This course encompasses both acute fractures and secondary reconstruction. Clinical topics address and critically assess the latest clinical management of shoulder fractures, instability and replacement. Similarly, elbow topic range from complex trauma through contracture and other soft tissue problems, to arthroplasty. The final two days emphasize the new developments in the treatment of distal radius fracture stability, options for fracture fixation, recognition and treatment of distal radioulnar joint injuries, treatment of associated carpal and soft tissue injuries. In addition, the course will cover prevention and treatment of complications as well as correction of malunions and both wrist and distal radioulnar joint arthroplasty. Didactic lectures, panel sessions, video surgery demonstrations, and hands-on labs will provide the participant with the vital information to treat these problems.