The nuances of dealing with Elbow trauma remains an area where understanding of injury patterns and management principles can be variable, and in some cases based on dated concepts.
In recent years, there has been a significant expansion in both the quantity and quality of research within elbow surgery, leading to improved understanding of injury mechanisms, classification systems, and treatment strategies. The British Elbow & Shoulder Society revalidation session will highlight the key management principles and translate them into practical guidance for the wider orthopaedic community.
This session aims to provide a contemporary, structured update on elbow trauma through a series of focused, interactive talks by experts, supported by case-based discussion. Emphasis will be placed on practical decision-making, recognition of key injury patterns, and principles of both immediate and definitive management.
The session is designed to be highly relevant to general orthopaedic surgeons, trainees, and those involved in acute trauma care, both in adult and paediatric elbow injuries.
Learning Objectives:
- Update of understanding of relevant elbow anatomy
- Update of understanding of elbow clinical assessment
- Review / update on olecranon fracture types / classification
- Update on immediate and definitive management of olecranon fractures
- Review / update on radial head fracture types / classification
- Update on immediate and definitive management of radial head fractures
- Review / update of types common elbow dislocations
- Update of immediate and definitive management of elbow dislocations
- Update of immediate and definitive management of paediatric elbow fractures
Chair: Kishan Gokaraju and Ananth Ebinesan
Agenda:
13:30 - 13:40 Kishan Gokaraju, BESS Education Committee & Upper Limb Consultant, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust
Elbow Anatomy & Assessment
13:40 - 13:50 Abhinav Gulihar, Consultant Trauma & Orthopaedic Surgeon (Upper Limb Surgery), King's College Hospital NHS Foundation Trust
Olecranon Fractures
13:50 - 14:00 Simon Booker, Shoulder & Elbow Consultant, Sheffield Teaching Hospitals NHS Foundation Trust
Radial Head Fractures
14:00 - 14:15 Livio Di Mascio, Upper Limb Consultant, Barts Health NHS Trust
Elbow Dislocations
14:15 - 14:25 Anouska Ayub, Paediatric Orthopaedic Consultant, Barts Health NHS Trust
Paediatric Elbow Fractures
14:25 - 14:55 Case Presentation & Discussion
14:55 - 15:00 Kishan Gokaraju, BESS Education Committee & Upper Limb Consultant, Princess Royal University Hospital, King's College Hospital NHS Foundation Trust
Summary
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Kishan Gokaraju
Consultant Trauma & Orthopaedic Surgeon (Upper Limb Surgery), King's College Hospital NHS Foundation Trust
Kishan Gokaraju is an established trauma and orthopaedic consultant at King’s College Hospital NHS Foundation Trust, with a specialist interest in upper limb surgery.
He is triple fellowship trained, from shoulder to finger, with specialist training in Brisbane, Sheffield and Coventry, all level-1 trauma centres with high-volume, high-complexity surgery.
His practice includes general trauma as well as specialising in shoulder, elbow, wrist and hand surgery, treating both trauma and elective pathology.
Outside of clinical practice, his focus lies within education, running a series of renowned upper limb courses and conference sessions, aimed at all levels from resident doctor to consultant.
He is a member of the Education Committee for the British Elbow & Shoulder Society as well as South East London Orthopaedics training rotation.
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Ananth Ebinesan
Consultant Orthopaedic Surgeon (Shoulder & Elbow), Manchester University NHS Foundation Trust
Ananth Ebinesan holds the position of Consultant Shoulder and Elbow Surgeon at Manchester University NHS Foundation Trust (MFT), where he specialises in complex shoulder reconstruction and trauma management at the MTC. He previously served as Clinical Director for Trauma and Orthopaedics and currently holds the role of Associate Chief Medical Officer (Electives) at MFT. Ananth contributes his expertise as a specialist advisory panel member for NICE and has actively participated in NICE guideline committees. Additionally, he has participated in the accreditation inspection process for GIRFT elective surgical hubs nationally. He is an active BESS member and currently sits on council, serving as the Honorary Secretary
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Abhinav Gulihar
Consultant Trauma & Orthopaedic Surgeon (Upper Limb Surgery), King's College Hospital NHS Foundation Trust
Abhinav Gulihar is an experienced upper limb surgeon working at the King’s College Hospital NHS Foundation Trust and is clinical director for the orthopaedic department.
Having completed specialist training throughout Europe & the USA, including fellowship at the world-renowned South West London Elective Orthopaedic Centre (SWELEOC) and a European Arthroscopy Fellowship, he enjoys a high-volume arthroscopy and arthroplasty practice.
He has completed a Masters in Orthopaedic Engineering and an MD in joint cartilage research from the University of Leicester.
He runs the successful London Orthopaedic Meeting and is invited speaker on a number of national and international courses and conferences
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Simon Booker
Consultant Orthopaedic Surgeon (Shoulder & Elbow), Sheffield Teaching Hospitals NHS Foundation Trust
Having completed prestigious fellowships in Derby and Exeter, Simon Booker was appointed as a shoulder and elbow consultant at Sheffield Teaching Hospitals NHS Foundation Trust in 2017.
Working in a major trauma centre, his practice involves managing complex shoulder and elbow trauma, including fixation and arthroplasty of both.
At the exceptional Sheffield Elective Orthopaedic Centre (SEOC), he offers a full shoulder and elbow arthroscopy and arthroplasty service.
In addition to being clinical lead for an extensive orthopaedic department, he is well published and his knowledge, skill and experience means he is a regular on the upper limb teaching circuit.
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Livio Di Mascio
Consultant Trauma & Orthopaedic Surgeon (Upper Limb Surgery), Barts Health NHS Trust
Livio Di Mascio has been an upper limb consultant at Barts Health NHS Trust for over 15 years and is a highly experienced and talented surgeon.
His practice includes both trauma and elective surgery and, working in Europe’s leading level-1 trauma centre, his expertise include managing complex injuries from scapula to finger-tip, as well as polytrauma.
Electively, he treats a wide variety of shoulder, elbow, wrist and hand conditions with open and arthroscopic techniques.
As a trainer, he is prolific, having won trainer of the year on multiple occasions and he is regularly an invited speaker at a number of high-level upper limb educational events.
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Anouska Ayub
Consultant Paediatric Trauma and Orthopaedic Surgeon, The Royal London Hospital, Barts Health
Anouska is a Paediatric T&O Consultant at the Royal London Hospital. She has a particular interest in education, with an MSc (MedEd) and is on the BSCOS Education Committee.
