Cadaver Musculoskeletal Anatomy EMG/MSKUS Guided Injections, Dystonia and Spasticity
Friday-Saturday, July 29-31, 2021
Spasticity is a significant problem after TBI/stroke/spinal cord injury (SCI) and other UMN syndromes. Urban et. al. predicted spasticity after ischemic stroke was present in 42.6% of patients. Adams and Hicks describe 65-78% of patients with chronic SCI has symptoms of spasticity. Hibbard et. al. described 23.4 % of patients with traumatic brain injury have spasticity in 1998. Education and training specialists in all the treatment options of spasticity including therapy, medications, injection with botulinum toxins, and baclofen pumps is imperative in restoration of the individual back to health, function, and potentially employment.
Onabotulinum toxin has received FDA approval for use in the lower limbs for those with predominantly lower limb symptoms such as due to spinal cord injury (SCI) and spastic diplegia from a variety of conditions such as cerebral palsy and spina bifida. As the life span of pediatric onset conditions extends into adulthood, these conditions are no longer for just children. Physicians that treat adults must be adept at treating these conditions as well, and in fact and entire transition to adulthood clinic addresses this at Baylor. We will review guidelines for treating adults with spasticity due to cerebral palsy and other childhood conditions.
Physical Medicine and Rehabilitation residents, fellows, faculty private practice physiatrists
At the conclusion of the conference, participants should be able to:
- Describe the musculoskeletal anatomy of the arm and leg as it relates to limb spasticity injection
- Describe two types of guided injections that can be used for spasticity/dystonia
- Describe suspension and injection strategies for botulinum toxin
Lectures ▪ Hands-on Workshop
Evaluation by questionnaire will address program content, presentation, and possible bias.
Part I: VIRTUAL July 29, 2021 Thursday:
7:00 am - Introduction and CME guidelines, Dr. Tan
7:15 am - MSK Anatomy of the Arm, Dr. Han Zhang
8:15 am - MSK Anatomy of the Leg, Dr. Han Zhang
9:15 am - Break
9:30 am - MSKUS anatomy for injection of the upper limb, Dr. Jeffrey Strakowski
10:30 am - MSKUS anatomy for injection of the lower limb, Dr. Jeffrey Strakowski
11:30 am - Adjourn
Part II: IN PERSON July 31, 2021 Saturday:
8:00 am - UT Cadaver Lab - WEAR SCRUBS - Introduction and CME/Lab guidelines
See your individual assigned time. Do not come before or after your time to maintain social distancing.
1. Toxin reconstitution/dosing and anatomic model spasticity injections of the limbs and dystonia for the neck — Dr. Faye Tan (PGY 2)
2. Pro-sectional anatomy of the cadaver lower limbs — Dr. Han Zhang (PGY 2)
3. MSKUS Cadaver injection of the joints — Dr. Filemon Tan (PGY 3)
4. MSKUS Cadaver spasticity injections —Dr. Jeffrey Strakowski (PGY 4)
11:00 am - Adjourn
- 7.00 AMA PRA Category 1 Credit™
- 7.00 Attendance