From the complex anatomy to the most common complications, this course will convey the different techniques and materials used to resolve distal radius fractures. The course will also examine the patient and what they can expect for the future.

Objectives: Following this session, the participant will be able to:

1. Review the anatomy of distal radius fractures and examine concepts.
2. Analyze different techniques, approaches, and future solutions.
3. Recognize the most common complications attributed to distal radius fractures.

The purpose of this talk is to share a structured approach to the rehabilitation and motor re-education of the nerve transfer point. The course will include an outline of therapist goals for the pre and post-op patient, patient education guidelines and specific exercises for a variety of nerve transfers including DFT, Radial to Auxiliary, accessory to Suprascapular and AIN to deep motor Ulnar. Nerve Video clips of specific exercise and progression of patients to be included.

Objectives: Following this session, the participant will be able to:

1. Participants will demonstrate an understanding of both the importance of and components of a comprehensive patient education program for the nerve transfer patient.
2. Participants will demonstrate an ability to develop an appropriate and staged exercise program for the nerve transfer pt.
3. Participants will demonstrate a greater understanding of the concept of motor re-education for the nerve transfer patient and be able to apply it to any potential nerve transfer they may see in their clinic.

Diagnosis and management of common benign and malignant skin lesions encountered on the upper extremities will be presented. Detailed discussion regarding pearls and pitfalls to avoid missing malignant lesions as well as management of all lesions will aid the hand surgeon in their practice.

Objectives: Following this session, the participant will be able to:

1. Discuss the diagnosis and treatment of skin lesions commonly encountered on the upper extremities
2. Provide pearls and pitfalls for the management of benign and malignant skin lesions commonly seen on the upper extremity
3. Aid the hand surgeon in knowing how to manage complications associated with common skin lesions encountered on the upper extremities

This session will provide information for the development of an evidence based conservative management program for the thumb CMC joint based upon biomechanical studies and thumb anatomy. Joint protection education, orthotic intervention, and a specific exercise program to target the stabilizing muscles of the thumb will be discussed. Specific case studies and patient examples will also be included.

Objectives: Following this session, the participant will be able to:

1. Discuss the anatomy and biomechanics of the CMC joint.
2. Describe the pathomechanics of CMC OA.
3. Develop an exercise program to restore optimum biomechanics and function of the CMC joint.

This is an introduction to MSK ultrasound for the Hand and Upper Extremity Surgeon. We will touch on the basic principals of ultrasound, and of the medical economics of the modality. We will, by the use of example cases, show the place for ultrasound in our practices, and of diagnoses for which ultrasound is the diagnostic modality of choice. We believe you will leave this course determined to bring ultrasound into your practice if you have not already done so. If you already have ultrasound in your practice our cases should help you improve and expand your use of your machine.

Objectives: Following this session, the participant will be able to:

1. The course participant will be able to identify the basic anatomy of a scanned part.
2. To distinguish between hypoecholic and hyperecholic structures and recognized anisotropic artifact.
3. Will have the basic criteria for Ultrasound machine selection.

Each of the faculty will speak for 12 minutes and allow 3 minutes for question and answers. Dr Eaton is a world recognized expert in NA and in Dupuytren's in general. Dr Denkler has a very large experience with all modalities of treatment and will discuss where and when to use the different options. Dr Lalonde will talk about NA Vs. wide awake or asleep surgery. Ms. Larocerie Salgado has published on therapeutic orthotics for Dupuytren's contracture.

Objectives: Following this session, the participant will be able to:

1. Recommend and devise orthotics to improve as well as maintain extension.
2. Apply useful treatment pearls in NA (needle aponeurotomy) and enzyme therapy (collagenase) from experts in the field.
3. Will be able to perform the surgery with patients awake (no tourniquet) or asleep.
4. Have a better understanding of the current roles of the different ways to treat this disease.

8:20 am - 8:24 am	Overview: Trapeziometacarpal Arthritis Jeff Yao, MD
8:25 am - 8:27 am	1. Arthroscopic Partial Trapeziectomy with Soft Tissue Interposition for Symptomatic Trapeziometacarpal Arthritis Jonathan Twu, BS1, Kenneth J. Korcek, MD2 and Brian Bear, MD2 1University of Illinois College of Medicine in Rockford, Rockford, IL, 2Rockford Orthopedic Associates, Rockford, IL
8:27 am - 8:29 am	2. Evaluation of the Effect of MCP Hyperextension on Functional Outcomes after Surgical Treatment of CMC Arthritis David Brogan, MD1, Todd Bertrand, MD2, Marc Richard, MD2 and Sanjeev Kakar, MD1 1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, 2Department of Orthopedic Surgery, Duke University, Durham, NC
8:29 am - 8:31 am	3. Predicting Pinch Strength Following LRTI of the First Carpometacarpal Joint Abdo Bachoura, MD1, Joshua Abzug, MD2, Ebrahim Paryavi, MD2, Sidney M. Jacoby, MD1, A. Lee Osterman, MD1 1Philadelphia Hand Center, Philadelphia, PA, 2University of Maryland, Baltimore, MD
8:31 am - 8:41 am	Panel Discussion Chaitanya S. Mudgal, MD; Jeff Yao, MD; Matthew M. Tomaino, MD; Ryan Calfee, MD; Luciano Poitevin, MD
8:43 am - 8:47 am	Overview: SLAC Wrist Matthew M. Tomaino, MD
8:48 am - 8:50 am	4. Long Term Outcomes of Proximal Row Carpectomy- A Systematic Review Harvey Chim, MD1, Steven L. Moran, MD, MPH2 1Department of Plastic Surgery, Case Western Reserve University, Cleveland, OH, 2Division of Hand Surgery, Mayo Clinic, Rochester, MN
8:50 am - 8:52 am	5. Long Term Clinical Outcomes of Proximal Row Carpectomy Tom Hong, MD, Mary Beth Cermak, MD, John Hood, MD, John Lubahn, MD Orthopedics, UPMC Hamot, Erie, PA
8:52 am - 9:02 am	Panel Discussion
9:02 am - 9:06 am	Overview: Small Joint Arthroplasty Ryan Calfee, MD
9:07 am - 9:09 am	6. Arthrodesis versus Prosthetic Arthroplasty for Osteoarthritis of the Index Finger PIP Joint Mark A. Vitale, MD, MPH, Steven L. Moran, MD, Sanjeev Kakar, MD Division of Hand Surgery, Mayo Clinic, Rochester, MN
9:09 am - 9:11 am	7. Clinical and Radiographic Outcomes of Metacarpophalangeal Pyrocarbon Arthroplasty for Osteoarthritis Lindley B. Wall, MD1, Peter J. Stern, MD2 1Mary S. Stern Hand Surgery Fellowship, Cincinnati, OH, 2Orthopaedic Surgery, University of Cincinnati, Cincinnati, OH
9:13 am - 9:30 am	Panel Discussion

