Programme BESS 2009 Wednesday 24th June 2009 10.30 – 11.00 Registration and Trade Exhibition 11.00 – 12.30 Research Methodology Symposium Chairman: Andy Carr 11.00 – 11.29 Writing a Research Paper Roger Emery 11.30 – 11.59 Obtaining Research Funding Amar Rangan 12.00 – 12.30 Implications of the Darzi Review and Assessment of Outcome Andy Carr 12.30 – 13.20 Lunch and Trade Exhibition 13.20 – 13.26 Welcome: Simon Lambert 13.26 – 14.46 Session 1: Rotator Cuff Chairpersons: Tim Bunker and Simon Lambert 13.26 - 13.34 ARTHROSCOPIC ROTATOR CUFF REPAIR IN PATIENTS AGED 70 YEARS AND OVER – EARLY CLINICAL AND SONOGRAPHIC RESULTS P M Robinson, Y V Joshi, S Dalal, M Caplan, P Norburn, B R Roy Trafford General Hospital, Manchester 13.35 – 13.43 ULTRASOUND AND ARTHROSCOPIC ASSESSMENT OF THE ROTATOR CUFF. OUTCOME OF RADIOLOGIST AND RADIOGRAPHER PERFORMED SCANS Z Hakim, E Yates, M Smith, S Bale, P Hughes The Royal Preston Hospital 13.44 – 13.52 THE CLINICAL USEFULNESS OF OFFICE ULTRASOUND, CARRIED OUT BY THE SURGEON, IN DETECTING ROTATOR CUFF TEARS D J Henderson, Y Khan, B Venkateswaran Department of Orthopaedic Surgery, Dewsbury and District Hospital 13.53 – 14.01 MUSCULO-TENDINOUS RUPTURE OF THE INFRASPINATUS. NATURAL HISTORY, DIAGNOSIS AND TREATMENT L Neyton, G Walch, J Lunn, L Nove-josserand, J- P Liotard, B Melis Centre Orthopédique Santy - Unité Epaule 14.02 – 14.10 ROTATOR CUFF SURGERY IN THE UK – WHO IS DOING WHAT P M Robinson & B R Roy Trafford General Hospital, Manchester 14.11 – 14.19 CLINICAL DECISION MAKING BY SPECIALIST SHOULDER SURGEONS MANAGING ROTATOR CUFF TEARS M T Daines, C Cooper, B. Watkins, C Ramsey, J A Cook, A J Carr, J L Rees Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science 14.20 – 14.28 RETROSPECTIVE STUDY TO DEFINE THE NEED AND RELEVANCE FOR REPAIRING PARTIAL ROTATOR CUFF TEARS W Sturley, P Konings, J Relwani, O Levy, S Copeland Reading Shoulder Unit 14.29 - 14.37 OXFORD SCORES OF THE SHOULDER AND ELBOW IN THE “NORMAL” POPULATION E Litt & B G Bolton-Maggs St Helens & Knowsley Teaching Hospitals NHS Trust 14.38 – 14.46 CAN THE OXFORD SHOULDER SCORE BE USED AS A PREDICTIVE DIAGNOSTIC TOOL D A Shaw, P Kenyon, M Webb Countess of Chester Hospital, Chester 14.47 – 15.30 Local Organisers Guest Lecture Prof. Rolf Norlin Introduced by Simon Lambert 15.30 – 16.15 Coffee/Tea and Trade Exhibition 16.16– 17.27 Session 2: Instability, Trauma and Miscellaneous Chairpersons: Mike Thomas and Anju Jaggi 16.16 – 16.24 RESULTS OF ARTHROSCOPIC REPAIR OF BONY BANKART LESIONS IN CONTACT ATHLETES N H Shah, N Naderi, L Funk Wrightington Hospital 16.25 – 16.33 REVISITING THE UK SHOULDER SURGEON’S APPROACH TO TRAUMATIC, ANTERIOR SHOULDER DISLOCATION IN THE YOUNG PATIENT A Malhotra, M Freudmann, S Hay The Royal Shrewsbury Hospital / The Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry 16.34– 16.42 THE VALUE OF MAGENTIC