Cadaver Musculoskeletal Anatomy EMG/MSKUS Guided Injections, Dystonia and Spasticity
Needs Statement
The educational needs of learners has grown as we recover from the pandemic. Learners have not had the opportunity for hands on cadaver training. Thus, combined virtual lectures bringing in outside speakers and in person cadaver lab with distinguished speakers will be arranged. Cadaver prosectional anatomy will be reviewed and injection skills check on cadavers will be carried out with learners.
This course will address both the educational gap for PMR residents and fellows to learn more about recognition and treatment of cervical dystonia and upper and lower limb spasticity with chemodenervation. An educational series is envisioned at this time to optimize their clinical educational experience.
Target Audience
This activity is intended for physical medicine and rehabilitation residents, fellows, faculty, and private practice physiatrists.
Learning Objectives
At the conclusion of the conference, participants should be able to:
· Describe the musculoskeletal anatomy of the neck, 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.
· Name and 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.
Part I: March 30, 2023 Thursday IN PERSON:
7:00am—Introduction/ CME regs —Dr. Faye Tan
7:15 am Dr. Han Zhang, MSK Anatomy of the Arm
8:15am—Dr. Han Zhang, MSK Anatomy of the Leg
9:15am Break
9:30am 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
11:30am Torsional anatomy for injection and 8 new muscles for spasticity— Dr. Faye Tan
Part II: March 31, 2023 Friday VIRTUAL:
7:00 am—Dr. Furr Stimming, Injection for movement disorder/dystonia/migraine
Part III: April 1, 2023 Saturday IN PERSON:
8:00am UT Cadaver lab: WEAR SCRUBS
Introduction and CME/Lab guidelines
Rotating Stations: (please start at assigned station)
1. Toxin reconstitution/dosing and anatomic model spasticity injections of the limbs and dystonia neck — Dr. Faye Tan (PGY 2)
2. Pro-sectional anatomy of the cadaver upper and lower limbs — Dr. Han Zhang (PGY 3)
3. MSKUS Cadaver injection for spasticity— Dr. Elizabeth Forrest (PGY 4, half of class)
4. MSKUS Cadaver spasticity injections —Dr. Jeffrey Strakowski (PGY 4, half of class)
5. Learning how to use MSK ultrasound
Machines — Dr.s Cortez and YH Lee (Students)
11:00am Adjourn
Thursday, March 30, 2023:
Smith Clinic , 4th floor conference room,
2525 Holly Hall, Houston, TX 77030
Friday, March 31, 2023:
Virtual Zoom Lecture
Saturday, April 1, 2023:
UT Health Medical School
6431 Fannin St., Rm B230
Houston, TX 77030
Key Note Speakers:
Jeffrey A. Strakowski, MD— Professor, PMR, The Ohio State University, Associate Director Medical Education, PMR, Ohio Health Riverside Methodist Hospital
Erin Furr-Stimming, MD — Professor, Neurology, Director Movement Disorders, McGovern Medical School, UT Health, Houston, TX
_____________________________________
Han Zhang, MD— Professor, Department of Neurobiology and Anatomy, UTHealth, Houston, TX, Regents' Outstanding Teaching Award
Elizabeth Forrest, MD — Asst. Prof. H Ben Taub PMR, Baylor College of Medicine, Houston, TX, spasticity clinic HH PMR
Course Director:
Faye Chiou Tan, MD— Professor, Vice—Chair Fac Affairs, H Ben Taub PMR, Baylor College of Medicine, Chief PMR, Dir EDX, Harris Health System, Houston, Texas, AANEM Secretary/ Treasurer
Moderators:
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
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 8.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Available Credit
- 8.00 AMA PRA Category 1 Credit™
- 8.00 Attendance