need to be scrutinized to optimize outcomes. Conservative and surgical treatment options should be weighed and selected based on optimal outcomes. Reinjury rates and limitation of function are still concerning, emphasizing the need for rehabilitation and return to activity should be based on objective criteria and the best evidence.

Target Audience

This activity is designed for primary care and sports medicine physicians, athletic trainers, physician assistants and physical therapists interested in or involved with management of hand and upper extremity injuries.

Learning Objectives:

Upon completion of this program, learners should be better able to:

  • Discuss the anatomy of the shoulder.
  • Recognize signs and symptoms of shoulder injury and determine appropriate imaging and care.
  • Choose appropriate candidates and indications for Biologics use.
  • List common clinical findings associated with shoulder instability.
  • Discuss options for optimal management of shoulder injuries.
  • Apply rehabilitation and return to play recommendations for optimal shoulder injury care.

Program Agenda:

7:00 am Registration, Continental Breakfast
7:20 am Welcome and Introduction
7:30 am Review of Shoulder Anatomy

Charles J. Gatt, Jr., MD

8:00 am Management of Clavicular Fractures

Kenneth G. Swan, Jr., MD

8:20 am Management of Acromio Clavicular Injuries of the Shoulder

Ryan Coyle, MD

8:40 am Timothy M. Hosea Keynote Address: Evidence Based Use of Biologics for the Shoulder

Jason P. Womack, MD

9:10 am Round Table Discussion (Swan, Coyle, Womack)
9:30 am Brief Break Stand /Stretch
9:50 am Rehabilitation Considerations for Shoulder Instability

Ryan Kay, PT, DPT

10:05 am Rehabilitation Considerations for Shoulder Impingement

Jessica Spivey, PT, MPT

10:20 am Return to Sports Criteria following Shoulder Injury

Eric Nussbaum, MEd, LAT, ATC

10:35 am Round Table Discussion (Kay, Spivey, Nussbaum)
10:45 am Break
10:55 am Management of Anterior Shoulder Instability; Considering the Laterjet 

Charles J. Gatt Jr., MD

11:15 am Management of Posterior Shoulder Instability

Patrick S. Buckley, MD

11:35 am Management of Tendon Injuries of the Shoulder

Cris Beiro, MD

11:55 pm Round Table Discussion – 

(Gatt, Buckley, Beiro)

12:20 am Adjourn/Lunch

University Orthopaedic Associates/Rutgers Robert Wood Johnson Medical School Faculty

Cris Beiro, MDOrthopaedic Surgeon, Clinical Assistant Professor of Orthopaedic Surgery, Rutgers, Robert Wood Johnson Medical School

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Patrick S. Buckley, MD – Orthopaedic Surgeon, Clinical Assistant Professor of Orthopaedic Surgery, Rutgers, Robert Wood Johnson Medical School

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Ryan Coyle, MDOrthopaedic Surgeon, Robert Wood Johnson Medical School

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Charles J. Gatt, Jr., MD – Orthopaedic Surgeon, Associate Professor and Chairman, Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School

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Ryan P. Kay, PT, DPT – Physical Therapist, University Orthopaedic Associates

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Eric D. Nussbaum, MEd, LAT, ATC – Athletic Trainer, University Orthopaedic Associates

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Jessica Spivey, PT, MPT – Physical Therapist, University Orthopaedic Associates

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Kenneth G. Swan, Jr., MD – Orthopaedic Surgeon, Clinical Assistant Professor of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School

View Presentation

 

 

Jason P. Womack, MD – Chief, Division of Sports Medicine, Director, Sports Medicine Fellowship, Rutgers Athletics Team Physician, Assistant Professor of Family Medicine, Rutgers University – Robert Wood Johnson Medical School

 

Timothy Hosea - In Memorial

To honor the legacy of Dr. Hosea, each year we designate a guest lecture as the Timothy M. Hosea Memorial Lecture. This year’s lecture is provided by Dr. Jason Womack.

Shoulder Course Evaluation

The online evaluation survey can be found at: https://redcap.link/ShoulderCourseEvaluation

Supplemental Shoulder Information

Supporting Documents & Links

Life In Motion Magazine

Disclosure

All individuals who affect the content of continuing education activities are required to disclose to the audience any real or apparent conflict of interest related to the activity. The activity faculty is further required to disclose discussion of off-label/investigational uses in their presentations. These disclosures will be made to the audience at the time of the activity.

Certified Athletic Trainers

University Orthopaedic Associates, LLC (P959) is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers.  This program is currently under BOC review for approval of a maximum of 4.25 hours of Category A continuing education.  Certified Athletic Trainers are responsible for claiming only those hours actually spent participating in the continuing educational activity.