RESONANCE IMAGING IN THE MANAGEMENT OF SHOULDER INSTABILITY M Dobson, J Rob, C Cobiella University College London Hospital 16.43 – 16.51 STABILISATION OF ACROMIOCLAVICULAR JOINT DISLOCATIONS USING THE 'SURGILIG' TECHNIQUE A Richards, T Butcher and S Corbett Guy's and St.Thomas' NHS Trust, London 16.52 – 16.60 THE USE OF THE OXFORD INSTABILITY SHOULDER SCORE (OISS) TO AUDIT OUTCOME AND RETURN TO ACTIVITY FOLLOWING ARTHROSCOPIC SHOULDER STABILISATION SURGERY C Joyce, S B Maclean, R Austin, P J Hughes Upper Limb Unit, Royal Preston Hospital 17.01 – 17.09 PDS SLING FIXATION OF NEER TYPE 2 FRACTURES OF THE DISTAL CLAVICLE- A SIMPLE TECHNIQUE WITH EXCELLENT RESULTS J Robinson, P Kempshall, B Sankar and M Pritchard Morriston Hospital, Swansea 17.10 – 17.18 ARTHROSCOPY OF THE STERNOCLAVICULAR JOINT L V A Dennell, G M Tytherleigh-Strong Addenbrooke's Hospital, Cambridge 17.19 – 17.27 INTRAMEDULLARY NAILING FOR PATHOLOGICAL FRACTURE OF HUMERUS: OUTCOMES AND FACTORS PREDICTING SURVIVAL E Mallick, R Ashford, R Pandey University Hospitals of Leicester NHS Trust 17.28 – 17.36 INTRAMEDULLARY STRUT GRAFT WITH LOCKING PLATE IN THE MANAGEMENT OF COMPLEX PROXIMAL HUMERAL FRACTURES V Kamath, A Rangan, J Couto James Cook University Hospital 17.37 - 17 52 ‘Innovation and the Future of Medical Publishing’ Dr. Trish Groves Introduction by Simon Lambert 18.00 Journal Launch and Drinks reception Thursday 25th June 2009 08.00 - 09.00 Instructional Course A “Internal impingement and the overhead athlete – The who, what, why and wherefore” Chairman: Peter Brownson Peter Brownson Graham Tytherleigh-Strong Jo Gibson 08.00 - 09.00 Instructional Course B Current thinking: SLAP Tears and Instability due to rotator interval failure Chairman: Duncan Tennent Mechanism & diagnosis Arthroscopic assessment & treatment 08.00 - 09.00 Instructional Course C Current thinking: Instability Arthropathy & Post-traumatic Arthritis in the Young Adult Chairman: Cormac Kelly Analysis and treatment options: when do I have to replace the joint? Post-traumatic arthropathy: when do I have to replace the joint? 08.00 - 09.00 Instructional Course D Current thinking: Post traumatic stiffness of the elbow in the adult Chairman: Michael Thomas Arthrolysis for the post traumatic elbow: Lech Rymaszewski Treatment of the post traumatic arthritic elbow: Mike Thomas 09.00 – 10.30 09.00 – 09.08 Session 3: Basic Science Chairpersons: Lars Neumann and Rolf Norlin RELATIONSHIP OF THE ROTATOR CUFF MOMENT ARMS TO THE CENTROID OF THE ARTICULAR SURFACE OF THE HUMERAL HEAD F Harrold & C Wigderowitz Ninewells Hospital & Medical School, Dundee 09.09 – 09.17 THE RHEOLOGY OF NORMAL AND TORN ROTATOR CUFF TENDONS S Chaudhury, C Holland, F Vollrath, A J Carr Nuffield Orthopaedic Centre, University of Oxford 09.18 – 09.26 MYOFIBROBLAST PHENOTYPE IN PRIMARY FROZEN SHOULDER REQUIRING SURGICAL INTERVENTION