Program and Abstracts | ePosters
Guest Organization- French Society of Surgery of the Hand
Wednesday January 30, 2019
6:30 am - 8:15 am
Continental Breakfast
7:00 am - 8:00 am
AAHS Instructional Courses
101
Boutonniere And Swan Neck AKA Extensor Mechanism Problems
Chair: David Dennison, MD
Instructors: Jonathan Isaacs, MD; Paige M. Fox, MD; Jeanine Beasley, EdD, OTR, CHT, FAOTA
Chair: David Dennison, MD
Instructors: Jonathan Isaacs, MD; Paige M. Fox, MD; Jeanine Beasley, EdD, OTR, CHT, FAOTA
This course will review the pathophysiology, evaluation and management of these common, yet often vexing hand problems. Both operative and nonoperative management strategies will be discussed with an emphasis on practical tips.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Properly diagnose extensor mechanism disorders.
- Discuss the pathophysiology of extensor mechanism deformities and apply that understanding to a treatment algorithm.
- Formulate and execute an appropriate surgical plan for swan neck, boutonniere and sagittal band injuries.
- Identify the appropriate splints including relative motion splinting and therapy options for nonoperative management as well as post-operative management of these common injuries.
102
Phalanx Fractures- Tips and Tricks for Avoiding Complications and Getting Good Results
Chair: Ryan Calfee, MD
Instructors: Jerry Huang, MD; Deborah Bohn, MD; Gary S. Solomon MSOT, MBA, CHT
Chair: Ryan Calfee, MD
Instructors: Jerry Huang, MD; Deborah Bohn, MD; Gary S. Solomon MSOT, MBA, CHT
This course will discuss expert tips and tricks for avoiding complications and achieving good outcomes in phalangeal fractures. Both common fracture patterns as well as complex injury patterns will be discussed. A case-based format will highlight keys for success and failure.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Differentiate stable fractures best served with nonoperative care from unstable fractures better suited for operative intervention.
- Identify how to avoid complications by using improved surgical techniques and tips.
- Achieve improved results in the management of phalangeal fractures treated both operatively and nonoperatively.
103
Hand Infections
Chair: Timothy Fowler, MD
Instructors: Jonathan L. Tueting, MD; Brandon Smetana, MD; Nora Barrett, MS, OTR/L, CHT
Chair: Timothy Fowler, MD
Instructors: Jonathan L. Tueting, MD; Brandon Smetana, MD; Nora Barrett, MS, OTR/L, CHT
This course will review the most up to date management strategies for the management of both soft tissue infections and osteomyelitis of the hand. Strategies including Masquelet for osteomyelitis, flexor tenosynovitis irrigation techniques and reconstruction following destructive infections will be discussed.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Create a management strategy for complex hand infections.
- Perform Masquelet for osteomyelitis of the hand.
- Understand post-infectious reconstructive strategies following complex hand infections.
104
Common Peds Hand Fractures/ "Snakes in the Grass"
Chair: Kevin J. Little, MD
Instructors: Joshua M. Abzug, MD; Felicity Fishman, MD; Kelly Godwin, OT, CHT
Chair: Kevin J. Little, MD
Instructors: Joshua M. Abzug, MD; Felicity Fishman, MD; Kelly Godwin, OT, CHT
This course will highlight the pitfalls of pediatric fracture management. Decisions as to whether or not remodeling will be sufficient will be discussed. Fractures such as phalangeal neck fractures, Seymour fractures, and others will be reviewed.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Identify fractures at risk for failure to remodel.
- Discuss fractures more appropriately managed with surgery.
- Discuss the surgical principles in managing pediatric hand fractures.
105
Distal Radius Fracture- Less Common Distal Radius Fracture Patterns
Chair: Bobby Chhabra, MD
Instructors: Sonya P. Agnew, MD; Jeffrey B. Friedrich, MD; Robert C. Chadderdon, MD; Stephanie N. Kannas, OTR/L, CHT
Chair: Bobby Chhabra, MD
Instructors: Sonya P. Agnew, MD; Jeffrey B. Friedrich, MD; Robert C. Chadderdon, MD; Stephanie N. Kannas, OTR/L, CHT
This course will discuss the optimal management of atypical distal radius fracture patterns. While the volar plate has revolutionized the management of these common injuries, there are many scenarios in which other techniques may be required. Indications for bridge plating, fragment specific plating and the management of associated injuries will be reviewed.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Identify fracture patterns of distal radius fractures in which standard volar plate fixation may be inadequate.
- Discuss indications and technique for bridge plating.
- Recognize associated injuries with distal radius fractures and know when treatment is indicated.
106
Scaphoid Nonunion- To Vascularize or Not Vascularize
Chair: Mark Rekant, MD
Instructors: Fraser J. Leversedge, MD; Douglas Sammer, MD; Nina Suh, MD
Chair: Mark Rekant, MD
Instructors: Fraser J. Leversedge, MD; Douglas Sammer, MD; Nina Suh, MD
This course will debate the merits of vascularized bone grafting for the management of scaphoid nonunions. Cancellous autograft, corticocancellous autograft, pedicled vascularized grafts as well as free vascularize grafts will be discussed. The role of the vascularized medial femoral condyle graft will be explained. Evidence for and against vascularized bone grafting will be presented along with surgical pearls for managing these challenging injuries.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss the vascularized bone graft options for the management of scaphoid nonunions.
- Formulate a treatment algorithm for selecting the role of vascularized bone grafting for scaphoid nonunions.
- Surgically better manage scaphoid nonunions with the surgical tips and pearls provided.
107
Tips on Improving your WALANT Carpal Tunnel Release
Chair: Donald H. Lalonde, MD
Instructors: Gilles Candelier, MD; Ryan Garcia, MD; Asif Ilyas, MD
Chair: Donald H. Lalonde, MD
Instructors: Gilles Candelier, MD; Ryan Garcia, MD; Asif Ilyas, MD
This course will review the indications, technique and outcomes of wide awake local anesthesia without tourniquet (WALANT) surgery. This rapidly expanding technique offers significant cost savings and at times improved patient outcomes. Participants will learn how to make this a reality for their practice and learn best practice techniques.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Develop a WALANT option for their practice.
- Discuss the indications for wide awake surgery with local only.
- Improve WALANT surgical technique
108
Update on Wrist Arthroplasty
Chair: Randip R. Bindra, MD
Instructors: Philippe Bellemere, MD; Susan Weiss, OT, CHT
Chair: Randip R. Bindra, MD
Instructors: Philippe Bellemere, MD; Susan Weiss, OT, CHT
This course will highlight the indications, technique and outcomes of total wrist arthroplasty. With reported outcomes inferior to larger joint arthroplasty and the reliability of wrist fusion, what are the current indications for wrist arthroplasty. Tips from these experts will hopefully enhance outcomes for participants performing total wrist arthroplasty. Lastly, the management of failed wrist arthroplasty (revision vs conversion to fusion) will be discussed.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Identify the indications for total wrist arthroplasty.
- Optimize surgical outcomes when performing total wrist arthroplasty.
- Describe the salvage options for failed wrist arthroplasty.
- Appropriately rehab patients following wrist arthroplasty.
8:15 am - 8:30 am
President and Program Chairs Welcome (Not for Credit)
Brian D. Adams, MD; AAHS President
Christina M. Ward, MD & R. Glenn Gaston, MD; AAHS Program Chairs
Jane Fedorczyk, PT, PhD, CHT; AAHS Therapist Chair
Brian D. Adams, MD; AAHS President
Christina M. Ward, MD & R. Glenn Gaston, MD; AAHS Program Chairs
Jane Fedorczyk, PT, PhD, CHT; AAHS Therapist Chair
8:30 am - 8:45 am
Invited ASHT President Hand Therapists as Innovators Linda Klein, OTR, CHT
This presentation will describe 5 traits of innovators, and examples of these traits as seen in hand therapists will be explored. Participants will be encouraged to consider ways in which they are innovative within their profession.
Objectives: Following this session, the participant will be able to:
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8:45 am - 8:55 am
2018 Vargas Award Presentation (Not for Credit)
Recipient: Susan M. Blackmore, MS, OTR/L, CHT
Recipient: Susan M. Blackmore, MS, OTR/L, CHT
8:55 am - 9:00 am
Reverse Fellowship Presentation (Not for Credit)
Introduction: Marco Rizzo, MD
Speaker: Boutros Farhat
Introduction: Marco Rizzo, MD
Speaker: Boutros Farhat
9:00 am - 9:50 am
Panel I: CMC Arthritis: Convince Me to Change
Moderator: Steven L. Moran, MD
Panelists: Alain Tchurukdichian, MD; Scott G. Edwards, MD; Jeffrey Yao, MD; Lorenzo Pacelli, MD
CMC arthroplasty with tendon interposition is widely recognized as the gold standard for operatively managing symptomatic CMC arthritis. Many other techniques are emerging as viable alternatives. The panelists will try and convince the moderator and audience to consider such techniques as tightrope reconstruction, arthroscopic debridement, and arthroplasty as potential better alternatives. Be there and help be the judge!
Objectives: Following this session, the participant will be able to:
Moderator: Steven L. Moran, MD
Panelists: Alain Tchurukdichian, MD; Scott G. Edwards, MD; Jeffrey Yao, MD; Lorenzo Pacelli, MD
CMC arthroplasty with tendon interposition is widely recognized as the gold standard for operatively managing symptomatic CMC arthritis. Many other techniques are emerging as viable alternatives. The panelists will try and convince the moderator and audience to consider such techniques as tightrope reconstruction, arthroscopic debridement, and arthroplasty as potential better alternatives. Be there and help be the judge!
Objectives: Following this session, the participant will be able to:
- Discuss emerging alternative techniques for the management of CMC arthritis.
- Recognize the limitations and complications of these newer techniques for treating CMC arthritis.
- Identify the post-operative rehab protocols following various CMC reconstructive techniques.
9:50 am - 10:10am
Last Person Standing
Christina M. Ward, MD; R. Glenn Gaston, MD
This fun-filled twenty minutes will elucidate which audience member has the highest Hand IQ. A series of trivia questions will slowly eliminate wrong responders until only one remains to take home the prize. Will you be the last person standing?
Objectives: Following this session, the participant will be able to:
Christina M. Ward, MD; R. Glenn Gaston, MD
This fun-filled twenty minutes will elucidate which audience member has the highest Hand IQ. A series of trivia questions will slowly eliminate wrong responders until only one remains to take home the prize. Will you be the last person standing?
Objectives: Following this session, the participant will be able to:
- Identify the Last Person Standing.
- Discuss informational Q&A and boards style questions.
- Discuss hand anatomy and pathophysiology.
10:10 am - 10:30am
Coffee Break
10:30 am - 11:30 am
Panel II: Head to Head Case Discussion: Distal Radius Malunions
Moderator: Jeffrey Greenberg, MD
Panelists: Alexandre Durand, MD; Marc J. Richards, MD; Kristin A. Valdes, OTD, OT, CHT ; Stephanie N. Kannas, OTR/L, CHT
This case based session will pit experts from the East and West coasts of the US and France against one another. The moderator will present challenging cases for each side to offer their best management strategy. The moderator (with the help of the audience) will determine best response. The role of 3D printing for preop planning, various bone grafting techniques as well as additional reconstructive options will be discussed.
Objectives: Following this session, the participant will be able to:
Moderator: Jeffrey Greenberg, MD
Panelists: Alexandre Durand, MD; Marc J. Richards, MD; Kristin A. Valdes, OTD, OT, CHT ; Stephanie N. Kannas, OTR/L, CHT
This case based session will pit experts from the East and West coasts of the US and France against one another. The moderator will present challenging cases for each side to offer their best management strategy. The moderator (with the help of the audience) will determine best response. The role of 3D printing for preop planning, various bone grafting techniques as well as additional reconstructive options will be discussed.
Objectives: Following this session, the participant will be able to:
- Formulate management strategies for the management of complex malunions of the wrist and forearm.
- Identify the role of 3D printing in preop planning for malunions.
- Discuss various grafting options and advanced reconstructive options.
11:30 am - 12:15 pm
Invited Guest Lecture Physician Value, From Chickens to Checks to Relative Value Units Daniel Nagle, MD |
12:30 pm - 2:30 pm
Therapist Panel I: Therapist's Management of Wrist Instability
Panelists: Aviva Wolff, OTR, CHT, EdD; Emily Altman, PT, OPT, CHT
In this panel we will present the basic carpal anatomy, biomechanics and pathomechanics that contribute to common wrist instability patterns. We will explain how the anatomical and biomechanical contributions to joint stability and instability inform the development of rehabilitation treatment approaches. We will discuss current therapy interventions including splinting techniques, proprioception, wrist stabilization exercises, and the role of the muscles in carpal stability. We will review the progression of rehabilitation for common wrist ligament injuries.
Objectives: Following this session, the participant will be able to:
Panelists: Aviva Wolff, OTR, CHT, EdD; Emily Altman, PT, OPT, CHT
In this panel we will present the basic carpal anatomy, biomechanics and pathomechanics that contribute to common wrist instability patterns. We will explain how the anatomical and biomechanical contributions to joint stability and instability inform the development of rehabilitation treatment approaches. We will discuss current therapy interventions including splinting techniques, proprioception, wrist stabilization exercises, and the role of the muscles in carpal stability. We will review the progression of rehabilitation for common wrist ligament injuries.