9:30 am - 9:35 am	Overview: Ulnar Shortening Osteotomy Jerry I. Huang, MD
9:37 am - 9:39 am	8. Patient Characteristics Influencing Ulnar Shortening Osteotomy Outcomes using Trimed Dynamic Compression Plate Purab Viswanath, MD, John Lubahn, MD Orthopedics, UPMC Hamot, Erie, PA
9:39 am - 9:41 am	9. Long-term Outcome of Step-Cut Distal Ulnar-Shortening Osteotomy for Ulnar Impaction Syndrome Dean G. Sotereanos, MD, Mark E. Baratz, MD, Loukia Papatheodorou, MD and Robert Weiser, MPAs, PA-C Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA
9:41 am - 9:50 am	Panel Discussion Thomas R. Hunt, MD; Jerry I. Huang, MD; Randip R. Bindra, MD; Thomas Wiedrich, MD; Eduardo R. Zancolli, MD
9:50 am - 9:55 am	Overview: DRUJ Prosthesis Randip R. Bindra, MD
9:57 am - 9:59 am	10. Distal Ulnar Head Prosthesis for DRUJ Arthritis Joyce Jhang, MS2, Abdo Bachoura, MD, Sidney M. Jacoby, Randall W. Culp2 and Leonid Katolik The Philadelphia Hand Center, Jefferson Medical College, Philadelphia, PA
9:59 am - 10:01 am	11. Long-term Follow Up of Total Distal Radioulnar Joint Prosthesis Luis R. Scheker, MD, Erin Murphy, BA, Emilie Mailhot, Shushan Jacob Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY
10:01 am - 10:10 am	Panel Discussion
10:10 am - 10:15 am	Overview: TFCC Thomas Wiedrich, MD
10:17 am - 10:19 am	12. Incidence of Partial or Total Foveal Tear of the Tfcc on Druj Arthroscopy Toshiyasu Nakamura, MD, PhD, Kazuki Sato, MD, PhD, Takuji Iwamoto, MD, PhD, Noboru Matsumura, MD, PhD, Yoshiaki Toyama, MD, PhD Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan
10:19 am - 10:21 am	13. TFCC Injuries in Elite Athletes: Implications and Expectations Abdo Bachoura, MD1, Lee Diprinzio, BS1, Blane Sessions, MD1, Sidney Jacoby, MD2, A. Lee Osterman1 and Randall W. Culp, MD1 1The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA, 2Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA
10:21 am - 10:30 am	Panel Discussion

10:45 am - 10:50 am	Overview: Distal Radius Fractures Asif Ilyas, MD
10:52 am - 10:54 am	14. Temporary Loss of Normal Thumb Flexion after Volar Plate Fixation of Distal Radius Fractures Brian Chilelli, MD, Ronak Patel, MD, David Kalainov, MD Orthopaedic Surgery, Northwestern University, Chicago, IL
10:54 am - 10:56 am	15. Complications of Volar Locked Plating for Distal Radius Fractures Hillary Ann Becker, MD, David Micah Brogan, MD, Ashley Walker, David Gary Dennison, Alexander Y. Shin Orthopedic Surgery, Mayo Clinic, Rochester, MN
10:56 am - 11:01 am	Panel Discussion Asif Ilyas, MD; Ruby Grewal, MD; Jesse B. Jupiter, MD; Enrique Pereira, MD
11:02 am - 11:04 am	16. Feasibility and Reliability of ORIF in Delayed Distal Radius Fracture Management: A Single Surgeon's Five Year Experience Clifford Thomas Pereira, MD, James Rough, MD, Mark Sugi, MD, Prosper Benhaim, MD Division of Plastic Surgery, UCLA, Los Angeles, CA
11:04 am - 11:06 am	17. Randomized Clinical Trial for Surgical Treatment - Distal Radius Fractures - MIPO Marcio A. Aita, MD, Eduardo Gasparotti, Resident, Alvaro Baik Cho, MD, Rafael Saleme Orthopaedic Surgery Department, Faculdade de Medicina do ABC, Santo Andre, Brazil
11:06 am - 11:11 am	Panel Discussion
11:11 am - 11:13 am	18. Treatment of Unstable Distal Radius Fractures with a Novel Non-spanning External Fixation Device Compared to a Historical Control Group Nicholas Crosby, MD1, C. Liam Dwyer, MD1, William Seeds, MD2, John Lubahn, MD1 1Orthopedics, UPMC Hamot, Erie, PA, 2Seeds Orthopedics, Ashtabula, OH
11:13 am - 11:15 am	19. Multiplanar Fixation System for the Treatment of Complex Intra-articular Distal Radius Fractures Ather Mirza, MD, Justin B. Mirza, DO Ather Mirza, MD, Smithtown, NY
11:15 am - 11:20 am	Panel Discussion
11:22 am - 11:24 am	20. Outcomes Following Operative Treatment of Open Fractures of the Distal Radius: A Case Control Study Brendan J. Mackay, MD1, Nicole M. Montero, MD1, Nader Paksima, DO2 and Kenneth A. Egol, MD2 1Orthopedic Surgery, New York University Hospital for Joint Diseases, New York, NY, 2Orthopedic Surgery, New York University, New York, NY
11:24 am - 11:26 am	21. Determinants of Distal Radius Fracture Management in Polytrauma Patients Joshua M. Adkinson, MD1, Anna M. Soltys, MD2, Nathan F. Miller, BS3, Sherrine M. Eid, MPH4, Robert X. Murphy, MD, MS1 1Division of Plastic Surgery, Lehigh Valley Health Network, Allentown, PA, 2Department of Surgery, Lehigh Valley Health Network, Allentown, PA, 3Drexel University College of Medicine, Philadelphia, PA, 4Health Studies Department, Lehigh Valley Health Network, Allentown, PA
11:26 am - 11:30 am	Panel Discussion

