26th Symposium
Anatomy, Biomechanics & Challenging Treatment of the Distal Radio-Ulnar Joint
3 February 2018 | Brussels, Belgium

Hands-on Cadaver Precourse: Brussels Upper Limb Arthroscopy Workshop
1-2 February 2018

Aims and Format

The first issue of the Brussels Hand Symposium Europe (BHSEu) will take place on Saturday February 3th, 2018 for the first time at the Royal Library in Brussels city

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This year and for the second time, we organize two cadaveric arthroscopic workshops: Elbow and Wrist Arthroscopy on Friday 2nd, 2018 & Shoulder Arthroscopy on Thursday 1st, 2018.

The BHSEu will follow the same interdisciplinary and open-minded style of Frederic Schuind´s Genval meetings, which were an international success over 25 years and attended by 100 participants from all over the world.

The 2018 edition will investigate Anatomy, Biomechanics and Challenging Treatment of the Distal Radio- ulnar Joint. The anatomy of the distal radio-ulnar joint is complex. The fact that during forearm rotation there is an apparent change of ulnar variance means that DRUJ cannot be seen separated from the proximal radio-ulnar joint, interosseous membrane and ulnocarpal joint. Instability, incongruity, impingement and/or arthritis of the DRUJ should always be assessed together with these neighbour joints and seen as a one complex joint in a 3D vision.

Anatomy and biomechanics will be first presented as refreshers in up to date lectures. The second part will deal with the diagnostic aspect. Wrist‘s clinical examination is of great importance and must be compared to the unaffected contra-lateral side. Radiological investigations are challenging in many cases and imaging advances are still evolving to improve diagnostic accuracy. Arthroscopy has revolutionized our knowledge of DRUJ anatomy and the analysis of ligament lesions, and thus has become a mandatory tool in diagnosis.

At the lunch break, participants are invited to participate in our novel ultrasound hands-on workshop on hand and wrist diagnosis.

The third part of the symposium will consider the treatment and its challenging aspect: resection versus prosthetic arthroplasty with early and late instability problems; arthroscopic versus open procedures or combined together. We aim to improve our understanding of adequate fixation and reconstruction. Clinical outcomes of these procedures will be evaluated and home messages delivered.

The primary goals of the BHSEu are to promote the exchange of ideas, to establish guidelines on consensual basis and to foster collaborative investigations among various specialists and different schools.