Objectives: Following this session, the participant will be able to:
- Define basic patterns of wrist instability.
- Recognize normal carpal biomechanics and pathomechanics underlying common wrist instability patterns.
- Discuss specific splinting options for wrist ligament injuries.
- Discuss rehabilitation training program to injured/repaired wrist ligaments.
12:30 pm - 5:30 pm
Hands-On Surgical Skills Workshop
(Separate Registration Required)
(Supported by Medartis)
Chair: Bradley Palmer, MD
Co-Chair: Rafael Diaz-Garcia, MD
The AAHS Surgical Skills Workshop is a course designed to provide participants an opportunity to learn techniques for internal fixation and technical pearls in wrist and hand fractures from an expert faculty panel and put them into practice in a hands-on sawbone workshop.
Objectives: Following this session, the participant will be able to:
(Separate Registration Required)
(Supported by Medartis)
Chair: Bradley Palmer, MD
Co-Chair: Rafael Diaz-Garcia, MD
The AAHS Surgical Skills Workshop is a course designed to provide participants an opportunity to learn techniques for internal fixation and technical pearls in wrist and hand fractures from an expert faculty panel and put them into practice in a hands-on sawbone workshop.
Objectives: Following this session, the participant will be able to:
- Demonstrate on a saw bone model the application of basic principles of lag screw fixation, neutralization plate, and compression plating in hand fractures.
- Recognize fracture patterns and plan reduction of distal radius and perform volar plating n a distal radius sawbone model.
- Discuss surgical options for management of articular fractures and dislocations in the hand and perform them in sawbone model.
- Explain indications and demonstrate technique for fixation of scaphoid fractures in a sawbone model.
6:30 pm - 8:00 pm
Welcome Reception in Exhibit Hall
Thursday January 31, 2019
6:30 am - 8:15 am
Continental Breakfast
7:00 am - 8:00 am
AAHS Instructional Courses
109
MP and PIP Arthroplasty- Esp Rehab Post Op and Volar vs. Dorsal Surgical Approach
Chair: Marco Rizzo, MD
Instructors: Asif M. Ilyas, MD; Joseph Imbriglia, MD; Terri Wolfe, OTR/L, CHT
This course will review the indications, surgical technique and rehab of MP and PIP arthroplasty. The advantages and disadvantages of the volar versus dorsal approach will be discussed. The decision of implant type (silicone, pyrocarbon, metal and polyethylene) will be reviewed. Appropriate rehabilitation based on approach and implant will be highlighted.
Objectives: Following this session, the participant will be able to:
Chair: Marco Rizzo, MD
Instructors: Asif M. Ilyas, MD; Joseph Imbriglia, MD; Terri Wolfe, OTR/L, CHT
This course will review the indications, surgical technique and rehab of MP and PIP arthroplasty. The advantages and disadvantages of the volar versus dorsal approach will be discussed. The decision of implant type (silicone, pyrocarbon, metal and polyethylene) will be reviewed. Appropriate rehabilitation based on approach and implant will be highlighted.
Objectives: Following this session, the participant will be able to:
- Identify surgical indications for small joint arthroplasty.
- Discuss the volar versus dorsal approaches for implant placement.
- Recognize the advantages and disadvantages of various implant types.
- Identify splint and rehab patients following surgery.
110
Athletes Injury/ Return to Play
Chair: Gary Lourie, MD
Instructors: Duretti Fufa, MD; Fraser J. Leversedge, MD; Aviva Wolff, OTR/L, CHT, EOID
This course will discuss the management of both common and challenging injuries in athletes ranging from weekend warriors to elite level professionals. Return to play decisions will be highlighted along with treatment recommendations based on injury type, sport, hand dominance and time in the season. Overarching principles as well as case based examples will be provided.
Objectives: Following this session, the participant will be able to:
Chair: Gary Lourie, MD
Instructors: Duretti Fufa, MD; Fraser J. Leversedge, MD; Aviva Wolff, OTR/L, CHT, EOID
This course will discuss the management of both common and challenging injuries in athletes ranging from weekend warriors to elite level professionals. Return to play decisions will be highlighted along with treatment recommendations based on injury type, sport, hand dominance and time in the season. Overarching principles as well as case based examples will be provided.
Objectives: Following this session, the participant will be able to:
- Recognize common as well as unique sport specific injuries in athletes.
- Identify the proper return to play timing as well as the need for sports specific splinting.
- Discuss nuances in managing athletes at time differently from the general population.
111
Elbow Fractures/Instability
Chair: Ruby Grewal, MD
Instructors: Marc J. Richard, MD; Bryan J. Loeffler, MD; Jane Fedorczyk, PT, PhD, CHT
This course will describe the current approach to managing complex elbow fractures and instability including distal humerus fractures, radial head fractures and terrible triad injuries. Surgical tips and pearls will be included. Differentiating PLRI from PMRI will be discussed. When and how to fix associated coronoid fractures, especially anteromedial facet fractures, will be highlighted. Appropriate rehab including supine overhead range of motion protocols will be explained.
Objectives: Following this session, the participant will be able to:
Chair: Ruby Grewal, MD
Instructors: Marc J. Richard, MD; Bryan J. Loeffler, MD; Jane Fedorczyk, PT, PhD, CHT
This course will describe the current approach to managing complex elbow fractures and instability including distal humerus fractures, radial head fractures and terrible triad injuries. Surgical tips and pearls will be included. Differentiating PLRI from PMRI will be discussed. When and how to fix associated coronoid fractures, especially anteromedial facet fractures, will be highlighted. Appropriate rehab including supine overhead range of motion protocols will be explained.
Objectives: Following this session, the participant will be able to:
- Recognize the differing mechanisms of injury and associated injuries with PLRI and PMRI.
- Discuss how to manage complex elbow fractures and instability.
- Identify the current rehab protocols for managing complex elbow injuries.
112
Joint Injuries-UCL/Internal Brace; Other MP Injuries With Sagittal Band; Collateral Ligament Injuries, MP Arthroscopy
Chair: Peter J. Evans, MD
Instructors: Leo Kroonen, MD; Jacqueline Geissler, MD; Daniel Lewis, MD; Lisa S. Michael, OTD, OTR/L, CHT
This course will review cutting edge solutions to injuries involving the MP joint. Collateral ligament repair and reconstruction as well as the role of adjuncts such as internal bracing will be discussed. Current operative and nonoperative treatment strategies for sagittal band injuries including relative motion splinting will be reviewed. The role of small joint arthroscopy in addressing injuries of the MP joint with a case based focus will be included as well.
Objectives: Following this session, the participant will be able to:
Chair: Peter J. Evans, MD
Instructors: Leo Kroonen, MD; Jacqueline Geissler, MD; Daniel Lewis, MD; Lisa S. Michael, OTD, OTR/L, CHT
This course will review cutting edge solutions to injuries involving the MP joint. Collateral ligament repair and reconstruction as well as the role of adjuncts such as internal bracing will be discussed. Current operative and nonoperative treatment strategies for sagittal band injuries including relative motion splinting will be reviewed. The role of small joint arthroscopy in addressing injuries of the MP joint with a case based focus will be included as well.
Objectives: Following this session, the participant will be able to:
- Discuss the concept of relative motion splinting for sagittal band injuries.
- Identify collateral ligament repairs and reconstructions and recognize options for added repair stability.
- Discuss the role of arthroscopy in managing MP injuries.
113
Communication/ Getting Along With The Difficult Patient
Chair: Amy M. Moore, MD
Instructors: Deborah Bohn, MD; Cynthia C. Ivy, OTO, OTR/L, CHT
This course will discuss management strategies for handling the difficult patient. It is designed to offer participants tips for improved communication especially with challenging patients. With value based care on the horizon and the importance of patient satisfaction scores in todays practice, this course is relevant to all practitioners.
Objectives: Following this session, the participant will be able to:
Chair: Amy M. Moore, MD
Instructors: Deborah Bohn, MD; Cynthia C. Ivy, OTO, OTR/L, CHT
This course will discuss management strategies for handling the difficult patient. It is designed to offer participants tips for improved communication especially with challenging patients. With value based care on the horizon and the importance of patient satisfaction scores in todays practice, this course is relevant to all practitioners.
Objectives: Following this session, the participant will be able to:
- Develop treatment strategies for managing difficult patients.
- Recognize current patient satisfaction metrics and gain insight into ways to improve individual scores.
- Discuss how to convey empathy and understanding with complicated patients.
114
Compressive Neuropathies at the Elbow
Chair: Michael W. Neumeister, MD
Instructors: Donald H. Lalonde, MD; John D. Lubahn, MD; Susan Blackmore, MS, OTR/L, CHT
Chair: Michael W. Neumeister, MD
Instructors: Donald H. Lalonde, MD; John D. Lubahn, MD; Susan Blackmore, MS, OTR/L, CHT
This panel of experts will discuss the current recommendations for managing compressive neuropathies of the median, ulnar and radial nerves at the elbow. Physical exam maneuvers and detailed history advice will be discussed to enable proper diagnosis. Contributing anatomic variations as well as surgical techniques for management will be reviewed. The role of electrodiagnostic studies will be discussed and the importance of post-operative therapy will be highlighted.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Discuss history and physical exams to diagnose compressive neuropathies about the elbow.
- Discuss the surgical approaches and management of elbow compressive neuropathies.
- Recognize anatomic variations that contribute to compressive neuropathies about the elbow.
- Identify how to carry out the necessary rehab after nerve decompression about the elbow.
115
Cutting Edge Biologics
Chair: Jerry I. Huang, MD
Instructors: Milan Patel, MD; Jeffrey Yao, MD
This course will discuss the multitude of new biologic treatments emerging as well as the evidence for and against their use. The current role for PRP, stem cells, and other cutting edge yet controversial adjuvants will be reviewed. Cost of administration and reimbursement strategies will be debated also.
Objectives: Following this session, the participant will be able to:
Chair: Jerry I. Huang, MD
Instructors: Milan Patel, MD; Jeffrey Yao, MD
This course will discuss the multitude of new biologic treatments emerging as well as the evidence for and against their use. The current role for PRP, stem cells, and other cutting edge yet controversial adjuvants will be reviewed. Cost of administration and reimbursement strategies will be debated also.
Objectives: Following this session, the participant will be able to:
- Recognize the numerous emerging biologic treatments entering the field.
- Discuss evidence-based decision as to whether or not to use many new biologic treatments in their practice.
- Identify the costs associated with these new and at times unproven treatment options.
116
Tips for Tendon Transfers
Chair: L. Scott Levin, MD
Instructors: Peter C. Rhee, MD; Frederic Teboul, MD; Gayle K. Severance, MS, OTR/L, CHT
This course will offer guidance from experts for improving your results from tendon transfers. A case-based approach based on injury patterns will be coupled with surgical tips for optimizing outcomes. Techniques for common tendon transfers a well as some less common scenarios will be reviewed. Rehab strategies to enhance recovery will be detailed.
Objectives: Following this session, the participant will be able to:
Chair: L. Scott Levin, MD
Instructors: Peter C. Rhee, MD; Frederic Teboul, MD; Gayle K. Severance, MS, OTR/L, CHT
This course will offer guidance from experts for improving your results from tendon transfers. A case-based approach based on injury patterns will be coupled with surgical tips for optimizing outcomes. Techniques for common tendon transfers a well as some less common scenarios will be reviewed. Rehab strategies to enhance recovery will be detailed.
Objectives: Following this session, the participant will be able to:
- Improve surgical outcomes for common tendon transfers.
- Recognize alternative tendon transfers for less commonly clinical scenarios.
- Discuss a rehab strategy for enhanced recovery following tendon transfers.