This panel will discuss surgical options and rehabilitative treatment following a finger fracture. Surgeons will share their techniques for attaining a stable fracture and share their recommendations for rehabilitative treatment to avoid stiffness. K-wire fixation with early finger motion will be discussed along with other surgical options and protocols. Therapists with evidence based knowledge and clinical expertise will discuss rehabilitative treatment options for various cases.

Objectives: Following this session, the participant will be able to:

1. Emphasize aspects of the rehabilitative process to decrease stiffness in finger fractures.
2. Discuss early ROM protocol for patients who have had K-wire fixation.

The myriad of benefits of early motion after tendon repair are well known. While these principles are a driving force in flexor tendon protocols there hasn't been an equal sense of urgency to move when addressing extensor tendons. This panel will address the anatomic rationale for the "relative motion" concept permitting immediate active motion splinting, the combined use of local anesthesia with epinephrine at surgery, and present the different early motion protocols for extensor tendon rehabilitation.

Objectives: Following this session, the participant will be able to:

1. Participants will understand extensor anatomy and how this relates to active motion protocols.
2. Participants will gain sufficient insight into early motion protocols for zones 3-6 extensor tendons after repair to incorporate these into their clinical practice.

This presentation will include the significant changes that have occurred since the concept of Nerve Mobilization was incorporated into therapy intervention for the treatment of neurogenic related symptoms and dysfunction. It will comprise a brief history, the development of the current approach to Nerve Mobilization, an algorithm for treatment progression and a discussion on where the future of this concept is likely to be of value for the practicing clinician considering current best evidence.

Objectives: Following this session, the participant will be able to:

1. Describe the biomechanical principles involved in nerve excursion (gliding) and the pathophysiology related to changes that affect the peripheral nervous system.
2. Provide a logical sequence of examination and evaluation of the peripheral nervous system.
3. Explain the rational for a theoretical algorithm for progressing a patient with Neurogenic symptoms and dysfunction through nerve mobilization intervention.
4. Present the current rational for the application of Nerve Mobilization and its application considering best practice evidence.

Dr. Zancolli invites us to reflect upon the role of coincidences, their meaning and the impact they have had and still have on our lives. As a result, he forces us to rethink our path, to look at it from an angle we might have brushed aside. He invites us to look into an alternate path, a path we have yet to walk.

The AAHS Principles of Internal Fixation in the Wrist and Hand Workshop is a Surgeons Workshop designed to provide participants an opportunity to learn techniques for internal fixation and technical pearls in wrist and hand fractures as well as fusion options 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:

1. Recognize fracture patterns and characteristics in the distal radius and perform volar plating and fragment specific plating in a distal radius sawbone model.
2. Demonstrate on a saw bone model the application of basic principles of lag screw fixation, neutralization plate, and compression plating in hand fractures.
3. Discuss surgical options for fusion in the wrist and hand and perform them in a sawbone model.

This panel will present and discuss four complex upper extremity cases involving soft tissue, fracture, and wound management. Each presenter will detail the specific diagnoses and treatment of the complex upper extremity case and invite group discussion regarding rational and evidence to support management of the case. Approximately 10-15 minutes will be granted for each case presentation and group discussion.

Objectives: Following this session, the participant will be able to:

1. Promote understanding of management and treatment of complex soft tissue injuries of the upper extremity.
2. Promote understanding of management and treatment of complex fractures of the upper extremity.
3. Promote understanding of management and treatment of complex wound management of the upper extremity.
4. Develop awareness of the management and treatment of the entire upper extremity following complex injuries of the arm.
5. Provide therapist the opportunity to discuss and collaborate on complex upper extremity cases.

This presentation will review the principles of neuroscience and the theory behind the use of graded motor imagery in rehabilitation. Application of graded motor imagery to specific diagnostic groups will be discussed including complex regional pain syndrome, upper limb amputation and phantom limb pain, and focal dystonia. Neuroplastic and cortical changes related to complex pain, and phantom limb pain will be reviewed. Case presentations illustrating use of graded motor imagery will be presented, and treatment strategies integrating the use of GMI principles such as laterality reconstruction, visual and motor imagery, and mirror therapy will be identified.

