Cadaver Musculoskeletal Anatomy EMG/MSKUS Guided Injections, Dystonia and Spasticity
Needs Statement
Spasticity is a significant problem after TBI/stroke/spinal cord injury (SCI) and other upper motor neuron (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. 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.
This educational activity has been designed to inform physiatrists about evidence based updates of recent developments in MSKUS anatomy and limb spasticity.
Target Audience
This activity is intended for physical medicine and rehabilitation medical students, residents, fellows, faculty, and private practice physiatrists.
Learning Objectives
At the conclusion of this activity, participants should be able to:
- Describe the musculoskeletal anatomy of the neck, arm and leg as it relates to limb spasticity injection.
- Compare two types of guided injections that can be used for spasticity/dystonia.
- Discuss suspension and injection strategies for botulinum toxin.
- Demonstrate how to inject at least two of the 8 new muscles FDA approved for spasticity injection.
Educational Methods
Lecture ▪ Hands-on Workshop ▪ Question & Answer
Evaluation
Evaluation by questionnaire will address program content, presentation, and possible bias.
Additional Information
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Part I: Thursday, March 6, 2025
CME = 4.0 hours (in person)
7:00 AM Overview with Breakfast – Moderator: Dr. Faye Tan (in person)
7:05 AM Anatomy of the Neck /Arm – Dr. Han Zhang (in person)
7:50 AM Anatomy of the Leg – Dr. Han Zhang (in person)
8:35 AM Break
9:00 AM MSK Anatomy of the Neck/Arm– Dr. Jackie Wertsch (virtual)
10:00 AM MSK Anatomy of the Leg – Dr. Jackie Wertsch (virtual)
11:00 AM The Ulnar Nerve – Dr. Jackie Wertsch (virtual)
11:30 PM Lunch
Part II: Friday, March 7, 2025
CME = 2.0 hour (virtual)
7:00 AM Ask the Expert: Injection of Cervical Dystonia – Dr. Janice Massey (virtual)
8:00 AM Spasticity Updates and Research – 8 New FDA Approved Muscles, Torsional Effects, Space Medicine and Beyond – Dr. Faye Tan (virtual)
Part III: Saturday, March 8, 2025
CME = 4.0 hours (in person)
7:30 AM Breakfast
8:00 AM to 12:00 PM Noon
Cadaver Lab: (rotate to each station, pick 4)
Station 1: Prosectional Anatomy of the Cadaver Neck/Arm/Leg – Dr. Han Zhang
Station 2: Guided Botox and MSK Injections Neck/Arm/Leg – Dr. Andrea Boon
Station 3: Guided MSK Injections Neck/ Arm/Leg – Dr. YH Lee and Dr. Angela Cortez
Station 4: MSKUS Guided Injection Practice on Phantoms– 8 New Muscles Resuspension of Toxin/Spasticity Injection of Anatomic Models – Dr. Faye Tan
Thursday, March 6, 2025
McNair Conf. A&B,
7200 Cambridge Street,
Houston, TX 77030
Friday March 7, 2025
Virtual Zoom
Saturday, March 8, 2025
UT Health Medical School, Cadaver lab
6431 Fannin St., Rm B230
Houston, TX 77030
KeyNote SpeakerS:
Andrea Boon, MD— Professor PMR, Mayo Clinic, Past Board Member AANEM, Rochester, Minnesota
Janice Massey, MD—Professor Neurology, Duke University, Past President AANEM, Durham, North Carolina
Jaqueline Wertsch, MD—Professor Emeritus PMR, Medical College Wisconsin, U. Wisconsin, Past President AANEM, Milwaukee, Wisconsin
_____________________________________
Han Zhang, MD— Professor, Department of Neurobiology and Anatomy, UTHealth, Houston, Texas
Angela Cortez, MD, Asst. Professor PMR, Baylor College of Medicine, McNair Campus, Houston, Texas
Yonghoon Lee, MD, Asst. Professor PMR, Baylor College of Medicine, McNair Campus, Houston, Texas
Course Director:
Faye Chiou Tan, MD— Professor, PMR, Baylor College of Medicine, Chief PMR, Dir EDX, Harris Health System, President AANEM
Course Coordinator (Thur/Fri):
Francisca Corona
Phone: 713-566-3567
Email: [email protected]
Planning Committee Members and
Course Coordinators (Saturday):
Won Jae Jeong, MD, Chief Resident
Jason Caffery, MD, PhD, Chief Resident
Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Baylor College of Medicine designates this live activity for a maximum of 10.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Available Credit
- 10.00 AMA PRA Category 1 Credit™
- 10.00 Attendance