8:15 am - 8:20 am
Presidential & Program Chairs Welcome (Not for Credit)
Brian D. Adams, MD; AAHS President
Christina M. Ward, MD & R. Glenn Gaston, MD; AAHS Program Chairs
Jane Fedorczyk, PT, PhD, CHT; AAHS Therapist Chair
Brian D. Adams, MD; AAHS President
Christina M. Ward, MD & R. Glenn Gaston, MD; AAHS Program Chairs
Jane Fedorczyk, PT, PhD, CHT; AAHS Therapist Chair
8:20 am - 8:25 am
French Society of Surgery of the Hand President Welcome (Not for Credit)
Philippe Liverneaux, MD, PhD
Philippe Liverneaux, MD, PhD
8:25 am - 8:30 am
ASSH President Welcome (Not for Credit)
L. Scott Levin, MD
L. Scott Levin, MD
8:30 am - 9:15 am
Concurrent Scientific Abstract Session I
Moderator: | Mark Rekant, MD |
Panelists: | Jerry I. Huang, MD; Mihir J. Desai, MD; Kristin A. Valdes, OTD, OT, CHT |
HS 1. Factors Associated with Conversion to Wrist Arthrodesis or Arthroplasty after Proximal Row Carpectomy or Four Corner Arthrodesis Jan Jonas van Hernen, Bsc1; Jonathan Lans, MD1; Neal C Chen, MD2 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 2Massachusetts General Hospital, Boston, MA |
|
8:32 am - 8:34 am | HS 2. Capitolunate Fusion for SLAC and SNAC Wrist: How Do Nitinol Staples Perform Relative to Screws? Richard Mcknight, MD1; Mark Tait, MD2; John Bracey, MD2; Susan M. Odum, PhD3; Daniel R Lewis, MD4; Glenn Gaston, MD4 1Atrium Health, Charlotte, NC, 2University of Arkansas for Medical Sciences, Little Rock, AR, 3OrthoCarolina Research Institute, Charlotte, NC, 4OrthoCarolina Hand Center, Charlotte, NC |
8:34 am - 8:36 am | HS 3. Perioperative Opioid Use in Wrist Fusion Neill Yun Li, MD1; Joseph A Gil, MD2; Alan H Daniels, MD1; Christopher J Got, MD2 1Brown University, Providence, RI, 2Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI |
8:36 am - 8:38 am | HS 4. Outcomes following Arthroscopic Ulnotriquetral Split Tear Repair Nicholas J Clark, MD1; Nicholas Munaretto, MD1; David Ivanov, BS1; Sanjeev Kakar, MD2 1Mayo Clinic, Rochester, MN, 2Department of Orthopedics, Mayo Clinic, Rochester, MN |
8:38 am - 8:40 am | HS 5. A Biomechanical Analysis of Extensor Carpi Radialis Longus Tenodesis for Scapholunate Ligament Reconstruction Andrea HW Chan, MD, MA, FRCSC; Clare Padmore, MEng; Daniel Langohr, BESc, MESc Nina Suh, MD, FRCSC; Roth McFarlane Hand & Upper Limb Centre, London, ON, Canada |
8:40 am - 8:42 am | HS 6. Dorsal Intercarpal Ligament Capsulodesis for Chronic Scapholunate Instability Nicolas Dreant, PH Pole Urgence Main Nice, Nice, France |
8:42 am - 8:44 am | HS 7. Mid-to-Long Term Outcomes for Arthroscopic Electrothermal Treatment for Scapholunate Interosseous Ligament Injuries Matthew B Burn, MD1; Eric J Sarkissian, MD2; Jeffrey Yao, MD2 1Houston Methodist Hospital, Houston, TX, 2Stanford University, Redwood City, CA |
8:44 am - 8:46 am | HS 8. The Naked Capitellum: A Surgeon's Guide to Intra-Operative Identification of Posterolateral Rotatory Instability Michael S Guss, MD1; Lindsay K Hess, BS1; Mark E. Baratz, MD2 1University of Pittsburgh, Pittsburgh, PA, 2Hand and Upper Extremity Surgery, University of Pittsburgh Medical Center, Washington, PA |
8:46 am - 8:54 am | Panel Discussion |
8:54 am - 8:56 am | HS 9. Factors Associated with Reoperation After Triangular Fibrocartilage Complex (TFCC) Debridement Svenna HWL Verhiel, MD; Massachusetts General Hospital / Harvard University, Boston, MA; Marco JPF Ritt, MD, PhD VU Medical Center, Amsterdam, Netherlands; Neal C Chen, MD; Massachusetts General Hospital, Boston, MA |
8:56 am - 8:58 am | HS 10. Changes in the morphology of the triangular fibrocartilage complex (TFCC) on magnetic resonance arthrography related to disruption of ulnar foveal attachment Jong Woong Park, Professor, MD, PhD1; Ji Hun PARK, MD2; Young Woo Kwon, MD3; In Cheul Choi, MD, PhD3 1Korea University, Seoul, Korea, Republic of (South), 2Korea University Guro Hospital, SEOUL, Korea, Republic of (South), 3Korea University Anam Hospital, SEOUL, Korea, Republic of (South) |
8:58 am - 9:00 am | HS 11. Distal Radioulnar Joint Instability: Assessment of Three Intraoperative Radiographic Stress Tests Joseph A Gil, MD1; Lindsay R Kosinski, MD2; Kalpit N Shah, MD2; Julia A. Katarincic, MD3; Sanjeev Kakar, MD4 1Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI, 2Brown University, Providence, RI, 3Department of Orthopaedic Surgery, Brown University, Providence, RI, 4Department of Orthopedics, Mayo Clinic, Rochester, MN |
9:00 am - 9:02 am | HS 12. Sauve-Kapandji Remains a Viable Option for Distal Radioulnar Joint Dysfunction Nicholas Munaretto, MD; William Aibinder, MD; Steven L Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN |
9:02 am - 9:04 am | HS 13. Non-Union and Reoperation after Ulna Shortening Osteotomy Svenna HWL Verhiel, MD1; Sezai Özkan, MD1; Kyle R Eberlin, MD1; Neal C Chen, MD2 1Massachusetts General Hospital / Harvard University, Boston, MA, 2Massachusetts General Hospital, Boston, MA |
9:04 am - 9:06 am | HS 14. Outcomes and Recurrence of Pediatric Ganglion Cysts Treated with Aspiration or Surgical Excision: A Retrospective Review with Prospective Follow Up Scott Dart, MD1; Darren Thomas, MD2; R Christopher Chadderdon, MD2 1Atrium Health, Charlotte, NC, 2OrthoCarolina Hand Center, Charlotte, NC |
9:06 am - 9:08 am | HS 15. Clinical and MRI Evaluation of Kienböck's Disease Treated by "Camembert" Radial Osteotomy. Follow-Up 7 Years Emmanuel J Camus, MD1,2; Luc Van Overstraeten, MD, PhD2,3; Frédéric Schuind, MD, PhD2; 1SELARL Chirurgie de la Main, Lesquin, France, 2Brussels Free University, Brussels, Belgium, 3HFSU, Tournai, Belgium |
9:08 am - 9:10 am | HS 16. All Inside Arthroscopic Foveal Reattachment of the Triangular Fibro Cartilage Complex Didier Fontès, MD; Gwénolé Kermarrec, MD Hôpital Saint Antoine, Paris, France |
9:10 am - 9:15 am | Panel Discussion |
8:30 am - 9:15 am
Concurrent Scientific Abstract Session II
Moderator: | Joshua M. Abzug, MD |
Panelists: | Deborah Bohn, MD; Daniel Lewis, MD; Kimberly McVeigh, CHT |
HS 17. Treatment of Acute Seymour Fractures James S Lin, MD1; James E Popp, MD2; Julie Balch Samora, MD, PhD2 1The Ohio State University, Columbus, OH, 2Nationwide Children's Hospital, Columbus, OH |
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8:32 am - 8:34 am | HS 18. The Role Of Wearable Wrist Inertial Sensors To Quantify Arm Asymmetry During Gait In Unilateral Spastic Cerebral Palsy (USCP) Aviva Wolff, EdD, OTR, CHT1; Mark Lenhoff, BS1; Aaron Daluiski, MD2 1Hospital for Special Surgery, New York, NY, 2Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY |
8:34 am - 8:36 am | HS 19. Eighty-Nine Percent of Opioids Prescribed For Pediatric Outpatient Surgery Go Unused Katherine Au, MD; De-An Zhang, MD; Selina Poon, MD, MPH Shriners For Children Medical Center, Pasadena, CA |
8:36 am - 8:38 am | HS 20. Does Irreducibility Always Mean a Complex Metacarpophalangeal Dislocation: Single-Institution Analysis of 33 Cases in Pediatric Population Valeriy Shubinets, MD1,2; Rohil Shekher, BS2; David L. Colen, MD2; Ines C Lin, MD, FACS1,2; Robert Carrigan, MD1; Apurva S Shah, MD MBA1; Benjamin Chang, MD1,2 1Children's Hospital of Philadelphia, Philadelphia, PA, 2University of Pennsylvania, Philadelphia, PA |
8:38 am - 8:40 am | HS 21. Scapholunate Interval Variability in the Pediatric Population Julie E Johnson, MD; Juan Giugale, MD; Tiffany Kadow, MD; John R. Fowler, MD Orthopaedic Surgery, UPMC, Pittsburgh, PA |
8:40 am - 8:42 am | HS 22. Little League Baseball Pitch Counts Vastly Underestimate Throws Throughout a Season Elizabeth P. Wahl, MD; Tyler S. Pidgeon, MD; Marc J. Richard, MD Duke University Medical Center, Durham, NC |
8:42 am - 8:44 am | HS 23. Use of Shearwave Elastography To Quantify Change In Upper Extremity Spasticity Following Botulinum Toxin Injection Aviva Wolff, EdD, OTR, CHT1; Kristi Wood, MD1; Aaron Daluiski, MD2; Ogonna K. Nwawka, MD1 1Hospital for Special Surgery, New York, NY, 2Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY |
8:44 am - 8:46 am | HS 24. WITHDRAWN |
8:46 am - 8:54 am | Panel Discussion |
8:54 am - 8:56 am | HS 25. Ultrasound Guided Carpal Tunnel Release Thomas TA Apard, MD Private Hospital Les Franciscaines, Versailles, France |
8:56 am - 8:58 am | HS 26. Modified Double Dome Osteotomy For Treatment Of Paediatric Cubitus Varus Deformity: A Case Series Swapnil Singh, MBBS, MS(orthopaedics)1; Tahir Ansari, MBBS, MS(orthopaedics), MRCS, FRCS(Ortho)2; Abhinav Agarwal, MBBS, MS(orthopaedics)2 1AIIMS, New Delhi, New Delhi, India, India, 2AIIMS, New Delhi, New Delhi, NH, India |
8:58 am - 9:00 am | HS 27. Effect of Surgical Approach on Complication Rates in Distal Biceps Tendon Repair: A Systematic Review Claire Marie McDaniel, BS1; Haley Elizabeth Smith, MD1,2; Kevin O'Malley, MD3; Michael W Kessler, MD3 1Georgetown University School of Medicine, Washington, DC, 2Northwestern University, Chicago, IL, 3Medstar Georgetown University Hospital, Washington, DC |
9:00 am - 9:02 am | HS 28. WITHDRAWN |
9:02 am - 9:04 am | HS 29. Complications of Early Versus Delayed Total Elbow Arthroplasty(TEA) in the Treatment of Distal Humerus Fractures. David Macknet, MD1; Patrick Marinello, MD2; Bryan Loeffler, MD2; Glenn Gaston, MD2 1Atrium Health, Charlotte, NC, 2OrthoCarolina Hand Center, Charlotte, NC |
9:04 am - 9:06 am | HS 30. Does an Associated Elbow Dislocation Lead to Worse Outcomes in Medial Epicondyle Fractures? Sarah Toner, BS1; Alexandria L Case, BSE2; Joshua M Abzug, MD2 1The Medical University of South Carolina, Charleston, SC, 2University of Maryland School of Medicine, Baltimore, MD |
9:06 am - 9:08 am | HS 31. Patterns of Heterotopic Ossification in Fractures About the Elbow Elizabeth P. Wahl, MD1; Peter M. Casey, MD1; Marc J. Richard, MD2; David S. Ruch, MD1 1Duke University, Durham, NC, 2Duke University Medical Center, Durham, NC |
9:08 am - 9:10 am | HS 32. An Updated Systematic Review of Radial Nerve Palsy Rate and Recovery after Fractures of the Humerus: Is Non-Operative Treatment Still Better John Mangan, MD; Jack G Graham, BS; Asif Ilyas, MD Rothman Institute at Thomas Jefferson University, Philadelphia, PA |
9:10 am - 9:12 am | FESUM Network", The Highly Organized Hand Trauma Network in France Emmanuel Masmejean, MD; Isabelle Acquit-Auckbur, MD; Colin de Cheveigné, MD; Pascal Jehanno, MD; Fabrice Rabarin, Adil Trabelsi, MD |
9:12 am - 9:15 am | Panel Discussion |
9:15 am - 9:45 am
Presidential Address Introduction: W.P. Andrew Lee, MD Beyond Innovation Brian D. Adams, MD Innovation has become a ubiquitous word in slogans, titles, descriptions, and themes. Concern may even exist that not including the word infers mundane or inept. Healthcare providers may be especially drawn to claims of innovation in the hope of delivering improved or more efficient care. But what really defines innovation? My personal experiences with technologies, both in and out of healthcare, have refined my appreciation of the often blurry distinction between true innovation and great marketing. Taking a fresh and deeper look at the technologies that have uniquely influenced your own life could change how you perceive the next proclaimed innovation and may help you decide if your own novel ideas are worth pursuing. Objectives: Following this session, the participant will be able to:
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9:45 am - 10:30 am
Invited Guest Speaker (Not for Credit) Truth and Transformation Tyler Hamilton Former Professional Cyclist and New York Times Best Selling Author Tyler Hamilton was once one of the world's top-ranked cyclists - a fierce competitor renowned among his peers for his uncanny endurance and epic tolerance for pain. He started his career with the U.S. Postal Service team in the 1990s and quickly rose to become Lance Armstrong's most trusted lieutenant, and a member of his inner circle. For the first three of Armstrong's record seven Tour de France victories, Hamilton was by Armstrong's side, clearing his way. But just weeks after Hamilton reached his own personal pinnacle - winning the gold medal at the 2004 Olympics - his career came to a sudden end: he was found guilty of doping and exiled from the sport. Denying the use of performance enhancing drugs in the years that followed Hamilton was forced to come to terms with his past in 2010 when the Federal Government launched an investigation into systematic doping on the U.S. Postal Service team. Hamilton was subpoenaed to testify before a grand jury and for the first time, broke the code of silence that had protected the sport's hard truth for so long. His testimony chronicled a shocking culture of performance enhancing drug use encouraged and aided by team doctors, managers and coaches, and a dark world in which the sport's top performers lived. Freed from the burden of hiding the truth and being able to tell a story that only a few short years ago would have seemed unimaginable, his story is the example of how culture can drive behavior - not just in sports, but in business and in life - and how values can be easily compromised as a consequence. |
10:30 am - 11:00 am
Coffee Break
11:00 am - 11:45 am
Concurrent Panel III: Wrist Arthritis
Moderator: Peter J.L. Jebson, MD
Panelists: Nash Naam, MD; A. Lee Osterman, MD
The panel will discuss both traditional approaches as well as cutting edge techniques in the management of wrist arthritis. The role for various partial wrist fusions, PRC with capsular interposition, capitate head resurfacing, arthroscopic debridement and implant arthroplasty will be debated. An all-star cast will provide an entertaining forum to gain tremendous insight into the management of this common clinical scenario.