Objectives: Following this session, the participant will be able to:

1. Explain the principles of neuroscience that underlie the use of graded motor imagery in rehabilitation.
2. Understand the application of GMI for specific diagnostic groups within hand therapy practice.
3. Identify appropriate diagnostic groups for which GMI is an indicated and effective treatment intervention.
4. Develop specific GMI strategies for intervention to reduce pain and improve function

This 2 hour workshop will review rehabilitation of the shoulder through a combination of didactic and hands on learning. Topics covered will include shoulder anatomy and biomechanics, musculoskeletal dysfunction and its implications, surgical management, manual therapy skills, and the integration of alternative therapeutic approaches including core stabilization and Pilates. Rehab including and "beyond" rotator cuff exercises.

Objectives: Following this session, the participant will be able to:

1. Describe functional anatomy and biomechanics of the shoulder as it relates to evaluation and treatment.
2. Classify movement dysfunction and identify impairments, functional limitations and disability experienced by patients with musculoskeletal dysfunction of the shoulder.
3. Integrate manual therapy skills into the overall plan of care to reduce or eliminate impairments, activity limitations and restrictions associated with rotator cuff pathology of the shoulder.
4. Describe current surgical management of rotator cuff pathology and how it pertains to rehab management.
5. Integrate CORE stabilization, pilates and other out of the box therapeutic exercises into the overall plan of care to improve the overall functional performance of the individual with rotator cuff pathology.

This course will feature a pre -test and post-test and is approved by the ABPS for MOC parts II and IV as an educational module for the practice improvement module of metacarpal fractures. The goal is to present a non-biased, evidence based assessment of the treatment alternatives for patients with metacarpal fractures.

Objectives: Following this session, the participant will be able to:

1. Understand Parts II and IV of MOC and the requirements of the American Board of Plastic Surgery and the American Board of Orthopedic Surgery.
2. Understand the relevant anatomy pertinent to the management of metacarpal fractures.
3. Apply current evidence to the non-surgical and surgical methods of treatment of metacarpal fractures and compare the current evidence for diagnosis and treatment to their own practice in order to improve practice

The entire spectrum of scaphoid pathology will be presented from the acute fracture stage, to stable nonunions, progressing to unstable scaphoid nonunions with AVN and carpal instability (humpbacked collapse). Each of the faculty members will be presented a typical set of images from each of these various stages of scaphoid fracture pathology, and then will walk the audience through their preferred method of treatment for each of those particular stages. A combination of various treatment techniques will be presented ranging from percutaneous fixation to arthroscopic assisted internal fixation, arthroscopic guided bone grafting, and ORIF with a variety of vascularized bone grafts. A treatment continuum will be stressed, emphasizing that the selected treatment plan must be highly individualized to the patient's specific fracture / nonunion with respect to elapsed time from injury, location - waist vs. proximal pole, stability (displacement / angulation), presence of cystic resorption and proximal pole perfusion/ viability.

Objectives: Following this session, the participant will be able to:

1. Correctly identify the various stages of pathologic scaphoid fracture progression extending from the fresh fracture to the unstable nonunion with AVN and carpal instability.
2. Identify the appropriate treatment techniques or methods for each particular stage of scaphoid pathology.
3. Discuss the indications for arthroscopic assisted cancellous bone graft, open structural corticocancellous grafts, and a variety of vascularized bone grafts.
4. Discuss the unique characteristics and demands of the small proximal pole delayed union / nonunion

The course is case based presentations with interactive discussion from the audience devoted to pediatric upper extremity problems. Participants will participate in dialogue to ensure lively interaction and will focus on pediatric soft tissue injuries, fractures, and complications.

Objectives: Following this session, the participant will be able to:

1. Discuss childhood fingertip injuries with respect to mechanism of injury and treatment.
2. State the treatment for zone II flexor tendon injuries in children.
3. List the carpal injuries that occur in children.
4. Summarize the complications related to hand fractures in children

In this course, we will cover the technique and expected outcomes of the commonly done sets of transfers that can be performed for the tetraplegic patient. Among those procedures covered are procedures for key pinch, procedures for restoring pinch and grasp, and procedures for restoring elbow extension.

Objectives: Following this session, the participant will be able to:

1. To identify which spinal cord injury patients are candidates for which tendon transfer surgery.
2. To review the techniques and expected results of tendon transfers for elbow extension, pinch, and grasp.
3. To discuss the role of the therapist in the pre and postoperative management of the patient

Elite athletes in contact sports are prone to serious injuries to the hand and wrist. The specific requirements of the sport may necessitate treating these individuals differently than the "weekend warrior." Return to the sport as rapidly as possible with a "fix" that will stand up to the anticipated forces of the sport. Principles of diagnosis and treatment, with specific examples and illustrations, will be explained.

Objectives: Following this session, the participant will be able to:

1. Learn what injuries can be expected in specific contact sports and how to diagnose them.
2. Will be able to identify the recommended treatment for these injuries.
3. Analyze how and when certain treatments should be used from more classic treatments of the same injury.

Instability of the DRUJ can develop acutely after injury or may develop insidiously after bony misalignment or soft tissue laxity. Diagnosis and treatment have some controversial points that will be discussed. The course will focus on anatomy of the DRUJ and its clinical implications in open and arthroscopic treatment.

Objectives: Following this session, the participant will be able to:

1. To clinically examine the patients injuries properly and create a decision-tree to its diagnosis.
2. To identify the tendon reconstruction for chronic instability.