C McGarvey, S Lambert, V Mudera Royal National Orthopaedic Hospital, Stanmore 09.27 – 09.35 DOES DIABETES AFFECT OUTCOME AFTER ARTHROSCOPIC ROTATOR CUFF REPAIR N Clement, A Hallett, D MacDonald, JM McBirnie The Royal Infirmary of Edinburgh 09.36 – 09.44 ANATOMICAL VARIATIONS OF THE CORACOID PROCESS AND ITS ATTACHMENTS C Roslee, M Monda, G Alyassari, A Tavakkolizadeh, J Sinha King's College Hospital, London 09.45 – 09.53 DIFFERENTIATING BETWEEN NORMAL AND TORN ROTATOR CUFF TENDONS USING FOURIER TRANSFORM INFRARED SPECTROSCOPY S Chaudhury, C Dicko, F Vollrath, A J Carr Nuffield Orthopaedic Centre, University of Oxford 09.54 – 10.02 LIMITATIONS OF THE NEVIASER PORTAL FOR SUPERIOR LABRAL ANCHOR INSERTION: AN ANATOMICAL STUDY B A Haughton, I Serrano-Pedraza, E Boada, J J Candal-Couto Wansbeck General Hospital, Ashington and Newcastle University 10.03 – 10.11 VARIATION IN BONE MINERAL DENSITY BY ANATOMICAL SITE IN PATIENTS PRESENTING WITH PROXIMAL HUMERAL FRACTURES. IS UPPER LIMB OSTEOPOROSIS BEING UNDERDIAGNOSED J Wilson, T J Bonner , M Head, J Fordham, S Brealey, A Rangan James Cook University Hospital 10.12 – 10.20 IN VIVO TEMPERATURE MEASUREMENT IN THE SUBACROMIAL BURSA DURING ARTHROSCOPIC SUBACROMIAL DECOMPRESSION S L Barker, K Kumar, A J Johnstone Woodend Hospital, Aberdeen 10.21 – 10.29 CLINIMETRIC REVIEW OF OUTCOME MEASURES IN SHOULDER & ELBOW SURGERY N Harshavardhana, J Gray, T Cresswell, P Manning, L Neumann Derbyshire Royal Infirmary & Nottingham University Hospital 10.30 – 11.15 Coffee/Tea and Trade Exhibition 11.15-11.30 Hot Topic 1 PbR Ro Kulkarni and Tim Bunker 11.30- 12.15 11.30 – 11.40 Session 4: Case Reports with Expert Commentary Chairman: David Stanley PECTORAL NEURECTOMY AS A TREATMENT FOR COMPLEX MUSCLE PATTERNING SHOULDER INSTABILITY C McGarvey, G Datta, S Lambert Royal National Orthopaedic Hospital, Stanmore, London Expert: Ian Bayley 11.41 – 11.51 ACUTE LATERAL ELBOW PAIN IS NOT TENNIS ELBOW K P Draviaraj, D Stanley Shoulder and Elbow unit, Northern General Hospital, Sheffield Expert: Bernard Morrey 11.52 – 12.02 IATROGENIC FRACTURE DISLOCATION OF SHOULDER: CASE SERIES REPORT P Panwalkar, F Leong, A Yewlett, J Kitson, M Kurer, R Kulkarni Royal Gwent Hospital, Newport, Royal Devon and Exeter and North Middlesex University Hospital Expert: Rolf Norlin 12.03 – 12.13 COMPLETE DISASSEMBLY OF THE COONRAD-MORREY ELBOW REPLACEMENT A Sheeraz, A N Stirrat Sunderland Royal Hospital Expert: Andy Carr 12.15 - 12.55 Presidential Guest Lecture ‘Reconstructive Surgery of the Elbow Current Concepts and Future Trends’ Prof. Bernard Morrey Introduced By David Stanley 12.55 – 13.55 Lunch and Trade Exhibition 13.55 – 15.25 Session 5: Elbow Chairpersons: Andy Carr and Ro Kulkarni 13.55 – 14.03 A COMPARISON OF AUTOLOGOUS BLOOD INJECTION VERSUS STEROID INJECTION FOR THE TREATMENT OF LATERAL EPICONDYLITIS D Miller, J R Walton, C