Objectives: Following this session, the participant will be able to:
Moderator: Peter J.L. Jebson, MD
Panelists: Nash Naam, MD; A. Lee Osterman, MD
The panel will discuss both traditional approaches as well as cutting edge techniques in the management of wrist arthritis. The role for various partial wrist fusions, PRC with capsular interposition, capitate head resurfacing, arthroscopic debridement and implant arthroplasty will be debated. An all-star cast will provide an entertaining forum to gain tremendous insight into the management of this common clinical scenario.
Objectives: Following this session, the participant will be able to:
- Identify amongst a multitude of treatment options in the management of wrist arthritis.
- Recognize the role of arthroscopy and implant arthroplasty in wrist arthritis.
- Discuss and select various limited wrist fusion options
11:00 am - 11:45 am
Concurrent Panel IV: Complex Tendon Reconstruction
Moderator: Fraser J. Leversedge, MD
Panelists: Warren C. Hammert, MD; Alexander Georgescu, MD; Sheri Feldscher, OTR/CHT
This expert panel will discuss reconstructive options and algorithms for the management of complex tendon injuries. Two stage reconstruction techniques, tendon transfers, and when to adjunct arthrodesis will be discussed. This will include both flexor tendon and extensor tendon dysfunctions. A case based approach will be utilized. The critical role of therapy and various therapy strategies will be discussed.
Objectives: Following this session, the participant will be able to:
Moderator: Fraser J. Leversedge, MD
Panelists: Warren C. Hammert, MD; Alexander Georgescu, MD; Sheri Feldscher, OTR/CHT
This expert panel will discuss reconstructive options and algorithms for the management of complex tendon injuries. Two stage reconstruction techniques, tendon transfers, and when to adjunct arthrodesis will be discussed. This will include both flexor tendon and extensor tendon dysfunctions. A case based approach will be utilized. The critical role of therapy and various therapy strategies will be discussed.
Objectives: Following this session, the participant will be able to:
- Discuss selecting a one stage versus two stage flexor tendon reconstruction.
- Recognize when tendon transfers may be preferred to tendon reconstruction.
- Identify optimal rehab strategies after complex tendon reconstruction.
11:45 am - 1:00 pm
Concurrent Scientific Abstract Session III
Moderator: | Christopher Chadderdon, MD |
Panelists: | Jacqueline Geissler, MD; Timothy P. Fowler, MD; Cynthia C. Ivy, OTR/L, CHT |
HS 33. Characterization of the Dorsal Ulnar Corner in Distal Radius Fractures: Implications for Surgical Decision Making Danielle Nichole Atwood, MD, PhD1; Joseph Zimmer, BS1; Andrew J Lovy, MD2; Jay Bridgeman, MD1; Alexander Y. Shin, MD3; David M Brogan, MD, MSc4 1University of Missouri, Columbia, MO, 2Mayo Clinic, Rochester, MN, 3Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, 4Washington University in St. Louis, St. Louis, MO |
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11:47 am - 11:49 am | HS 34. Non-operative Treatment Versus Volar Locking Plate Fixation for Dorsally Displaced Distal Radius Fractures in the Elderly - a Randomized Controlled Trial Jenny Saving, MD1; Sara Severin Wahlgren, MD2; Kristin Olsson, MD3; Anders Enocson, Associate Professor1; Sari Ponzer, Professor1; Olof Sköldenberg, Associate Professor2; Maria Wilcke, PhD1; Cecilia Mellstrand Navarro, PhD1 1Karolinska Institute, Stockholm, Sweden, 2Karolinska Institute, Danderyd, Sweden, 3Karolinska Institute, Mora, Sweden |
11:49 am - 11:51 am | HS 35. Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis Michael Okoli, MD; Asif Ilyas, MD Rothman Institute at Thomas Jefferson University, Philadelphia, PA |
11:51 am - 11:53 am | HS 36. Which Radiographic Parameters for Reduction Are Clinically Relevant Following Surgical Treatment of Distal Radius Fractures Nicholas James Dantzker, MD; William P Abblitt, MD; Mihir J Desai, MD; Vanderbilt University, Nashville, TN |
11:53 am - 11:55 am | HS 37. Walant for Plating Distal Radius Fracture Through a Mini Invasive Approach Gilles GC Candelier, MD; Private Hospital St Martin, CAEN, France; Thomas TA Apard, MD; Private Hospital Les Franciscaines, Versailles, France; Olivier OM Mares, MD; Nimes Medical University, NIMES, France; Frederic Teboul, MD, MS, PhD; CICM, PARIS, France; Isabelle ID David, MD Clinique Belledonne, Saint-Martin d'Hères, France |
11:55 am - 11:57 am | HS 38. Volar Plate Positioning on the Distal Radius and Contact Pressure on the FPL and Plate Edge Matthew J Gluck, BS1; Kristen M. Meier, MD MS2; Joshua McGough, BS3; Amy Ahn, BS3; Todd A Rubin, MD1; Michael R Hausman, MD1 1Mount Sinai Hospital, New York, NY, 2Mount Sinai School of Medicine, New York, NY, 3Icahn School of Medicine- Mount Sinai, New York, NY |
11:57 am - 11:59 am | HS 39. Distal Radius Fractures and Wrist Prosthesis Jean-Luc Roux, MD Institut Montpellierain de la main, montpellier, France |
11:59 am - 12:07 pm | Panel Discussion |
12:07 pm - 12:09 pm | HS 40. Does Splinting after Distal Radius Fracture Fixation Matter?: A Prospective Cohort Analysis of Post-Operative Plaster Splint versus Soft Dressing Asif Ilyas, MD Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA |
12:09 pm - 12:11 pm | HS 41. Staged Treatment of Complex Distal Radius Fractures: Outcomes and Complications Sierra Green Phillips, MD1; Brooks Ficke, MD2; Erin F Ransom, MD1; Andrew Moon, MD1; Allison Hunter, MD1; Christopher Beaumont, MD1; Ashish Shah, MD1; Nileshkumar Chaudhari, MD1 1University of Alabama at Birmingham, Birmingham, AL, 2Resurgens Orthopaedics, Roswell, GA |
12:11 pm - 12:13 pm | HS 42. WITHDRAWN |
12:13 pm - 12:15 pm | HS 43. Minimal Clinically Important Difference for PROMIS Physical Function in Patients with Distal Radius Fractures Ugochi C. Okoroafor, MD; Brinkley K. Sandvall, MD; William D. Gerull, BS; Jason Guattery, MS; Ryan P. Calfee, MD MSc Washington University in St. Louis School of Medicine, St. Louis, MO |
12:15 pm - 12:17 pm | HS 44. Obesity Negatively Impacts Functional Outcomes After Distal Radius Fracture Surgery Abbas Peymani, MD MS1; Matthew Hall, MD1; Peter J. Ostergaard, MD1; Arriyan Samandar Dowlatshahi, MD2; Carl M Harper, MD2; Brandon E. Earp, MD3; Tamara Rozental, MD1; 1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 2Beth Israel Deaconess Medical Center, Boston, MA, 3Brigham and Women's Hospital, Harvard Medical School, Boston, MA |
12:17 pm - 12:19 pm | HS 45. Blood Flow Restriction Therapy after Non-Operative Management of Distal Radius Fractures: A Randomized Controlled Pilot Study Jill M Cancio, OTD, OTR, CHT1; Nicole M Sgromolo, MD2; Peter C. Rhee, DO, MS3 1Center for the Intrepid, Fort Sam Houston, TX; 2San Antonio Military Medical Center, Fort Sam Houston, TX; 3Orthopaedic Surgery, Mayo Clinic, Rochester, MN |
12:19 pm - 12:21 pm | HS 46. An Original Technique in Madelung's Deformity: the Reverse Wedge Osteotomy (RWO) of the Distal Radius Florence Mallard, MD; Jérôme Jeudy, MD; Bruno Cesari, MD; Guy Raimbeau, MD; Yann Saint-Cast, MD Hand Center, Angers-Trélazé, France |
12:21 pm - 12:27 pm | Panel Discussion |
12:27 pm - 12:29 pm | HS 47. Corrective Osteotomy for Distal Radius Malunion: Complication Rates and Risk Factors Kevin T Rezzadeh, BA1; Sara M Glynn, CPA2; Louis W Catalano, MD3; Steven Z Glickel, MD1; Jacques H. Hacquebord, MD1 1New York University School of Medicine, New York, NY, 2CV Starr Hand Surgery Center, New York, NY, 3New York University Hospital for Joint Diseasses, New York, NY |
12:29 pm - 12:31 pm | HS 48. Hand and Wrist Injuries Among Collegiate Athletes: The Role Of Gender And Competition On Injury Rate And Severity Daniel P. Donato, MD1; Andrew M Simpson, MD1; Jayant Agarwal, MD2 1University of Utah School of Medicine, Salt Lake City, UT, 2Division of Plastic & Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, UT |
12:31 pm - 12:33 pm | HS 49. Complications of Low-Profile Plate Fixation of Phalanx Fractures Evan M Guerrero, MD1; Rita E Baumgartner, MD1; Andrew E Federer, MD1; Suhail K. Mithani, MD2; David S. Ruch, MD3; Marc J. Richard, MD4 1Duke University Health System, Durham, NC, 2Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, 3Duke University, Durham, NC, 4Duke University Medical Center, Durham, NC |
12:33 pm - 12:35 pm | HS 50. Antegrade Insertion Allows for Superior Screw Positioning During Fixation of Scaphoid Waist Fractures Ludovico Lucenti, MD1; Kevin F Lutsky, MD2; Christopher Jones, MD3; Kazarian Erick, MD4; Lauren Banner, MS5; Daniel Fletcher, MD5; Pedro K Beredjiklian, MD6 1Vittorio Emanuele Hospital, Catania, Italy, 2The Rothman Institute, Philadelphia, PA, 3Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA, 4Harvard University, Boston, MA, 5Rothman Institute, Philadelphia, PA, 6Rothman Institute, Philadelphia, PA |
12:35 pm - 12:37 pm | HS 51. Evaluating Factors Associated with Scaphoid Nonunion Following ORIF Pooja Prabhakar, BS1; Lauren Wessel, MD2; Joseph Nguyen, MPH2; Michelle Carlson, MD2; Duretti T Fufa, MD2 1UT Southwestern, Dallas, TX, 2Hospital for Special Surgery, New York, NY |
12:37 pm - 12:39 pm | HS 52. Analysis of Scaphoid Malunion Clinical and Radiographic Outcomes at a Minimum of 4 Years Follow-Up Anna Seltser, MD1,2; Nina Suh, MD, FRCSC3; Spencer B Chambers, MD4; Joy MacDermid, BScPT, MSc, PhD5; Ruby Grewal, MD, MSc, FRCSC1 1Roth|MacFarlane Hand and Upper Limb Centre, University of Western Ontario, London, ON, Canada, 2Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel, 3Roth|MacFarlane Hand and Upper Limb Centre, University of Western Ontario, Roth|MacFarlane Hand and Upper Limb Centre, Canada, London, ON, Canada, 4University of Western Ontario, Roth | McFarlane Hand and Upper Limb Centre, London, ON, Canada, 5Hand and Upper Limb Center, University of Western Ontario, Roth|MacFarlane Hand and Upper Limb Centre, London, ON, Canada |
12:39 pm - 12:47 pm | Panel Discussion |
12:47 pm - 12:49 pm | HS 53. Which Patients with Upper Extremity Trauma Need Deep Vein Thrombosis or Pulmonary Embolism Prophylaxis? Joseph Galloway, MD; Joseph A Ippolito, MD; Brianna Siracuse, B.S.; Irfan Ahmed, MD; Michael Vosbikian, M.D Rutgers New Jersey Medical School, Newark, NJ |
12:49 pm - 12:51 pm | HS 54. The Syringe External Fixator: An Inexpensive Static and Dynamic Treatment for Comminuted Intraarticular Phalangeal Fractures Omer Yousaf, MD1; Imran Yousaf, DO1; Kenneth R Means Jr, MD1; Aviram M Giladi, MD, MS2; Ryan D Katz, MD3 1Medstar Union Memorial Hospital, Baltimore, MD, 2The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD, 3Curtis Hand Center, The Curtis National Hand Center, Medstar Union Memorial Hospital, Baltimore, MD |
12:51 pm - 12:53 pm | HS 55. Forearm Plate Fixation: Should Plates Be Removed? Niek Wolvetang, MD1; Jonathan Lans, MD1; Eric Walbeehm, MD2; Neal C Chen, MD3; 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 2Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, Nijmegen, Netherlands, 3Massachusetts General Hospital, Boston, MA |