8:40 am - 8:41 am	Overview: General David C. Ring, MD
8:42 am - 8:44 am	22. Radial Head Arthroplasty: Restoring the Radiocapitellar Joint Contact Pressure Michael Alan Cohn, MD1, Anthony Sapienza, MD1, Sergio Glait, MD2, Young Kwon, MD, PhD3 1Hand and Upper Extremity, NYU Hospital for Joint Diseases, New York, NY, 2Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, 3Shoulder and Elbow, NYU Hospital for Joint Diseases, New York, NY
8:44 am - 8:46 am	23. Comparison of Smooth-Stemmed Bipolar with In-Growth Monopolar Radial Head Implants T. Sean Lynch, MD1, John C. Berschback, MD1, David M. Kalainov, MD1, Robert W. Wysocki, MD2, Mark S. Cohen, MD2, Bradley R. Merk, MD1 1Department of Orthopaedic Surgery, Northwestern University, Chicago, IL, 2Department of Orthopaedic Surgery, Midwest Orthopeadics, Rush University Medical Center, Chicago, IL
8:46 am - 8:51 am	Panel Discussion David C. Ring, MD; Edward Akelman, MD; Kevin C. Chung, MD; Mark E. Baratz, MD; Andrew L. Koman, MD; Carlos E. Martinez, MD; Juan M. Patino, MD
8:51 am - 8:52 am	Overview David C. Ring, MD
8:53 am - 8:55 am	24. The Fate of Asymptomatic Joint Arthritis in Patients Undergoing Rotator Cuff Surgery Prasad J. Sawardeker, MD, Katie E. Kindt, BS, Mark E. Baratz, MD, Darren Frank, MD Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA
8:55 am - 8:57 am	25. Narcotic Prescription Patterns Following Elective Carpal Tunnel Release Robert G. Neumann, MD, William Mathewson, MD, Loree K. Kalliainen, MD Department of Plastic Surgery, Regions Hospital, St Paul, MN
8:57 am - 8:59 am	26. Informed Shared Decision Making and Patient Satisfaction Arjan G.J. Bot, MD, Jeroen K.J. Bossen, BS, James H. Herndon, MD, MBA, David E. Ruchelsman, MD, David C. Ring, MD, PhD, Ana-Maria Vranceanu, PhD Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA
8:59 am - 9:01 am	27. The Influence of Job Satisfaction and Burnout on Disability after Finger Injuries John J. Kadzielski, MD, Arjan G.J. Bot, MD, David Ring, MD, PhD Orthopedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA
9:01 am - 9:03 am	28. Psychosocial Factors in Patients Diagnosed with Saddle Syndrome of the Hand Shailee Shah, BS, Abdo Bachoura, MD, Sidney M. Jacoby, MD, Brian George, MD, Randall W. Culp, MD The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
9:03 am - 9:13 am	Panel Discussion
9:13 am - 9:15 am	Overview David C. Ring, MD
9:17 am - 9:19 am	29. Postoperative Outcomes of Electrothermal Capsular Shrinkage as an Effective Treatment for Midcarpal Instability Andrew Wroblewski, BS, Abdo Bachoura, MD, Sidney M. Jacoby, MD, Randall W. Culp, MD Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
9:19 am - 9:21 am	30. Results with a New Mini Invasive Decompression for the Pronator Teres Syndrome Eduardo Rafael Zancolli III, MD, Christian Perrotto, MD, Eduardo Pablo Zancolli IV, MD Hand Surgery, Sanatorio de la Trinidad, Buenos Aires, Argentina
9:21 am - 9:23 am	31. Treatment of Radial Tunnel Syndrome with Radial Tunnel Release via an Anterior Approach Rohan Ashok Habbu, MS, MBBS, Department of Orthopaedics, University of Minnesota, Minneapolis, MN, Loree Kalliainen, MD Plastic and Hand Surgery, Regions Hospital, St. Paul, MN
9:23 am - 9:33 am	Panel Discussion
9:33 am - 9:34 am	Overview David C. Ring, MD
9:34 am - 9:36 am	32. Minimal Clinically Important Difference of Carpal Tunnel Release in Diabetic and Non-diabetic Patients Kagan Ozer, MD1, Sunitha Malay, MPH2, Serdar Toker, MD3, Kevin Chung, MD, MS2 1Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, 2Department of Surgery Section of Plastic Surgery, University of Michigan, Ann Arbor, MI, 3Department of Orthopaedic Surgery, Konya University, Meram, Turkey
9:36 am - 9:38 am	33. How Surgeons Decide When the Evidence Is Inconclusive Michael Hageman, MD, Thierry Guitton, MD, PhD, David Ring, MD, PhD Orthopedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA
9:38 am - 9:45 am	Panel Discussion