Bass, G Hoy, A Paxinos , D McClelland University Hospital of North Staffordshire, Melbourne Orthopaedic Group 14.04 – 14.12 TOTAL ELBOW ARTHROPLASTY: A SURVEY OF CURRENT PRACTICE IN THE UNITED KINGDOM W G P Eardley & J L McVie Darlington Memorial Hospital 14.13 – 14.21 SOUTER-STRATHCLYDE TOTAL ELBOW ARTHROPLASTY: 12 YEARS FOLLOW UP S P Boulis & S U Sjolin West Suffolk Hospital 14.22 – 14.30 COMPLEX DISTAL HUMERAL FRACTURES: FUNCTIONAL OUTCOME AFTER INTERNAL FIXATION USING PRE-CONTOURED ANATOMICAL ELBOW PLATES K Theivendran, P J Duggan, S C Deshmukh Birmingham City Hospital, Birmingham 14.31 - 14.39 ARTHROSCOPIC OSTEOCAPSULAR RELEASE FOR ELBOW OSTEOARTHRITIS: EARLY RESULTS G J Bayne, R Zaidi, D J Watkinson Queen Alexandra Hospital, Portsmouth 14.40 – 14.48 EPIDEMIOLOGICAL STUDY OF MEDIAL EPICONDYLITIS (GOLFERS ELBOW) USING ‘THE HEATH INPROVEMENT NETWORK’ (T.H.I.N.) DATABASE A A Tambe, A Fakis, C Smith, D Clark, R Hubbard Derbyshire Royal Infirmary 14.49 – 14.57 POSTERIOR OLECRANON IMPINGEMENT PRESENTING AS "TENNIS ELBOW” W A Wallace Nottingham Shoulder & Elbow Unit 14.58 – 15.06 TENSION SUTURE REPAIR OF OLECRANON FRACTURES AND OSTEOTOMIES USING ANCHORS J Finkel, A Sahu, C Choi, C P Charalambous, N J Phillips, M J Ravenscroft Stepping Hill Hospital, Stockport and Wytheshawe Hospital 15.07 - 15.15 DISTAL HUMERAL FRACTURES - A CLASSIFICATION WHICH IS RELIABLE, REPRODUCIBLE AND HAS GOOD CORRELATION WITH DEFINITIVE MANAGEMENT K A Z Sivardeen, S Thiagarajah, H Pelc, M Davies, D Stanley Sheffield Teaching Hospitals & Homerton University Hospital London 15.16 – 15.40 Hot Topics UKUFF and PROFHER Trials Andy Carr and Amar Rangan Private Codes, SEND Ro Kulkarni and Tim Bunker 15.40 – 16.10 Coffee/Tea and Trade Exhibition 16.10 – 17.30 AGM 19-00 Coach pickup 19-30 Conference Dinner at Imperial War Museum Friday 26th June 2009 08.00 - 09.00 Instructional Course A “Internal impingement and the overhead athlete – The who, what, why and wherefore” Chairman: Peter Brownson Peter Brownson Graham Tytherleigh-Strong Jo Gibson 08.00 - 09.00 Instructional Course B Current thinking: SLAP Tears and Instability due to rotator interval failure Chairman: Duncan Tennent Mechanism & diagnosis Arthroscopic assessment & treatment 08.00 - 09.00 Instructional Course C Current thinking: Instability Arthropathy & Post-traumatic Arthritis in the Young Adult Chairman: Cormac Kelly Analysis and treatment options: when do I have to replace the joint? Post-traumatic arthropathy: when do I have to replace the joint? 