Preliminary Program

COURSE CHAIR

Caroline LECLERCQ (France)

FACULTY MEMBERS

Nathalie BINI (Italy)
Grainne COLGAN (Ireland)
Sara DORMAN (UK)
Caroline LECLERCQ (France)
Paolo PANCIERA (Italy)
Nadine STURBOIS-NACHEF (France)

Friday, 17 April 2026
8:00-8:20 Lecture
Introduction
Clinical examination of the Spastic Upper Limb
8:20-10:10 SHOULDER
15 min Lecture
The spastic shoulder
Examination tips / technical tips
15 min + 65 min Demo + Dissection
Tenotomy / lengthening PM, TM, LD, SS + dissection nerves GR-GD + axil + radial
9:55-10:10 HSN
9:55-10:10 Lecture
Hyperselective Neurectomy (HSN): where do we stand ?
10:10-10:30 Coffee break
10:30-12:00 ELBOW
10 min Lecture
Elbow: HSN or lengthening?
10 min Lecture
Technical tips
15+55 min Demo + dissection
HSN musculo-cutaneous + radial (BR + ECR) Lengthening BI+BA+ BR
12:00-13:00 Hyperselective neurectomy (HSN)
15 + 45 min Demo + Dissection
HSN median + ulnar nerves forearm
13:00-14:00 Lunch on site
14:00-16:00 FOREARM
10 min Lecture
Rebalancing pro-supination
Decision making / Technical tips
15 min Lectures
Forearm muscles lengthening
Techniques and indications: tenotomy // epicondylar release // Fractional //Intra-tendinous // STP
15 + 70 min Demo + dissection
Forearm muscles lengthening: release, Z plasty, fractional lengthening, STP
15:50-16:20 Case discussion
16:20-16:40 Coffee break
16:40-18:00 TENDON TRANSFERS
15 min Lecture
Techniques and indications of tendon transfers
15 + 50 min Demo + Dissections
Transfer FCU to Wrist Extensors
PT rerouting
ECU centralization
18:00-18:30 Case discussion



Saturday, 18 April 2026
8:30-10:30 WRIST ARTHRODESIS
15 min Lecture
Total wrist arthrodesis
Indications, technical challenges
10 min Lecture
Alternatives
15 + 75 min Demo + Dissections
Medio-carpal fusion, Complete wrist fusion
10:30-11:00 Coffee break
11:00-12:10 FINGER INTEROSSEI
15 min Lecture
Anatomy, diagnostic and etio-pathogeny, techniques
15 + 40 min Demo + Dissections
Distal lengthening (Littler)
Proximal tenotomy
Ulnar nerve: DBUN neurotomy
12:10-13:00 Case discussion
13:00-14:00 Lunch on site
14:00-15:40 THUMB
10 min Lecture
Thumb neurotomies, PUM, T-PUM, and hyper T-PUM
15 min Lecture
Classification, indications and techniques
15 min + 60 min Demo + Dissections
Hyper T-PUM
First web release
Sesamoïdo-metacarpal arthrodesis (EPL rerouting)
15:40-15:50 Lecture
The Future
15:50-16:30 Case discussion
16:45 End of the Master Class