9:45 am - 9:50 am	Overview: Scaphoid/ Scapholunate Ligament Seth Dodds, MD
9:50 am - 9:52 am	34. Outcomes of Open Reduction and Internal Fixation of Acute Proximal Pole Scaphoid Fractures David Brogan, MD1, Steven Moran, MD2, Alexander Shin, MD1 1Orthopedic Surgery, Mayo Clinic, Rochester, MN, 2Plastic Surgery, Mayo Clinic, Rochester, MN
9:52 am - 9:54 am	35. Outcomes Following the Use of Two Scaphoid Compression Screws for the Treatment of Acute Fractures and Nonunions Ryan M. Garcia, MD1, Fraser Leversedge, MD2, J. Mack Aldridge, MD2, Marc Richard, MD2, David Ruch, MD2 1Surgery, Division of Plastic and Reconstructive Surgery, Duke University Medical Center, Durham, NC, 2Orthopedic Surgery, Duke University Medical Center, Durham, NC
9:54 am - 9:56 am	36. Long Term Outcomes of Capitohamate Bone-Ligament-Bone Grafts for Scapholunate Dissociation Robert J. van Kampen, MD1, Steven L. Moran, MD1 and Richard A. Berger, MD, PhD2 1Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN, 2Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN
9:56 am - 9:58 am	37. Early Outcomes Following a Modified Reduction and Association of the Scaphoid and Lunate with a Bioabsorbable Compression Screw Brandon J. Ball, BSc, MD, Kevin Mowbrey, BSc and Michael Morhart, MSc, MD, FRCSC Plastic and Reconstructive Surgery, University of Alberta, Edmonton, AB, Canada
9:58 am - 10:05 am	Panel Discussion Neal C. Chen, MD; Seth Dodds, MD; Phani Dantuluri, MD; Pablo De Carli, MD
10:05 am - 10:10 am	Overview: Trauma Phani Dantuluri, MD
10:10 am - 10:12 am	38. Radial Collateral Ligament Injuries of the Thumb Metacarpophalangeal Joint: Incidence and Epidemiology in a Military Population Kenneth F. Taylor, MD, Joseph T. Lanzi, MD, J. Matthew Cage, DO, Matthew L. Drake Orthopaedic Surgery Service, Tripler Army Medical Center, Honolulu, HI
10:12 am - 10:14 am	39. Hook of Hamate Fractures in Competitive Baseball Payers Abdo Bachoura, MD1, Sidney M. Jacoby1, Andrew Wroblewski, BS1, Randall W. Culp1, A. Lee Osterman, MD2 1Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA, 2Department of Orthopaedic Surgery, Thomas Jefferson University Hospital - The Philadelphia Hand Center, Philadelphia, PA
10:14 am - 10:16 am	40. Sequelae of Foreign Bodies in the Wrist and Hand Vishnu C. Potini, MD, Ramces Francisco, MD, Benhoor Shamian, MD, Virak Tan, MD Department of Orthopedics, University of Medicine and Dentistry of New Jersey- New Jersey Medical School, Newark, NJ
10:16 am - 10:18 am	41. Outcomes of Pediatric Supracondylar Humerus Fractures Treated by Adult Hand Surgeons Joshua Abzug, MD, Thao Nguyen, Ray Pensy, Andrew Eglseder, Vincent Pellegrini Department of Orthopaedic Surgery, University of Maryland, Baltimore, MD
10:18 am - 10:30 am	Panel Discussion

10:45 am - 10:50 am	Overview: Carpal Tunnel Syndrom David Dennison, MD
10:52 am - 10:54 am	42. Treatment of Carpal Tunnel Syndrome by Members of the American Society for Surgery of the Hand: A 25 Years Perspective Charles Leinberry, Michael Rivlin, Pedro Beredjiklian, Jonas Matzon, Mitchell Maltenfort, Asif M. Ilyas, MD Douglas Hutchinson, Rothman Institute, Thomas Jefferson University, Philadelphia, PA
10:54 am - 10:56 am	43. Management of Carpal Tunnel Syndrome by Members of the American Association for Hand Surgery Eon K. Shin, MD, Abdo Bachoura, MD, Sidney M. Jacoby, MD, Neal C. Chen, MD, A. Lee Osterman The Philadelphia Hand Center, PC, Thomas Jefferson University Hospital, Philadelphia, PA
10:56 am - 10:58 am	44. Electrodiagnostic Findings and Clinical Symptoms of the Contralateral Side in Patients with Abnormal Distal Sensory Latency of the Median Nerve Charlotte E.S. Hoogstins, BA, Stéphanie J.E. Becker, MD, David C. Ring, MD, PhD Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA
10:58 am - 11:08 am	Panel Discussion Peter C. Amadio, MD; David Dennison, MD; Mark Rekant, MD; Robert R. L. Gray, MD
11:08 am - 11:13 am	Overview: Trigger Finger Mark Rekant, MD
11:13 am - 11:15 am	45. Immediate A-1 Pulley Release versus Conventional Treatment in Diabetic Patients Miguel J. Saldana, MD Hand Surgery Specialist, San Antonio, TX
11:15 am - 11:17 am	46. Comparison of Type 3 and 4 Locked Trigger Thumb Treated with Corticosteroid Injection versus Percutaneous Release Melissa S. Arief, MD, MHS, Mukund Patel, MD Orthopedic Surgery, SUNY Downstate Medical Center, Brooklyn, NY
11:17 am - 11:27 am	Panel Discussion
11:27 am - 11:32 am	Overview: Tendon Robert R. L. Gray, MD
11:32 am - 11:34 am	47. Outcomes of Zone IV/V and TI to TIV Extensor Tendon Repair Using Running Interlocking Horizontal Mattress Technique Grant Altobelli, MD1, Stacy Conneely, CHT/OT2, Christina Haufler, CHT/OT2, Maura Walsh, CHT/OT2, David Ruchelsman, MD3 1Orthopaedic Surgery, Tufts Medical Center, Boston, MA, 2Division of Hand Therapy, Newton-Wellesley Hospital, Newton, MA, 3Orthopaedic Hand Surgery, Newton-Wellesley Hospital, Newton, MA
11:34 am - 11:36 am	48. A Prospective Randomized Controlled Trial of Night Splinting versus No Splinting after Treatment of Mallet Finger Jillian Gruber, BA, Arjan G.J. Bot, MD, David C. Ring, MD, PhD Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA
11:36 am - 11:38 am	49. An Institutional and Nationally-Extrapolated Cost Analysis of Surgical and Nonsurgical Management of Lateral Epicondylitis Anthony Fillmore, MD1, Kyongsei Sohn, PhD2, Thomas F. Breen, MD1 and Edward R. Calkins, MD1 1Department of Orthopedics, Hand Surgery Division, UMass Memorial Medical Center, Worcester, MA, 2School of Business Administration and Economics, State University of New York, The College at Brockport, Brockport, NY
11:38 am - 11:45 am	Panel Discussion

Innovation is an important hallmark in healthcare yet it needs to be supported by scientific evidence and ideally not be "market driven". However we are continuously confronted with the introduction of new surgical procedures or technology which begin with tremendous enthusiasm, rapid acceptance, but ultimately are proven not reproducible and fall out of favor ie "Scott's Parabola".