08.00 - 09.00 Instructional Course D Current thinking: Post traumatic stiffness of the elbow in the adult Chairman: Michael Thomas Arthrolysis for the post traumatic elbow: Lech Rymaszewski Treatment of the post traumatic arthritic elbow: Mike Thomas 09.00 – 10.30 09.00 – 09.08 Session 6: Therapy and Miscellaneous Chairpersons: Jo Gibson and Dan Roussouw COST SAVINGS IN ARTHROSCOPIC SHOULDER SURGERY. ANALYSIS OF THE INFLUENCE OF SURGICAL TECHNIQUES G Heffernan, O Levy , N Hous Reading Shoulder Unit 09.09 – 09.17 ACTIVITY BASED COSTING FOR ARTHROSCOPIC SHOULDER SURGERY IN A DISTRICT GENERAL HOSPITAL Y V Joshi, P M Robinson, B R Roy, NR Bhardwaj Trafford General Hospital, Manchester 09.18 – 09.26 ORTHOPAEDIC CODING PRACTICE IN THE UK P Panwalkar, G Roberts, J Danino , R Kulkarni Royal Gwent Hospital, Newport 09.27 – 09.35 PROSPECTIVE 2 YEAR FOLLOW UP OF PATIENT- AND DIAGNOSIS-SPECIFIC SPECIALIST PHYSIOTHERAPY TREATMENT FOR PATIENTS WITH ATRAUMATIC SHOULDER INSTABILITY T Douglas, A Jaggi, S Grange, S Lambert Royal National Orthopaedic Hospital, Stanmore 09.36 – 09.44 DOES INDIVIDUAL OR GROUP REHABILITATION LEAD TO A BETTER OR MORE COST EFFECTIVE OUTCOME FOLLOWING ARTHROSCOPIC SUBACROMIAL DECOMPRESSION OF THE SHOULDER G Lumsden, F Blanch, C Horsfield, K Lucas-Garner, R M Dodenhoff The Shrewsbury and Telford Hospital NHS Trust 09.45 – 09.53 THE ROLE OF PHYSIOTHERAPY AFTER ARTHROSCOPIC SUBACROMIAL DECOMPRESSION G Kordás, M Sinha, R T Benson Great Western Hospital, Swindon 09.54 – 10.02 THE ACCURACY OF PRIMARY CARE TEAMS IN DIAGNOSING DISORDERS OF THE SHOULDER S Patel, FS Hossain, H B Colaço, S Ul-Islam, M H Lee University College Hospital, London 10.03 – 10.11 CLINICAL ASSESSMENT OF SCAPULOHUMERAL FUNCTION IN PATIENTS WITH SUBACROMIAL IMPINGEMENT: WHAT DO SHOULDER CLINICIANS ATTENDING THE 2008 BRITISH ELBOW AND SHOULDER SOCIETY (BESS) CONFERENCE THINK AND WHAT DO THEY DO? M J Smith, D Jones, C Connor, V Sparkes, R W van Deursen Research Centre for Clinical Kinesiology, School of Healthcare Studies, Cardiff University 10.12 – 10.20 TUBEROSITY HEALING AFTER HEMIARTHROPLASTY FOR PROXIMAL HUMERAL FRACTURES WITH AN ACCELERATED REHABILITATION PROGRAMME Z Ali, D Datt, B Venkateswaran Mid Yorkshire Hospitals NHS Trust 10 21 – 10.29 DOCTOR, WHEN CAN I START DRIVING AGAIN? A SURVEY OF BESS MEMBERS, POLICE, DVLA AND INSURANCE COMPANIES A Kumar, P Monga, D S Sandher Manchester Royal Infirmary 10.30- 11.15 Coffee/Tea and Trade Exhibition 11.15-12.17 11.15 – 11.23 11.24 – 11.32 11.33 – 11.41 11.42 – 11.50 11.51 – 11.59 12.00 – 12.08 12.09 – 12.17 Session 7: Arthroplasty Chairpersons: Ian Trail and Mark Falworth CLINICAL AND RADIOGRAPHIC OUTCOME OF LARGE-PITCH GLENOID SCREW 11:15 FIXATION FOLLOWING BAYLEY-WALKER FIXED-FULCRUM, REVERSE-POLARITY, TOTAL SHOULDER REPLACEMENT D Higgs, C McGarvey, M Falworth, J I L Bayley, S Lambert Royal National Orthopaedic Hospital, Stanmore, London COPELAND RESURFACING ARTHROPLASTY: SHORT TERM RESULTS FROM AN INDEPENDENT CENTRE R Bryant, S Drew, S Turner, H Bush University Hospitals of Coventry and Warwickshire VENOUS THROMBO-EMBOLIC EVENTS AND TOTAL SHOULDER REPLACEMENT – ANALYSIS USING NATIONAL HOSPITAL EPISODE STATISTICS S S Jameson, R A Bottle, M R