12:53 pm - 12:55 pm | HS 56. Income and Gender Data in Orthopaedic Hand Surgery: How do we Stack Up? Ethan S Krell, MBS1; Nicole Rynecki, BA1; Omkar Baxi, MD2; Kathleen Beebe, MD1; Irfan Ahmed, MD1 1Rutgers New Jersey Medical School, Newark, NJ, 2Rutgers New Jersey Medical School, Westfield, NJ |
12:55 pm - 1:00 pm | Panel Discussion |
11:45 am - 1:00 pm
Concurrent Scientific Abstract Session IV
Moderator: | Jeffrey Yao, MD |
Panelists: | Sami Tuffaha, MD; David Dennison, MD; Aviva Wolfff, EdD, OT, OTR/L, MA, CHT |
HS 57. A Prospective Cohort Analysis of 3 Thumb CMC Arthroplasty Techniques Owolabi Shonuga, MD; Asif Ilyas, MD Rothman Institute at Thomas Jefferson University, Philadelphia, PA |
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11:47 am - 11:51 am | HS 58. Outcomes of Suture Suspension Arthroplasty in the Treatment of Basal Joint Arthritis Laura Klingbeil, DO1; M Ather Mirza, MD2; Justin Mirza, DO3; Joseph Pavlik III, BS2; Jonathan Muratori, BS2 1Plainview Hospital, Plainview, NY, 2Mirza Orthopedics, Smithtown, NY, 3North Shore Surgi-Center, Smithtown, NY |
11:51 am - 11:53 am | HS 59. Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition Evan M Guerrero, MD1; Andrew J Grier, MD1; Harrison R Ferlauto, BS1; Elizabeth P. Wahl, MD2; Marc J. Richard, MD3; David S. Ruch, MD2 1Duke University Health System, Durham, NC, 2Duke University, Durham, NC, 3Duke University Medical Center, Durham, NC |
11:53 am - 11:55 am | HS 60. Evaluation of the Association Between Preoperative Patient-Reported Outcomes And Functional Improvement Following LRTI Damian A. Illing, MD, MS1; Beatrice Grasu, MD1; Nicholas B Henrie, BS1; Zhining Ou, PhD1; Angela Presson, PhD2; Andrew R Tyser, MD3; Nikolas H Kazmers, MD MSE1 1University of Utah, Salt Lake City, UT, 2Study Design and Biostatistics Center, University of Utah, Salt Lake City, UT, 3Department of Orthopaedics, University of Utah, Salt Lake City, UT |
11:55 am - 11:57 am | HS 61. Corticosteroid or Hyaluronic Acid Injections to the Thumb Carpometacarpal Joint are Associated with Early Complications after Subsequent Surgery Aviram M Giladi, MD, MS1; Paymon Rahgozar, MD2; Lin Zhong, MD, MPH3; Kevin C. Chung, MD, MS3 1The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; 2University of California San Francisco Medical Center, San Francisco, CA; 3Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI |
11:57 am - 11:59 am | HS 62. The Addition of an Oblique Lag Screw to T-Plate Fixation Decreases Rate of Nonunion in Trapeziometacarpal Arthrodesis Lacey R. Pflibsen, MD; Mayo Clinic Arizona, Phoenix, AZ; Shelley S. Noland, MD; Mayo Clinic, Phoenix, AZ; Anthony A. Smith, MD Division of Plastic and Reconstructive Surgery, Mayo Clinic Arizona, Phoenix, AZ |
11:59 am - 12:07 pm | Panel Discussion |
12:07 pm - 12:09 pm | HS 63. Patient-Reported Outcome Measurement Information System (PROMIS) Scores Are Not Biased When Gathered in a Study Scenario Compared to a Patient Care Setting Warren C. Hammert, MD1; David N Bernstein, MBA, MA2; Constantinos Ketonis, MD, PhD2; 1Department of Orthopaedics, University of Rochester, Rochester, NY, 2University of Rochester Medical Center, Rochester, NY |
12:09 pm - 12:11 pm | HS 64. Baseline Opioid Medication Use is Associated with Greater Levels of Functional and Psychological Impairment among Hand Clinic Patients Andrew Stephens, MS1; Andrew R Tyser, MD2; Nikolas H Kazmers, MD MSE1 1University of Utah, Salt Lake City, UT, 2Department of Orthopaedics, University of Utah, Salt Lake City, UT |
12:11 pm - 12:13 pm | HS 65. WITHDRAWN |
12:13 pm - 12:15 pm | HS 66. Multimodal Pain Management Regimen in Upper Extremity Trauma - A Randomized Controlled Blinded Study Julian Zangrilli, DO1; Nura Gouda, BS2; Mark Wang, MD2; Pedro K Beredjiklian, MD2; Michael Rivlin, MD2 1Jefferson Health, Stratford, NJ, 2Rothman Institute, Philadelphia, PA |
12:15 pm - 12:17 pm | HS 67. The Effect of Pre-Operative Counseling on Post-Operative Pain Experience after Outpatient Hand Surgery: A Prospective Randomized Trial Talia Chapman, MD; Rothman Institute / Jefferson, Philadelphia, PA; Kristin Sandrowski, MD; Thomas Jefferson University, Philadelphia, PA; Asif Ilyas, MD Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA |
12:17 pm - 12:19 pm | HS 68. Hands in Extra-Pyramidal Syndromes: A Study of 13 Cases Nadine Sturbois-Nachef, MD; Etienne Allart, MD; Michel-Yves Grauwin, MD; Christian Fontaine, PhD University Hospital, Lille, France |
12:19 pm - 12:21 pm | HS 69. The Role of Gap Length in Digital Nerve Reconstructions in the Upper Extremity with Processed Nerve Allograft Timothy Niacaris, MD, PhD1; Mihir J Desai, MD2; Bauback Safa, MD3; Gregory M Buncke, MD3 1Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX; 2Vanderbilt Orthopaedics, Nashville, TN; 3Buncke Medical Clinic, San Francisco, CA |
12:21 pm - 12:27 pm | Panel Discussion |
12:27 pm - 12:29 pm | HS 70. Evaluation of the DASH Questionnaire Factor Structure in Patients with Nerve Injury Christine B Novak, PT, PhD1; Susan E. Mackinnon, MD2; Dimitri J Anastakis, MD1; Steven J. McCabe, MD1 1University of Toronto, Toronto, ON, Canada, 2Washington University School of Medicine, St. Louis, MO |
12:29 pm - 12:31 pm | HS 71. Nerve Connectors Applied to Allograft Repairs Only Effective Across Small Gaps Jonathan Isaacs, MD1; Satya Mallu, MD1; Amy Kite, MD2; Sagar Shah, MD3; Gaurangkumar Patel, B.S.2 1Division of Hand Surgery, Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, 2Virginia Commonwealth University, Richmond, VA, 3Louisiana State University, New Orleans, LA |
12:31 pm - 12:33 pm | HS 72. Side-to-Side Supercharging Improves Functional Recovery Following Long Acellular Nerve Allograft Repair in a Rat Model Jonathan Isaacs, MD1; Satya Mallu, MD1; Gaurangkumar Patel, B.S.2; Monika Debkowska, MD2 1Division of Hand Surgery, Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, 2Virginia Commonwealth University, Richmond, VA |
12:33 pm - 12:35 pm | HS 73. The Effects of Porcine Extracellular Matrix Nerve Wrap as an Adjunct to Primary Epineurial Repair Philip J Hanwright, MD1; Jennifer Rath, BS4; Nicholas von Guionneau, MBBS1; Sai Pinni, BS1; Benjamin Slavin, BS2; Dan A Zlotolow, MD3; W.P. Andrew Lee, MD1; Jaimie T Shores, MD4; A. Lee Dellon, MD1; Sami H. Tuffaha, MD4 1Johns Hopkins University School of Medicine, Baltimore, MD, 2University of Miami School of Medicine, Miami, FL, 3Shriners Hospital for Children, Philadelphia, PA, 4Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD |
12:35 pm - 12:37 pm | HS 74. IGF-1 Nanoparticles to Ameliorate the Effects of Chronic Denervation and Improve Functional Recovery After Peripheral Nerve Injury Philip J Hanwright, MD1; Chenhu Qiu, BS2; Jennifer Rath, BS3; Nicholas von Guionneau, MBBS1; Thomas G.W. Harris, BSc1; Harsha Malapati, BS1; Ahmet Hoke, MD PhD1; Hai-Quan Mao, PhD2; Sami H. Tuffaha, MD4 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Johns Hopkins Whiting School of Engineering, Baltimore, MD, 3University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 4Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD |
12:37 pm - 12:39 pm | HS 75. Nerve transfers for Reanimation of Elbow Extension Teboul Aaron Frédéric, MD, MS; Jean-Noel Goubier, MD, PhD Institute for Nerve and Brachial Plexus Surgery, Paris, France |
12:39 pm - 12:47 pm | Panel Discussion |
12:47 pm - 12:49 pm | HS 76. Targeted Muscle Reinnervation for Prosthesis Optimization and Neuroma Management Following Transradial Amputation Sarah Pierrie, MD1; Glenn Gaston, MD2; Michael Gart, MD2; Bryan Loeffler, MD2 1Atrium Health, Charlotte, NC, 2OrthoCarolina Hand Center, Charlotte, NC |
12:49 pm - 12:51 pm | HS 77. Osteoarticular Allograft Reconstruction After Distal Radius Tumor Resection: Reoperation and Long-Term Patient Reported Outcomes Jonathan Lans, MD1; Sarah Ballatori, BSc2; Rene M Castelein, MD PhD3; Neal C Chen, MD4; Santiago Lozano-Calderon, MD PhD2 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 2Department of Orthopaedic Oncology, Massachusetts General Hospital, Boston, MA, 3Department of Orthopedics, University Medical Center Utrecht, Utrecht, Netherlands, 4Massachusetts General Hospital, Boston, MA |
12:51 pm - 12:53 pm | HS 78. Giant Cell Tumors of the Upper Extremity: A 40-year Experience Jonathan Lans, MD1; Kamilcan Oflazoglu, MD1; Rene M Castelein, MD PhD2; Hang Lee, PhD3; Santiago Lozano-Calderon, MD PhD4; Neal C Chen, MD5 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 2Department of Orthopedics, University Medical Center Utrecht, Utrecht, Netherlands, 3MGH Biostatistics Center, Massachusetts General Hospital, Boston, MA, 4Department of Orthopaedic Oncology, Massachusetts General Hospital, Boston, MA, 5Massachusetts General Hospital, Boston, MA |
12:53 pm - 12:55 pm | HS 79. Acral Lentiginous Melanoma: Does Surgical Approach Matter? Marc E. Walker, MD, MBA1; Alex Sun, MD2; Kyle Gabrick, MD3; Jack Kanouzi, MD4; Gang Han, PhD5; Ying-Chun Lo, MD6; Anjela Galan, MD6; James E Clune, MD7; Deepak Narayan, MBBS, FRCS7; Stephan Ariyan, MD7; Dale Han, MD8 1Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT, 2Yale University, Section of Plastic Surgery, New Haven, CT, 3Section of Plastic and Reconstructive Surgery, Yale University School of Medicine,, New Haven, CT, 4Yale University School of Medicine, New Haven, CT, 5Texas A&M University, College Station, TX, 6Yale University Department of Pathlogy, New Haven, CT, 7Yale University, New Haven, CT, 8Yale University Surgical Oncology, New Haven, CT |
12:55 pm - 1:00 pm | Panel Discussion |
1:00 pm - 2:30 pm
2:30 pm - 4:30 pm
Hands-On Cadaver Workshop (Not for Credit)
Instructors: Randy Bindra, MBBS & R. Glenn Gaston, MD
Supported by Integra Lifesciences
Springs B-C
Instructors: Randy Bindra, MBBS & R. Glenn Gaston, MD
Supported by Integra Lifesciences
Springs B-C
2:30 pm - 4:30 pm
Friday February 1, 2019
6:30 am - 8:15 am
Continental Breakfast
6:30 am - 8:00 am
AAHS/ASPN Instructional Courses
117
MOC Instructional Course
Carpal Tunnel
(ABPS MOC-PS®-approved)
Chair: Ashish Y. Mahajan, MD
Instructors: Loree K. Kallianen, MD, MA, FACS; Brian M. Parrett, MD
This MOC course will help satisfy the CME requirements of the carpal tunnel tracer module. We will discuss the epidemiology of median nerve compression at the wrist, common causes and symptoms, diagnosis, current treatment options, and management of complications.
Objectives: Following this session, the participant will be able to:
Carpal Tunnel
(ABPS MOC-PS®-approved)
Chair: Ashish Y. Mahajan, MD
Instructors: Loree K. Kallianen, MD, MA, FACS; Brian M. Parrett, MD
This MOC course will help satisfy the CME requirements of the carpal tunnel tracer module. We will discuss the epidemiology of median nerve compression at the wrist, common causes and symptoms, diagnosis, current treatment options, and management of complications.