This lecture will highlight these phenomena and then address what many have termed the "medical-industrial complex". Multiple examples will be used to highlight this complex association. While innovative research is often industry sponsored with potentially biased findings, the researchers themselves can be biased as it is easier to publish positive results which may also advance careers. Potential alternatives to today's concerns, "conflicts of interests", and the difficulty of true "evidence-based" research in our specialty will be discussed.

Objectives: Following this session, the participant will be able to:

1. Clearly understand the dangers of the medical-industrial complex.
2. Understand the dangers of published studies which have outcomes that cannot be reproduced.
3. Have a clearer perspective of the dangers of innovations which are not supported by scientific evidence.

Dr. Diego L. Fernandez is an Orthopedic Hand Surgeon who currently practices in the Department of Orthopedic Surgery at the Lindenhof Hospital in Berne, Switzerland. Dr. Fernandez will speak about anecdotes and graphic documentation about his teachers and mentors: Leoncio Fernandez, Eduardo A. Zancolli, Harold B. Boyd, Lee Milford and Maurice E. Müller and how they influenced his career with special emphasis on hand and upper limb surgery. Dr. Fernandez will highlight issues and teachings such as surgical manual dexterity, the traumatic handling of tissues, the cultivating and profound knowledge of the anatomy, classifying the appropriate treatment for modality, orthopedic philosophy, the art of clinical hand examination, as well as the meticulously plan of preoperative bone and soft tissue procedures and how to carefully document your results to enable late evaluation.

This course will feature a pre -test and post-test and is approved by the ABPS for MOC parts II and IV as an educational module for the practice improvement module of basilar thumb arthritis. The goal is to present a non-biased evidence based assessment of the treatment alternatives for patients with thumb arthritis.

Objectives: Following this session, the participant will be able to:

1. Understand Parts II and IV of MOC and the requirements of the American Board of Plastic Surgery and the American Board of Orthopaedic Surgery.
2. Use an evidence based treatment plan for when to recommend and how to apply orthotics in patients with arthritis of the thumb CMCJ, as well as understand their value.
3. Apply current evidence to the non-surgical and surgical strategies of treatment of CMC arthritis of the thumb.

Diagnosis and management of failed cubital tunnel surgery will be presented. Detailed discussion regarding pearls and pitfalls to avoid the recurrence as well as management will aid the hand surgeon in their practice.

Objectives: Following this session, the participant will be able to:

1. Discuss the diagnosis and treatment of failed cubital tunnel surgeries.
2. Provide pearls and pitfalls for the management of failed cubital tunnel surgery.
3. Aid the hand surgeon in knowing how to manage complications associated with failed cubital tunnel surgery.

Management of the injured peripheral nerve has changed over the last decade. Advances in techniques and products have led to improved and more reliably positive outcomes. This course will provide an overview of the anatomy and physiology of the injured peripheral nerve and give recommendations for appropriate clinical assessment and EMG interpretation of these injuries. Reconstructive options including direct repair, nerve conduit, allograft, and autograft will be discussed. The role of splinting and therapy after nerve reconstruction will be presented.

Objectives: Following this session, the participant will be able to

1. Participants will understand the anatomy and physiology of peripheral nerve injuries in the upper extremity.
2. Attendees will be able to recognize the elements of an appropriate diagnostic workup including physical examination and interpretation of electrodiagnostic studies.
3. Attendees will gain an awareness of the current treatment options and recommendations for nerve repair and reconstruction.
4. After attending this course, participants will comprehend the postoperative therapy protocols required after nerve injury and reconstruction.

This course will cover complex vascular problems of the upper extremity, present diagnostic, and treatment dilemmas. Few hand surgeons outside of major referral centers garner extensive experience in their management. As a result many hand surgeons are not as familiar or facile with their treatment alternatives. This course will also review the pertinent vascular anatomy, with an emphasis on critical variations. Appropriate use of diagnostic testing including office based alternatives, capabilities of the vascular lab and radiographic studies will be presented. Finally, common vascular problems and their treatment options, both surgical and nonsurgical, will be reviewed utilizing a case based format.

Objectives: Following this session, the participant will be able to:

1. Understand the vascular anatomy.
2. Learn available diagnostic tests and how to order them in an appropriate and cost effective fashion.
3. Present common vascular disorders and their treatment alternatives both conservative and surgical.

The Smashed Elbow will discuss new techniques for addressing the most common fractures of the elbow. Attention will be directed at surgical steps to allow for ideal fixation. The complications that may occur as well as the current state of postoperative management will be discussed.

Objectives: Following this session, the participant will be able to:

1. Understand the most common fracture patterns in the elbow.
2. Learn surgical approaches to coronoid, distal humerus and radius fractures.
3. Recognize the instability patterns in association with fractures.
4. Learn complications that might occur and how to avoid them.

One measure of our success in treatment of the Workers' Compensation patient is their return to work. Psychological issues and legal issues are factors outside our realm of expertise which can have a significant impact on return to work. If we can improve our understanding of these issues we may be able to facilitate more efficient return to work

Objectives: Following this session, the participant will be able to:

1. Understand the differences between the medical definition of work related and the legal definition of compensable.
2. Be able to opine on the compensability of an injury or condition using a legal definition, recognizing that a compensable condition may or may not be entirely work related from a medical perspective.
3. Appreciate some of the psychological barriers to returning to gainful employment, and learn from a psychologist's perspective how our interactions with patient may raise or lower those barriers.
4. Think about surgeon's role in reviewing surveillance videos on Workers' Compensation patients.