Reed, J Candal-Couto Wansbeck General Hospital & Dr Foster Institute at Imperial USE OF PATIENT REPORTED OUTCOMES (PROMS) AND SURVIVIAL ANALYSIS TO ASSESS SHOULDER REPLACEMENT J L Rees, J Dawson, G C Hand, C D Cooper, B Watkins, A J Price, D J Beard, A J Carr Nuffield Orthopaedic Centre, University of Oxford COPELAND SURFACE SHOULDER REPLACEMENT ARTHROPLASTY FOR CUFF TEAR ARTHROPATHY – EARLY AND MID TERM FUNCTIONAL RESULTS S Rajkumar, M Adeeb, M Raza, P Nalamati, M Thomas Wexham Park Hospital CUFF TEAR ARTHROPATHY (CTA) HUMERAL HEAD L Crawford, N Thompson, I A Trail, D Nuttall, A Birch Wrightington Hospital CAD CAM ARTHROPLASTY AS A SALVAGE PROCEDURE FOR CUFF AND GLENOID DEFICIENCY D Griffiths, S Grange, O Templeton-Ward, I Bayley, S Lambert Royal National Orthopaedic Hospital, Stanmore 12.18 – 12.43 Fellowship Presentations 12.45 – 13:00 BESS Poster Prize Presentations 13.00 – 13.05 BESS 2010 Oxford 13.05 – 13.10 BESS Awards 13.10 – 13.15 Closing Remarks 13:15 – 14:20 Lunch and Exhibition 13.30 - 15.00 AHP Symposium: The dilemma of shoulder pain - I Dr J Cowan, RNOH. Recognition and treatment of chronic and neurapathic shoulder pain: when should I refer for a specialist opinion Dr M Thaker. Understanding the peripheral and central mechanisms of shoulder pain. 15.00 – 15.45 Coffee and trade exhibition 15.45 – 17.15 AHP Symposium: The dilemma of shoulder pain - II Prof A Carr, Oxford. The role of central pain in rotator cuff disease. Ms J Gibson, Liverpool. Dealing with the difficult case: what tools do I have to help me? The role of mirrors, Botox, and other strategies. 17.15 Closing remarks 19.30 AHP Dinner – Rainforest Cafe Posters PLATE FIXATION OF MID-SHAFT CLAVICLE FRACTURES: A BIOMECHANICAL COMPARISON OF UNICORTICAL, BICORTICAL, LOCKING AND NONLOCKING OPTIONS L A K Khan, R Wallace, A H R Simpson, C M Robinson Edinburgh Orthopaedic Engineering Centre, University of Edinburgh THE RANGE OF OXFORD SHOULDER SCORES IN THE UNAFFECTED SHOULDER AND ITS USE AS A BASELINE FOR POSTOPERATIVE IMPROVEMENT C Joyce, S B MacLean, R Austin, P J Hughes Upper Limb Unit, Royal Preston Hospital MUSCLE ACTIVITY AND SHOULDER KINEMATICS IN SHOULDER IMPINGEMENT S Garg,T White, J Strickland, M Goss-Sampson Centre for Sport and Exercise Science, School of Science, University of Greenwich DISPLACED PROXIMAL HUMERUS FRACTURES TREATED WITH THE T2 PROXIMAL HUMERUS LOCKING NAIL V Kumar, S Datir, B Venkateswaran Dewsbury & District Hospital DO PROXIMAL HUMERAL CLASSIFICATION SYSTEMS WORK A Majed, A Bull, A Amis, I Macleod, K Zyto, R Hertel, H Resch Imperial College London A 5- MINUTE PROCEDURE FOR SURGICAL TREATMENT OF RESISTANT TENNIS ELBOW; RESULTS AND COST ANALYSIS S P Boulis & S U Sjolin West Suffolk Hospital WORLD WIDE WEB AND SHOULDER ARTHROSCOPY V Ramasamy & V G Devadoss Penine Acute Hospitals NHS Trust TRIPOD FIXATION OF RADIAL NECK FRACTURES