Objectives: Following this session, the participant will be able to:
- Discuss the prevalence and pathogenesis of carpal tunnel syndrome.
- Identify current diagnosis and treatment of CTS, including advanced cases.
- Describe the management of common complications of treatment.
118
Surgical Skills Instructional Course
Nerve Transfers: Techniques, Tips, and Pearls for Making Them Work
Chair: Ida K. Fox, MD
Instructors: Lorna Canavan Kahn, PT, CHT; Amy M. Moore, MD; Dan A. Zlotolow, MD
This course will be predominately video based demonstrations of preoperative decision making physical examinations, intraoperative surgical techniques, and follow up examples of patients with peripheral nerve injuries.
Nerve Transfers: Techniques, Tips, and Pearls for Making Them Work
Chair: Ida K. Fox, MD
Instructors: Lorna Canavan Kahn, PT, CHT; Amy M. Moore, MD; Dan A. Zlotolow, MD
This course will be predominately video based demonstrations of preoperative decision making physical examinations, intraoperative surgical techniques, and follow up examples of patients with peripheral nerve injuries.
119
Advanced Wrist Arthroscopy
Chair: David Ruch, MD
Instructors: Jeffrey Yao, MD; Jeffrey Greenberg, MD; William Geissler, MD; Mark Rekant, MD; Thomas Hughes, MD; A. Lee Osterman, MD; Marc J. Richard, MD
This course will demonstrate the latest techniques in arthroscopy of the wrist. Comprehensive in nature the course lecture will address topics including treatment of TFCC, Fractures and instability as well as management of arthritis of the thumb and wrist.
The international panel will provide a "how to" of the most advanced arthroscopic procedures in the wrist. The audience will be shown the clinical scenario followed by the arthroscopic treatment with video footage and results. Each session will be followed by ample opportunity for audience question and answer.
Objectives: Following this session, the participant will be able to:
Chair: David Ruch, MD
Instructors: Jeffrey Yao, MD; Jeffrey Greenberg, MD; William Geissler, MD; Mark Rekant, MD; Thomas Hughes, MD; A. Lee Osterman, MD; Marc J. Richard, MD
This course will demonstrate the latest techniques in arthroscopy of the wrist. Comprehensive in nature the course lecture will address topics including treatment of TFCC, Fractures and instability as well as management of arthritis of the thumb and wrist.
The international panel will provide a "how to" of the most advanced arthroscopic procedures in the wrist. The audience will be shown the clinical scenario followed by the arthroscopic treatment with video footage and results. Each session will be followed by ample opportunity for audience question and answer.
Objectives: Following this session, the participant will be able to:
- Recognize appropriate cases for arthroscopic management of wrist pathology.
- Discuss arthroscopic skills for improved patient outcomes with wrist arthroscopic procedures.
- Identify proficiency in wrist arthroscopy though learned technical tips
8:15 am - 9:00 am
Annual Business Meeting (Not for Credit)
9:00 am - 9:15 am
Awards & Announcements (Not for Credit)
9:15 am - 10:00 am
AAHS Danyo Lecture Balance Revisited Andrew K. Palmer, MD Hand surgeons of all ages face challenges in their practices and personal lives that may lead to burnout. In Balance Revisited, Dr. Palmer will explore how to recognize when one's life is out of balance ie the signs and symptoms of burnout and suggest changes that surgeons can make in their professional and personal lives to restore or achieve balance. Objectives: Following this session, the participant will be able to:
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10:00 am - 10:30 am
Coffee Break
10:30 am - 11:30 am
Concurrent AAHS Scientific Abstract Session V
Moderator: | Warren C. Hammert, MD |
Panelists: | Ryan M. Garcia, MD; Ashish Y. Mahajan, MD; Joy MacDermid, BScPT, PhD |
HS 80. A Biomechanical Analysis of Partial Extensor Tendon Lacerations >50% in Zone V: Is Surgical Intervention Necessary? Deana Mercer, MD1; Darielys Mejias-Morales, BS2; Christina Salas, PhD2; Jasmin Regalado, MS2; Patrick Gilligan, MD2; Jeremiah Johnson, MD2; Lauren Long, BS2 1Department of Orthopaedic Surgery, University of New Mexico, Albuquerque, NM, 2University of New Mexico, Albuquerque, NM |
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10:32 am - 10:34 am | HS 81. Biomechanical Analysis of Extensor Indicis Proprius versus Abductor Digiti Minimi Tendon Transfers for Restoration of Thumb Opposition Kyle Gabrick, MD1; David Tsai, MD2; Scott Persing, MD2; Rajiv Iyengar, MD3; Marc E. Walker, MD, MBA4; John Smetona, MD2; Ean Saberski, MD2; James E Clune, MD3; Michael Alperovich, MD, MSc3; Douglas van Citters, Ph.D.5; Michael Matthew, MD6 1Section of Plastic and Reconstructive Surgery, Yale University School of Medicine,, New Haven, CT, 2Yale University School of Medicine, New Haven, CT, 3Yale University, New Haven, CT, 4Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT, 5Dartmouth College, Hanover, NH, 6Plastic Surgery, Dartmouth University, Lebanon, NH |
10:34 am - 10:36 am | HS 82. The Lasso Procedures For Intrinsic Minus Fingertip: A Three-Dimensional Biomechanical Study Toshiyasu Nakamura, MD, PhD1; Yusaku Kamata, MD2; Mitsunori Tada, MD, PhD3; Takeo Nagura, MD, PhD2 1International University of Health and Welfare, Tokyo, Japan, 2Keio University, Tokyo, Japan, 3National Institute of Advanced Industrial Science and Technology, Digital Human Research Center, Tokyo, Japan |
10:36 am - 10:38 am | HS 83. Comparison of Outcome Of Intra Synovial vs Extra Synovial Ultrasound Guided Injection In Trigger Finger Mohini Rawat, DPT, ECS, OCS, RMSK1; Eitan Melamed, MD1; Mukund Patel, MD1; Vilok Desai, MD2 1NYU Langone Hand surgery Brooklyn, Brooklyn, NY; 2Albany Medical College, Albany, NY |
10:38 am - 10:40 am | HS 84. Differential Pulley Release in Trigger Finger: A Prospective Randomized Clinical Trial Robin Wu, BS1; Yuen Jong Liu, MD2; Peter Hetzler, BS2; John Smetona, MD2; Scott Persing, MD2; J. Grant Thomson, MD3 1Section of Plastic Surgery, Yale University School of Medicine, New Haven, CT, 2Yale University School of Medicine, New Haven, CT, 3Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, New Haven, CT |
10:40 am - 10:42 am | HS 85. Cost Effective Measures for Moving Trigger Finger Release from the Operating Room to an Office-Based Practice BaiJing Qin, MD; Douglas Rothkopf, MD University of Massachusetts Medical School, Worcester, MA |
10:42 am - 10:50 am | Panel Discussion |
10:50 am - 10:52 am | HS 86. The Semilunar Pulley Orthosis (SPOrt) Decreases Flexor Tendon-Phalanx Distance In Climbers With Chronic A2 Pulley Ruptures Kate D. Bellevue, MD1; Christopher H. Allan, MD2; Nelson Hager, MS, MD3; Winston J. Warme, MD1 1University of Washington Medical Center, Seattle, WA, 2Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, 3F. Edward Hebert Uniformed Services University of the Health Sciences, Bethesda, MD |
10:52 am - 10:54 am | HS 87. Our Initial Experience with the PONTiS Tendon Repair System In Traumatic Upper Extremity Injuries Karan Desai, MD; Daniel Maxwell, DO; Robert Fang, MD; Diane Payne, MD; Angela Cheng, MD Emory University, Atlanta, GA |
10:54 am - 10:56 am | HS 88. Beyond Adding The Core Suture: An Entirely New Approach to Tendon Repair Weifeng Zeng, MD; Ruston J Sanchez, MD; Samuel O. Poore, MD, PhD; Aaron M. Dingle, PhD University of Wisconsin - Madison, Madison, WI |
10:56 am - 10:58 am | HS 89. Pediatric Flexor Tendon Repair Outcomes: A Systematic Review and Meta-analysis Aneesh Karir, BHSc; Minh NQ Huynh, BSc University of Ottawa, Ottawa, ON, Canada |
10:58 am - 11:00 am | HS 90. A Hand Based Dorsal Blocking Orthosis for Zone II Flexor Tendon Repairs: A Prospective Randomized Controlled Pilot Study Materi Miranda, OTD, CHT1; Cynthia Ivy, OTD, OTR/L, M.Ed., CHT2; Lucas Richer, OTS2; Melissa Frazier, OTD, OTR/L3; Maggie Miller, OTS2 1Northern Arizona University, Gilbert, AZ, 2Northern Arizona University, Phoenix, AZ, 3Hand Therapy Parnters, Mesa, AZ |
11:00 am - 11:02 am | HS 91. Dupuytren PIP Joint Contractures Treated with Supplemental Botulinum Toxin to the Flexor Digitorum Sublimis Muscle Keith Denkler, MD Divsion of Plastic Surgery, University of California, San Francisco, Private Practice in Larkspur, CA |
11:02 am - 11:10 am | Panel Discussion |
11:10 am - 11:12 am | HS 92. Additional Treatment after Collagenase Injections and Needle Fasciotomy for Dupuytren's Disease: A Retrospective Cohort Study Denise Arnold, BA1; Jonathan Lans, MD1; Ritsaart F Westenberg, MD2; Philip E. Blazar, MD3; Neal C Chen, MD2 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 2Massachusetts General Hospital, Boston, MA, 3Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA |
11:12 am - 11:14 am | HS 93. Cleft Hand/Foot Toe-to-Hand Transfer: A Review of 18 Transfers in 14 Patients Erin M Taylor, MD1,2; Amir Taghinia, MD1; Jonathan Winograd, MD1; Joseph Upton, MD2,3 1Boston Children's Hospital, Boston, MA, 2Shriners Hospital for Children, Boston, MA, 3Department of Plastic Surgery, Boston Children's Hospital, Boston, MA |
11:14 am - 11:16 am | HS 94. Vascularized Composite Allotransplantation of the Elbow Joint: A Cadaveric Study Mitchell A Pet, MD1; Angelo B Lipira, MD2; Yusha Liu, MD3; Dennis Kao, MD3; Jason H Ko, MD4 1Medstar Union Memorial Hospital, Baltimore, MD, 2Plastic Surgery, Oregon Health Sciences University, Portland, OR, 3University of Washington, Seattle, WA, 4Division of Plastic and Reconstructive Surgery, Northwestern University, Chicago, IL |
11:16 am - 11:18 am | HS 95. Clinical, Radiographic, and Patient Reported Outcomes of the Medial Femoral Trochlea Osteochondral Free Flap for Lunate Reconstruction in Advanced Kienbock's Disease Mitchell A Pet, MD1; Patrick E Assi, MD1; Aviram M Giladi, MD, MS2; James P Higgins, MD2 1Medstar Union Memorial Hospital, Baltimore, MD, 2The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD |
11:18 am - 11:20 am | HS 96. Vascularized Olecranon Bone Graft: An anatomical study and novel technique Kai J Yang, MD1; Lucas M Boehm, MD2; David Rivedal, MD2; Ji-Geng Yan, MD, PhD2; Hani Matloub, MD3 1Medical College of Wisconsin, Milwaukee, WI, 2Medical College of Wisconsin, Wauwatosa, WI, 3Plastic Surgery, Medical College of Wisconsin, Milwaukee, WI |
11:20 am - 11:22 am | HS 97. Arterialized Venous Free Flaps with Shunt Restriction for Soft Tissue Reconstruction of the Hand and Digits John T Heineman, MD, MPH; University of Virginia, Charlottesville, VA; Andrei Odobescu, MD, CM University of Iowa, Iowa City, IA |
11:22 am - 11:30 am | Panel Discussion |
10:30 am - 11:30 am
Concurrent AAHS/ASPN Scientific Abstract Session VI
Moderator: | Ida K. Fox, MD |
Panelists: | Jonathan L. Tueting, MD; Bryan Loeffler, MD; Christin Novak, PT, PhD |
HS 98. Early Targeted Muscle Reinnervation Does Not Increase Complications After Upper Extremity Amputation Sarah Pierrie, MD1; Glenn Gaston, MD2; Bryan Loeffler, MD2 1Atrium Health, Charlotte, NC, 2OrthoCarolina Hand Center, Charlotte, NC |
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10:32 am - 10:34 am | HS 99. Assessment of Amplitude Is Critical In Determining The Severity Of Cubital Tunnel Syndrome Hollie A. Power, MD1; Ketan Sharma, MD, MPH1; Madi El Haj, MD MSc1; Amy M. Moore, MD1; J. Megan M. Patterson, MD2; Susan E. Mackinnon, MD1 1Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, 2Department of Orthopaedics, University of North Carolina, Chapel Hill, NC |
10:34 am - 10:36 am | HS 100. Rates of Revision Surgery Following In Situ Decompression versus Anterior Transposition for the Treatment of Idiopathic Cubital Tunnel Syndrome Jack G Graham, BS; The Rothman Institute, Philadelphia, PA; Asif Ilyas, MD Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA |
10:36 am - 10:38 am | HS 101. Patterns of Ulnar Nerve Arborization in the Palm: Clinical Implications for Nerve Decompression in the Hand and Wrist Svenna HWL Verhiel, MD1; Daphne van Hooven, BSc1; Rohit Garg, MD1; Rachel EW Gottlieb, BSc1; Marco JPF Ritt, MD, PhD2; Neal C Chen, MD3; Kyle R Eberlin, MD1 1Massachusetts General Hospital / Harvard University, Boston, MA, 2VU Medical Center, Amsterdam, Netherlands, 3Massachusetts General Hospital, Boston, MA |