Continuing Education

Rutgers Biomedical and Health Sciences has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 4.25 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 4.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Accreditation

In support of improving patient care, this activity has been planned and implemented by Rutgers Biomedical and Health Sciences and University Orthopaedic Associates, LLC. Rutgers Biomedical and Health Sciences is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

 

 

Physicians

Rutgers Biomedical and Health Sciences designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Physical Therapists

We are approved for 4.25 credits by the New Jersey State Board of Physical Therapy Examiners. 

Advanced practice nurses, nurses and physician assistants may participate in this educational activity and earn a letter of attendance as AAPA, AANP, and ANCC accept AMA PRA Category 1 Credits™ through their reciprocity agreements.

Method of Participation:

In order to meet the learning objectives and receive continuing education credits, all participants are expected to formally register for the activity, attend the program/watch the webcast and complete an on-line evaluation at the conclusion of the activity. A CE certificate will be emailed to participants upon completion of the on-line evaluation. 

Athletic Trainers:  A certificate of attendance/CEUs will be provided to athletic trainers upon receipt of their completed evaluation and post-test. It will be emailed within 1 week of the receipt of the completion of your course evaluation.

Others:  CE certificates will be emailed to participants within 1 week of the completion of the on-line evaluation.

Peer Review

In order to help ensure content objectivity, independence, and fair balance, and to ensure that the content is aligned with the interest of the public, Rutgers Biomedical and Health Sciences (RBHS) has resolved all potential and real conflicts of interest through content review by a non-conflicted, qualified reviewer.  This activity was peer-reviewed for relevance, accuracy of content, and balance of presentation by:  

Eric Nussbaum, MEd, ATC, LAT, Clinical Instructor of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School; Athletic Trainer, UOA 

Disclosure Declarations

In accordance with the disclosure policies of RBHS and to conform with Joint Accreditation requirements and FDA guidelines, individuals in a position to control the content of this educational activity are required to disclose to the activity participants: 1) the existence of any relevant financial relationship with any ineligible company, i.e., a company whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients, within the past 24 months; and 2) the identification of a commercial product/device that is unlabeled for use or an investigational use of a product/device not yet approved.

Faculty

The following faculty have no relevant financial relationships with ineligible companies to disclose: 

  • Cris Beiro, MD 
  • Ryan Coyle, MD
  • Charles J. Gatt, Jr., MD
  • Ryan Kay, PT, DPT
  • Eric Nussbaum, MEd, ATC, LAT
  • Jessica Spivey, PT, MPT 
  • Kenneth G. Swan, Jr., MD
  • Jason P. Womack, MD

Patrick S. Buckley, MD has relevant financial relationships with ineligible companies: Consultant: Smith-Nephrew 

Planners

The following planners have no relevant financial relationships with ineligible companies to disclose: 

  • Christine Hersh, MS, PA-C
  • Charles J. Gatt, Jr., MD
  • Eric Nussbaum, MEd, ATC, LAT

RBHS Center for Continuing and Outreach Staff

Patrick Dwyer, Director, Continuing Medical Education, has no relevant financial relationships with ineligible companies to disclose.

Off-Label/Investigational Use

Speakers are required to disclose discussion of off-label/investigational uses of commercial products/devices in their presentation.  These disclosures will be made to the audience at the time of the activity.

Disclaimer

The views expressed in this activity are those of the faculty.  It should not be inferred or assumed that they are expressing the views of any manufacturer of pharmaceuticals or devices, University Orthopaedic Associates, or Rutgers Biomedical and Health Sciences (RBHS). 

It should be noted that the recommendations made herein with regard to the use of therapeutic agents, varying disease states, and assessments of risk, are based upon a combination of clinical trials, current guidelines, and the clinical practice experience of the participating presenters. The drug selection and dosage information presented in this activity are believed to be accurate.  However, participants are urged to consult all available data on products or procedures before using them in clinical practice. 

University Orthopaedics Associates and RBHS reserve the right to modify the program contents and faculty if necessary.

Copyright © 2022 University Orthopaedics Associates and RBHS.  All rights reserved including translation into other languages.  No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval systems, without permission in writing from Rutgers. 

For questions or concerns regarding this activity, please call Eric Nussbaum at 908-300-5833 or by email nussatcjb@aol.com or Patrick Dwyer at 973-972-8377 or by email patrick.dwyer@rutgers.edu.

Meeting Facilities

Grand Marquis

1550 U.S. 9

Old Bridge, NJ 08857

grandmarquiscaterers.com

Free parking is available at the meeting venue.

For Additional Information

For additional program information, questions, or concerns, or if you require special arrangements to attend this activity, please contact Eric Nussbaum at 908-300-5833 or by email at ericn@uognj.com.

RBHS and University Orthopaedic Associates, LLC reserve the right to modify the activity content, faculty and activities, and reserves the right to cancel this activity, if necessary.