N E Ohly & J T Reid Royal Infirmary of Edinburgh RESULTS OF SURGICAL REPAIR OF ACUTE DISTAL BICEPS TENDON RUPTURES USING A BIOTENODESIS SCREW W G P Eardley, S Odak, T S Adesina, R P Jeavons, J L McVie Darlington Memorial Hospital THE FUNCTIONAL OUTCOME OF THE FRACTURED CLAVICLE R Amirfeyz, D Davies, A Longworth, R Fox, G Bannister Avon Orthopaedic Centre NO SLING, NO BLOCKS, NO OVERNIGHT STAY, NO PROBLEM A D Yewlett, H Mehta, A Bhattacharjee, L Emmett, P Panwalker, R Coates, C Connor, R Kulkarni Royal Gwent Hospital, Newport OUTCOMES FOLLOWING OPEN REDUCTION AND INTERNAL FIXATION OF PROXIMAL HUMERUS FRACTURES WITH MARKED VARUS DEFORMITY M A Akhtar, J Wylie, A Ray, N Dempster, N Clement, C M Robinson Royal Infirmary of Edinburgh EVALUATION OF THE SHORT-TERM CONSERVATIVE TREATMENT IN PATIENTS WITH TENNIS ELBOW: INTERNAL PILOT OF A PROSPECTIVE RANDOMISED, ASSESSOR-BLINDED TRIAL J H Tonks, S R Murali, J Selfe, J Richards Ashton, Leigh and Wigan Community Healthcare, Wrightington, Wigan and Leigh NHS Trust, University of Central Lancashire FUNCTIONAL OUTCOME OF SCAPULOTHORACIC FUSION FOR FASCIOSCAPULOHUMERAL DYSTROPHY I P Gill, B Fourie, P R Stuart Freeman Hospital, Newcastle Upon Tyne CODING PRACTICE IN SHOULDER SURGERY: AN AUDIT OF OPCS-4 CODES L Astle, S Alagaratnam, C Cobiella University College Hospital, London USE OF CT DATA IN DETERMINING HUMERAL GEOMETRIES RELEVANT TO ARTHROPLASTY I Flatters Newcastle University THE CORACOID SPUR SIGN: A NOVEL RADIOLOGICAL FEATURE OF POTENTIAL DISSOCIATION OF THE SCAPULA FROM THE CLAVICLE IN COMPLEX SCAPULAR FRACTURES C McGarvey, A Pandit , A Saifuddin , S Lambert The Royal National Orthopaedic Hospital, Stanmore, London ASSESSMENT OF BALANCE WITH SHOULDER STABILIZATION SLING USING COMPUTERIZED DYNAMIC POSTUROGRAPHY A Memon , D Lui , H Mullett Beaumont Hospital, Dublin MRI OR CT ARTHOGRAPHY FOR THE INVESTIGATION OF SHOULDER INSTABILITY? WHICH IS THE BETTER MODALITY Z Sivardeen, S Thiagarajah, D Stanley, I Khan, S Mughal Sheffield Teaching Hospitals, Homerton University Hospital London BONE ANCHOR REPAIR OF DISTAL BICEPS TENDON RUPTURE: A CASE SERIES WITH BIOMECHANICAL ASSESSMENT M Anderton, P Kumar, R Morton, S Hodgson Royal Bolton Hospital, Bolton AUDIT OF THE ACCURACY AND COMPLETENESS OF CODING IN SHOULDER SURGERY. THE VALUE OF ONGOING AUDIT AND FEEDBACK TO THE CODING DEPARTMENT G Heffernan, N Hous, O Levy Royal Berkshire NHS Foundation Trust A PRE-OPERATIVE AND MEAN ONE YEAR POST-OPERATIVE CONSSTANT SCORE OUTCOME FROM THE USE OF INVERSE SHOULDER ARTHROPLASTIES IN SERIOUSLY CUFF DEFICIENT PATIENTS P Vasilko, J Blacknall, S Kalogrianitis, G Heffernan, W A Wallace Nottingham Shoulder & Elbow Unit SYNTHETIC BONE GRAFT AUGMENTANTION OF PLATE FIXED OSTEOPOROTIC PROXIMAL HUMERUS FRACTURES; A CADAVERIC STUDY J Kennedy, P O'Reilly, P McGarry, D FitzPatrick, H Mullett Beaumont Hospital, Dublin