10:38 am - 10:40 am | HS 102. WITHDRAWN |
10:40 am - 10:45 am | Panel Discussion |
10:45 am - 10:47 am | HS 103. Ultrasound Guided Carpal Tunnel Release: Initial Results Sam Chen, MD1; Michael Kenji Yamazaki, MD1; Edward J Weldon, BS2 1Straub Medical Center, Honolulu, HI, 2Massachusetts Institute of Technology, Cambridge, MA |
10:47 am - 10:49 am | HS 104. The Critical Portions Of Carpal Tunnel Surgery: A Comparison Between Opinions Of Surgeons And The General Public Tyler S. Pidgeon, MD1; Alexander Lauder, MD1; Betty C. Tong, MD1; Marc J. Richard, MD1; Suhail K. Mithani, MD2 1Duke University Medical Center, Durham, NC, 2Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC |
10:49 am - 10:51 am | HS 105. Factors Associated with Failed Ulnar Nerve Fasicle to Biceps Motor Branch Transfer: A Case Control Study Andrew J Lovy, MD, MS; Nicholas Pulos, MD; Michelle Faupel, RN; Robert J. Spinner, MD; Allen Bishop, MD; Alexander Y. Shin, MD Mayo Clinic, Rochester, MN |
10:51 am - 10:53 am | HS 106. Outcomes Following Treatment in Pediatric Thoracic Outlet Syndrome Kevin Little, MD; Ann R Schwentker, MD; Elizabeth A Lax, MD; Alex Balboa, BS; Kendra Eckstein, BS Cincinnati Children's Hospital/University of Cincinnati, Cincinnati, OH |
10:53 am - 10:55 am | HS 107. Outcomes of Elbow Flexion Reconstruction in Patients Over 50 with Traumatic Brachial Plexus Injury Joshua A Gillis, MD, BSc1; Joseph S Khouri, MD, BSc1; Michelle Faupel, RN1; Robert J. Spinner, MD2; Allen Bishop, MD3; Alexander Y. Shin, MD4 1Mayo Clinic, Rochester, MN, 2Department of Orthopaedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN, 3Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, 4Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN |
10:55 am - 11:00 am | Panel Discussion ASPN Moderators: Jonathan Issacs, MD; Shelly Noland, MD |
PN108. Median Nerve Compression in The Forearm Is A Clinical Diagnosis. Outcome of Step Lengthening Surgical Technique Madi El Haj, MD MSc1; Wei Ding, MD1; J. Megan M. Patterson, MD2; Christine B Novak, PT, PhD3; Lorna Kahn, PT CHT1; Susan E. Mackinnon, MD1 1Washington University School of Medicine, St. Louis, MO; 2University of North Carolina, Chapel Hill, NC; 3University of Toronto, Toronto, ON, Canada |
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11:08 am - 11:16 am | PN109. Intra-Operative Electrical Stimulation Using a Commercial Stimulator Improves Functional Recovery after Peripheral Nerve Injury in Rats Sally Jo, BS; Deng Pan, BS; Alexandra E Halevi, MD; Xueping Ee, MD; Daniel A. Hunter, RA1; Lauren Schellhardt, BS; Alison K. Snyder-Warwick, MD; Amy M. Moore, MD; Susan E. Mackinnon, MD; Matthew Wood, PhD Washington University School of Medicine, St Louis, MO |
11:16 am - 11:24 am | PN110. Sensory and Bimanual Hand Function after Distal Nerve Transfers in the Upper Trunk Neonatal Brachial Plexus Injury Population Kathleen M O'Grady, BScOT MSC; K. Ming Chan, MD; Michael Morhart, MD; Joe Watt, MD; Jaret Olson, MD University of Alberta, Edmonton, AB, Canada |
11:24 am - 11:32 am | PN111. Submuscular Transposition of the Ulnar Nerve for Persistent or Recurrent Cubital Tunnel Syndrome: Results of a Prospective Case Series Zoë Buijnsters, MD; Godard De Ruiter, MD Medical Center Haaglanden, The Hague, Netherlands |
11:30 am - 12:30 pm
AAHS/ASPN Joint Panel: Ulnar Nerve Beyond the Debate
Moderator: Susan E. Mackinnon, MD
Panelists: Steven L. Moran, MD; Mark E. Baratz, MD; Bauback Safa, MD; Lorna Canavan Kahn PT, CHT
This course will go beyond the debate of transpose or not. Patients with impairment of the ulnar nerve have severe morbidity and this panel will go into other strategies to improve outcomes. The panel will focus on options for treating aspects of ulnar nerve injury such as: when to perform more extensive releases, restoration of sensation, and tendon transfers for improved function.
Objectives: Following this session, the participant will be able to:
Moderator: Susan E. Mackinnon, MD
Panelists: Steven L. Moran, MD; Mark E. Baratz, MD; Bauback Safa, MD; Lorna Canavan Kahn PT, CHT
This course will go beyond the debate of transpose or not. Patients with impairment of the ulnar nerve have severe morbidity and this panel will go into other strategies to improve outcomes. The panel will focus on options for treating aspects of ulnar nerve injury such as: when to perform more extensive releases, restoration of sensation, and tendon transfers for improved function.
Objectives: Following this session, the participant will be able to:
- Discuss the role of added nerve transfers in addition to ulnar nerve decompression.
- Identify tendon transfers for severe ulnar nerve palsy patients.
- Discuss failed cubital tunnel surgery with a variety of techniques.
12:30 pm - 1:30 pm
Lunch
1:30 pm - 3:30 pm
Therapist Panel II: What's Upstream? Proximal Screening Update
Panelists: Kimberly G. Kraft PT, DPT, CHT; Lorna Canavan Kahn PT, CHT
This workshop explores differential diagnosis of upper extremity complaints versus cervical radiculopathy or brachial plexus pathology. Hands-on screening techniques will be integrated into the session.
Objectives: Following this session, the participant will be able to:
Panelists: Kimberly G. Kraft PT, DPT, CHT; Lorna Canavan Kahn PT, CHT
This workshop explores differential diagnosis of upper extremity complaints versus cervical radiculopathy or brachial plexus pathology. Hands-on screening techniques will be integrated into the session.
Objectives: Following this session, the participant will be able to:
- Discuss screening assessments using effective special test combinations.
- Identify manual techniques to identify cervical radiculopathy.
- Practice physical examination for brachial plexus pathology
1:30 pm - 5:30 pm
Hand Surgery Review Course
Chair: Dan A. Zlotolow, MD
Co-Chair: Jonathan L. Tueting, MD
Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam.
Objectives: Following this session, the participant will be able to:
Chair: Dan A. Zlotolow, MD
Co-Chair: Jonathan L. Tueting, MD
Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam.
Objectives: Following this session, the participant will be able to:
- Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist.
- Identify treatment options available for disorders of the hand and upper extremity.
- Recognize various uncommon and/or unusual clinical conditions of the hand and wrist including carpal and DRUJ conditions, peripheral nerve, tendon and other common problems.
- Compare different treatment methods to avoid complications and improve patient outcomes.
1:30 pm - 1:35 pm | Introduction Jonathan L. Tueting, MD |
1:35 pm - 1:55 pm | Dupuytren's Jaimie T. Shores, MD |
1:55 pm - 2:15 pm | Distal Radius Fractures Robert A. Kaufmann, MD |
2:15 pm - 2:35 pm | Scaphoid Fractures/ Nonunions and SL Injuries Jeffrey Yao, MD |
2:35 pm - 2:55 pm | Bone Tumors Jonathan L. Tueting, MD |
2:55 pm - 3:15 pm | Soft Tissue Tumors Warren C. Hammert, MD |
3:15 pm - 3:35 pm | Functional Free Muscle Transfers Adam B. Strohl, MD |
3:35 pm - 3:50 pm | BREAK |
3:50 pm - 4:10 pm | Soft Tissue Coverage Jeffrey B. Friedrich, MD |
4:10 pm - 4:30 pm | Pediatric Injuries Kevin J. Little, MD |
4:30 pm - 4:50 pm | Congenital Hand Felicity Fishman, MD |
4:50 pm - 5:10 pm | Inflammatory Arthropathies Jonathan L. Tueting, MD |
5:10 pm - 5:30 pm | Nerve Injury and Repair/Reconstruction Amy M. Moore, MD |
3:00 pm - 6:00 pm
Mock Oral Boards Course
Chair: James P. Higgins, MD
Faculty: Steve Maschke, MD; Jeffrey Friedrich, MD; Jerry I. Huang, MD; Peter C. Rhee, MD; Amy M. Moore, MD; Jaimie T. Shores, MD; Warren C. Hammert, MD
Registration for this course is limited to young surgeons that have/will complete their hand surgery fellowship in years 2017, 2018, 2019 and 2020 and are interested in preparing hand surgery cases for their upcoming oral boards examination. Registrants are asked to submit a case in which they have participated as surgeon or assistant. The case submission should include a 1-2 paragraph vignette with x-ray images if needed. The course directors will select the most instructive cases for the course oral boards-style presentation. If selected, the registrant will present the case for oral board examination presentation, questions by the experienced faculty “Board examiners” and questions from the audience. The faculty “board examiners will provide an evidence-based review of each controversial topic for rapid digestion of important Board examination points. In order to best prepare for the oral boards, all attendees, whether presenting or observing, will be able to participate in this small group format.
Objectives: Following this session, the participant will be able to:
Chair: James P. Higgins, MD
Faculty: Steve Maschke, MD; Jeffrey Friedrich, MD; Jerry I. Huang, MD; Peter C. Rhee, MD; Amy M. Moore, MD; Jaimie T. Shores, MD; Warren C. Hammert, MD
Registration for this course is limited to young surgeons that have/will complete their hand surgery fellowship in years 2017, 2018, 2019 and 2020 and are interested in preparing hand surgery cases for their upcoming oral boards examination. Registrants are asked to submit a case in which they have participated as surgeon or assistant. The case submission should include a 1-2 paragraph vignette with x-ray images if needed. The course directors will select the most instructive cases for the course oral boards-style presentation. If selected, the registrant will present the case for oral board examination presentation, questions by the experienced faculty “Board examiners” and questions from the audience. The faculty “board examiners will provide an evidence-based review of each controversial topic for rapid digestion of important Board examination points. In order to best prepare for the oral boards, all attendees, whether presenting or observing, will be able to participate in this small group format.
Objectives: Following this session, the participant will be able to:
- Discuss non-operative and operative treatment for various commonly encountered disorders of the hand and wrist.
- Identify topics and controversies that could be discussed in oral board examinations.
- Discuss how to better prepare your case presentations and examination responses for the oral boards.
- Identify evidence-based management of hand surgery cases discussed.
3:00 pm - 3:30 pm | Introduction & Overview James P. Higgins, MD |
3:30 pm - 4:30 pm | Division of Larger Group into three smaller session rooms Presentation And Cross Examination Of Case Presentations Room 1: Fractures and Nonunions Scott Steinmann, MD; Peter C. Rhee, MD Room II: Brachial Plexus and peripheral nerve repair/decompression Jaimie T. Shores, MD; Amy M. Moore, MD Room III: Soft Tissue and Tendon Jerry I. Huang, MD Marco Rizzo, MD |
4:30 pm - 5:30 pm | Lessons Learned: Evidence-Based Answers To Topics Discussed Small groups return to a large single room session Fractures and Nonunions Scott Steinmann, MD Brachial Plexus and Peripheral Nerve Jaimie T. Shores, MD Soft Tissue and Tendon Marco Rizzo, MD |
5:30 pm - 6:00 pm | Q & A James P. Higgins, MD |
6:00 pm - 7:00 pm
Mentors Reception and Trivia Contest
Chair: R. Glenn Gaston, MD
Teams of 4-6 will join forces with AAHS mentors for trivia questions on a range of topics, loosely related to hand surgery. Open to residents, fellows, candidate members and members in their first 3 years of practice.
Chair: R. Glenn Gaston, MD
Teams of 4-6 will join forces with AAHS mentors for trivia questions on a range of topics, loosely related to hand surgery. Open to residents, fellows, candidate members and members in their first 3 years of practice.
7:00 pm - 10:00 pm
Annual Meeting Dinner Dance
Saturday February 2, 2019
6:30 am - 8:00 am
Continental Breakfast
7:00 am - 8:00 am
AAHS/ASPN/ASRM Instructional Courses
201
Mangled Upper Extremity: Pearls For Limb Salvage
Chair: Jeffrey Greenberg, MD
Instructors: Mihir J. Desai, MD; Deana Mercer, MD, Rudy Buntic, MD
This course will review current treatment strategies for salvaging complex upper extremity injuries. The full array of bony reconstruction, tendon management and soft tissue coverage will be discussed. A principally oriented approach coupled with representative cases will be reviewed.
Objectives: Following this session, the participant will be able to:
Chair: Jeffrey Greenberg, MD
Instructors: Mihir J. Desai, MD; Deana Mercer, MD, Rudy Buntic, MD
This course will review current treatment strategies for salvaging complex upper extremity injuries. The full array of bony reconstruction, tendon management and soft tissue coverage will be discussed. A principally oriented approach coupled with representative cases will be reviewed.
Objectives: Following this session, the participant will be able to:
- Discuss mangled extremities in an algorithmic fashion.
- Identify the bony reconstructive options for the mangled extremity.
- Recognize the soft tissue reconstructive options including tried and true methods as well as cutting edge techniques.
202
Transplant Versus Neural Controlled Prostheses
Chair: Jaimie T. Shores, MD
Instructors: Peter C. Rhee, MD; R. Glenn Gaston, MD; Gayle K. Severance MS, OTR/L, CHT
This course will highlight reconstructive opportunities for major upper limb amputees. Limitations and successes of limb transplant will be juxtaposed with cutting edge myoelectric prostheses. The role of targeted muscle re-innervation and recent prosthetic technological advancement will be highlighted.
Objectives: Following this session, the participant will be able to:
Chair: Jaimie T. Shores, MD
Instructors: Peter C. Rhee, MD; R. Glenn Gaston, MD; Gayle K. Severance MS, OTR/L, CHT
This course will highlight reconstructive opportunities for major upper limb amputees. Limitations and successes of limb transplant will be juxtaposed with cutting edge myoelectric prostheses. The role of targeted muscle re-innervation and recent prosthetic technological advancement will be highlighted.
Objectives: Following this session, the participant will be able to:
- Recognize the success and limitations of hand transplant.
- Discuss advancements in prosthetic options for upper limb amputees.
- Identify targeted muscle re-innervation into the treatment armamentarium for major limb loss patients.
203
Innervated Flaps: Restoring Motor and Sensory Function to the Upper Extremity
Chair: Amy M. Moore, MD
Instructors: Amir Taghinia, MD; Dong Chul Lee, MD; Milan Stevanovic, MD
Chair: Amy M. Moore, MD
Instructors: Amir Taghinia, MD; Dong Chul Lee, MD; Milan Stevanovic, MD
204
Leave It, Graft It, Rotate It: Hand Coverage
Chair: Jason Ko, MD
Instructors: Roberto Adani, MD; Simon Talbot, MD; Andrew Watt, MD; Wojciech Przylecki, MD
Chair: Jason Ko, MD
Instructors: Roberto Adani, MD; Simon Talbot, MD; Andrew Watt, MD; Wojciech Przylecki, MD
205
Maximizing Replant Outcomes From Start To Finish
Chair: Bauback Safa, MD
Instructors: Bruno Battiston, MD; Kyle Eberlin, MD; Rudy Buntic, MD
Chair: Bauback Safa, MD
Instructors: Bruno Battiston, MD; Kyle Eberlin, MD; Rudy Buntic, MD
206
Vascular Disorders of the Hand
Chair: Peter M. Murray, MD
Instructors: Allen L. Van Beek, MD; Michael W. Neumeister, MD; Mary Drake, CHT
This course will discuss the evaluation and management of atraumatic vascular disorders of the hand. The appropriate work up for both vasospastic and vaso-occlusive disorders will be reviewed. Nonoperative treatment modalities including botulinum toxins as well as the role of vascular reconstruction and sympathectomy will be reviewed. Adjunct therapy modalities will be discussed as well.
Objectives: Following this session, the participant will be able to:
Chair: Peter M. Murray, MD
Instructors: Allen L. Van Beek, MD; Michael W. Neumeister, MD; Mary Drake, CHT
This course will discuss the evaluation and management of atraumatic vascular disorders of the hand. The appropriate work up for both vasospastic and vaso-occlusive disorders will be reviewed. Nonoperative treatment modalities including botulinum toxins as well as the role of vascular reconstruction and sympathectomy will be reviewed. Adjunct therapy modalities will be discussed as well.
Objectives: Following this session, the participant will be able to:
- Discuss an appropriate work up the atraumatic dysvascular hand.
- Identify how to utilize botulinum toxins for vasospastic disorders of the hand.
- Recognize the surgical options for vaso-spastic and vaso-occlusive disorders of the upper limb.
- Identify the dysvascular limb before and following upper limb procedures.
207
Atypical Nerve Entrapment Syndromes
Chair: A. Lee Dellon, MD
Instructors: Thomas HH. Tung, MD; Catherine Curtin, MD
There is increasing recognition that nerve entrapments go far beyond carpal and cubital tunnel. This panel of world experts will introduce various nerve entrapments, review their diagnosis and provide a treatment plan.
Objectives: Following this session, the participant will be able to:
Chair: A. Lee Dellon, MD
Instructors: Thomas HH. Tung, MD; Catherine Curtin, MD
There is increasing recognition that nerve entrapments go far beyond carpal and cubital tunnel. This panel of world experts will introduce various nerve entrapments, review their diagnosis and provide a treatment plan.
Objectives: Following this session, the participant will be able to:
- Discuss the anatomy and presentation of atypical entrapments.
- Identify a diagnostic algorithm for atypical nerve entrapments.
- Discuss a treatment algorithm for atypical nerve entrapment
208
Emerging Therapeutic Applications of Nerve Stimulators
Chair: Tessa Gordon, PhD
Instructors: Lin Jaques, MD; Saba Kamal, MD
Electrical nerve stimulation is emerging as an important treatment tool for the care of nerve pathology. This course will review various applications of nerve stimulation from its use to improving nerve regeneration to its uses in the painful nerve.
Objectives: Following this session, the participant will be able to:
Chair: Tessa Gordon, PhD
Instructors: Lin Jaques, MD; Saba Kamal, MD
Electrical nerve stimulation is emerging as an important treatment tool for the care of nerve pathology. This course will review various applications of nerve stimulation from its use to improving nerve regeneration to its uses in the painful nerve.
Objectives: Following this session, the participant will be able to:
- Discuss the role of electrical stimulation in the treatment of nerve pathology.
- Identify new devices that are available for clinical practice.
- Identify emerging areas that will be impacting care of the nerve.
8:15 am - 8:30 am
AAHS/ASPN/ASRM President's Welcome (Not for Credit)
Brian D. Adams, MD; AAHS President
David L. Brown, MD; ASPN President
Joseph Disa, MD; ASRM President
C. Scott Hultman, MD; PSF President
Brian D. Adams, MD; AAHS President
David L. Brown, MD; ASPN President
Joseph Disa, MD; ASRM President
C. Scott Hultman, MD; PSF President
8:30 am - 9:30 am
AAHS/ASPN/ASRM Combined Panel: Optimizing Perioperative Pain Control in the Opioid Epidemic Era
Moderator: David L. Brown, MD
Panelists: Jennifer Waljee, MD, MPH,MS; David L. Nelson, MD; Ian Carrol, MD; Joy C. MacDermid, PT, PhD
The opioid epidemic has had devastating consequences and health care providers are squeezed in the center of this crisis. How do you manage pain yet not contribute to the epidemic. This panel plans to provide information to help providers better navigate the changing landscape of pain management, providing up to the date evidence on pain management strategies, information on the regulatory concerns and strategies on how to be the best provider to patients in pain.
Objectives: Following this session, the participant will be able to:
Moderator: David L. Brown, MD
Panelists: Jennifer Waljee, MD, MPH,MS; David L. Nelson, MD; Ian Carrol, MD; Joy C. MacDermid, PT, PhD
The opioid epidemic has had devastating consequences and health care providers are squeezed in the center of this crisis. How do you manage pain yet not contribute to the epidemic. This panel plans to provide information to help providers better navigate the changing landscape of pain management, providing up to the date evidence on pain management strategies, information on the regulatory concerns and strategies on how to be the best provider to patients in pain.
Objectives: Following this session, the participant will be able to:
- Discuss the magnitude of the opioid epidemic.
- Identify a non-opioid treatment strategy for pain management.
- Incorporate alternative pain management strategies into one's practice.
9:30 am - 10:00 am
Coffee Break
10:00 am - 11:00 am
Joint Presidential Keynote Lecture Inside the White House and Current Events Ann Compton, Legendary ABC News' White House Correspondent (1973-2014) Ann Compton joined ABC News in 1973 and was the first woman assigned to cover the White House by a television network. From her front seat at the White House for ABC News, Compton covered seven presidents as well as innumerable life-changing and globe-altering events - from the end of the Cold War to the political dramas that made the daily headlines. With her personal access for over four decades no one is better equipped to provide audiences the historical perspective of today's global events while offering a look forward to the impact of the daily headlines and her first-hand knowledge of the people and issues that are shaping the future of this country. Compton gives audiences unprecedented access to herself as well, turning the tables on the audience by declaring a “White House Press Conference” is in session. She beckons her audience to do what she did so well: pepper her with tough questions about current events and the people making headlines. |
11:00 am - 12:00 pm
AAHS/ASPN/ASRM Joint Outstanding Paper Session
Moderators: | R. Glenn Gaston, MD; Christina M. Ward, MD; Catherine Curtin, MD; Kristen M. Davidge, MD; Evan Matros, MD |
AAHS 1. Diagnostic Accuracy of Nerve Conduction Studies in Diagnosis of Carpal Tunnel Syndrome Anthony Montanez, MD; University of Pittsburgh, Pittsburgh, PA; John R. Fowler, MD; Orthopaedic Surgery, UPMC, Pittsburgh, PA |
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11:05 am - 11:10 am | AAHS 2. Targeted Muscle Reinnervation at the Time of Amputation Reduces Pain Severity in Upper Extremity Amputations Andrew L. O'Brien, MD, MPH1; Sumanas Jordan, MD, PhD1; Jason Hehr, MD1; Julie M West, PA-C2; Steven Schulz, MD1; Gregory A. Dumanian, MD, FACS3; Ian L. Valerio, MD, MS, MBA4 1Ohio State University Wexner Medical Center, Columbus, OH, 2The Ohio State University Wexner Medical Center, Columbus, OH, 3Division of Plastic and Reconstructive Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL, 4Department of Plastic Surgery, Ohio State University Wexner Medical Center, Columbus, OH |
11:10 am - 11:20 am | Discussion |
11:20 am - 11:25 am | ASPN 1. Delay alters the immune response to nerve repair Masoud Golshadi, PhD1; Jennifer K. Grenier, PhD1; Michael G. Edwards, PhD2; Jonathan Cheetham, VetMB, PhD, DACVS1 1Cornell University, Ithaca, NY, 2Bioinfo Solutions LLC, Parker, CO |
11:25 am - 11:30 am | ASPN 2. Decoding Regenerative Peripheral Nerve Interface Signals Contributes to Dexterous Fine Motor Control Carrie A Kubiak, MD1, Philip Vu, MSE1, Zachary T Irwin, PhD1, Alex K Vaskov, BSc2, Chrono Nu, BSc 1, Deanna Gates, PhD1, Richard B. Gillespie, PhD3, Theodore A Kung, MD4, Paul S Cederna, MD1, Cynthia Chestek, PhD; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2The University of Michigan, Ann Arbor, MI, 3Mechanical Engineering, University of Michigan, Ann Arbor, MI, 4Section of Plastic & Reconstructive Surgery, University of Michigan, Ann Arbor, MI |
11:30 am - 11:40 am | Discussion |
11:40 am - 11:45 am | ASRM 1. Restoration of Spinopelvic Continuity with the Free Fibula Flap after Limb-Sparing Oncologic Resection Stefanos Boukovalas, MD1; Margaret S. Roubaud, MD2; Carrie K. Chu, MD2; Justin E. Bird, MD3; Valerie O. Lewis, MD4; Laurence D. Rhines, MD5; Ed Chang, MD3; David M Adelman, MD, PhD3; Matthew M. Hanasono, MD3; Alexander F. Mericli, MD2 1The University of Texas Medical Branch, Galveston, TX, 2University of Texas M.D. Anderson Cancer Center, Houston, TX, 3The University of Texas M.D. Anderson Cancer Center, Houston, TX, 4Department of Orthopedic Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, 5Department of Neurosurgery, MD Anderson Cancer Center, Houston, TX |
11:45 am - 11:50 am | ASRM 2. Utility of Preoperative Imaging in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction - a Randomized Controlled Trial Kathryn J Sawa, BMSc, MD, FRCSC1; Snell J Laura, MD, MSc, FRCSC2; Catherine McMillan, BSc, MSc1; Robyn Pugash, MD, FRCPC1; Elizabeth N David, MD, FRCPC1; Sarah E Appleton, MD, MSc, FRCSC1; Elizabeth C Matheson, BScKin, BScPA, CCPA1; Alanna Rigoban, BSc, MSc1; Lipa E Joan, MD, MSc, FRCSC, FACS2 1University of Toronto, Toronto, ON, Canada, 2 Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada |
11:50 am - 12:00 pm | Discussion |
12:15 pm - 1:15 pm
Concurrent Lunch Symposia
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Supported by Checkpoint Surgical
Supported by Ackea Therapeutics
Sign Up Here
Supported by Checkpoint Surgical
Supported by Ackea Therapeutics
6:00 pm - 7:30 pm
ASPN/ASRM Welcome Reception