8:15 am - 8:20 am	Overview: Dupuytren Disease Prosper Benhaim, MD
8:20 am - 8:22 am	50. Recurrence of Dupuytren's Contracture Following Collagenase Clostridium Histolyticum Injection Heather McMahon, BS, Sidney M. Jacoby, MD, Lauren DeTullio, OTR/L, CHT, Terri M. Skirven, OTR/L, CHT, Randall W. Culp, MD, A. Lee Osterman, MD The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
8:22 am - 8:24 am	51. Dupuytren's Contracture Recurrence after Treatment with Collagenase Clostridium Histolyticum: Diathesis and Other Disease Factors Catherine Curtin, MD, Division of Plastic Surgery, Stanford University, Palo Alto, CA, Brian Cohen, PhD Auxilium Pharmaceuticals, Inc, Malvern, PA
8:24 am - 8:26 am	52. Safety and Efficacy of Concurrent Collagenase Clostridium Histolyticum Injections to Treat Multiple Dupuytren's Cords F. Thomas Kaplan, MD1, Stephen Coleman, MBBS2, David Gilpin, MBBS2, Anthony Houston, MBBS3, Gregory J. Kaufman, MD4, Brian M. Cohen, PhD4, Nigel Jones, BSc5 1Indiana Hand Center, Indianapolis, IN, 2Brisbane Hand & Upper Limb Center, Brisbane, Australia, 3Private Practice Clinic, Redcliffe Hospital, Redcliffe, Australia, 4Auxilium Pharmaceuticals, Inc, Malvern, PA, 5Auxilium Pharmaceuticals, Inc, Windsor, United Kingdom
8:26 am - 8:28 am	53. Temporal Effects of Collagenase Clostridium Histolyticum Injection and Therapy on PIPJ Contractures in Dupuytren's Disease Kelsea Smith, Abdo Bachoura, MD, Lauren DeTullio, Sidney M. Jacoby, MD, Randall W. Culp, MD, A. Lee Osterman, MD and Terri M. Skirven, CHT Philadelphia Hand Center, Philadelphia Hand Center, Philadelphia, PA
8:28 am - 8:36 am	Panel Discussion Warren C. Hammert, MD; Prosper Benhaim, MD; Charles R. Leinberry, MD; Luciano Poitevin, MD
8:38 am - 8:43 am	Overview: Infection Charles R. Leinberry, MD
8:43 am - 8:45 am	54. Risk Factors for Increased Length of Stay in Hand Infections John Fowler, Mitchell Maltenfort and Asif M. Ilyas, MD Rothman Institute, Thomas Jefferson University, Philadelphia, PA
8:45 am - 8:47 am	55. Cat Bite Infections of the Hand: Predictors of Severity, Morbidity, and Outcomes Nikola Babovic1, Brian T. Carlsen, MD2, Cenk Cayci, MD2 1School of Medicine, Mayo Clinic, Rochester, MN, 2Department of Plastic Surgery, Mayo Clinic, Rochester, MN
8:47 am - 8:49 am	56. Do Povidone-Iodine Soaks Affect the Number of Operations Needed to Treat Hand Infections? Rick Tosti, MD, John Fowler, MD, Justin Iorio, MD, Joseph Thoder, MD, Alyssa Schaffer, MD Orthopaedic Surgery and Sports Medicine, Temple University, Philadelphia, PA
8:49 am - 8:55 am	Panel Discussion

8:55 am - 9:00 am	Overview: Flap Jeffrey B. Friedrich, MD
9:00 am - 9:02 am	57. Mini-Propeller Flaps in Fingers Reconstruction Alexandru Georgescu, Prof, MD, PhD, Irina Capota, MD, PhD, Ileana Matei, MD, PhD Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania
9:02 am - 9:04 am	58. Lateral Proximal Phalanx Flap: A New Technique for Coverage the Proximal Interphalangeal Joint. An Anatomic and Clinical Study Aldo G. Beltran Pardo, MD, Cirugía de Mano, Hospital Central Policía Nacional, Bogotá, Colombia and Camilo Romero, MD Cirugía de Mano, Universidad El Bosque, Colombia
9:04 am - 9:06 am	59. Pediatric Thenar Flaps: A Case Series Michael W. Chu, MD, Jason S. Barr, BA, Vishal Thanik, MD, Jamie P. Levine and Sheel Sharma, MD Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, NY
9:06 am - 9:11 am	Panel Discussion James P. Higgins, MD Jeffrey B. Friedrich, Andrea Bauer, Amir Tagihinia, MD
9:11 am - 9:13 am	60. Arterial Injury of Forearm in Well-perfused Limb: Can It Wait? Min Jung Park, MD, MMSc1, Itai Gans, BA1, Ines C. Lin, MD2, L. Scott Levin, MD, FACS1, David J. Bozentka, MD1, David R. Steinberg, MD3 1Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA, 2Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, 3University of Pennsylvania, Philadelphia, PA
9:13 am - 9:15 am	61. Does Prior Axillary Lymph Node Dissection Affect Radial Forearm Free Flap Reliability: A Single Surgeon's Seventeen Year Experience Clifford Thomas Pereira, MD, Travis Shiba, MD, Joel Sercarz, MD, Elliot Abemayor, MD, Vishad Nabili, MD, Keith Blackwell, MD Division of Plastic Surgery, UCLA, Los Angeles, CA
9:15 am - 9:17 am	62. Known Pre-operative DVT and/or Pulmonary Embolus - To Flap or Not to Flap the Severely Injured Extremity? Ian L. Valerio, MD, MS, MBA1, Jennifer Sabino, MD1, Reed Heckert, MD2, Scott M. Tintle, MD2, Mark Fleming, DO2 and Anand Kumar, MD3 1Plastic and Reconstructive Surgery, Walter Reed National Military Medical Center, Bethesda, MD, 2Department of Orthopaedics and Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, 3Division of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
9:17 am - 9:22 am	Panel Discussion
9:22 am - 9:27 am	Overview: Congenital Andrea Bauer, MD
9:27 am - 9:29 am	63. The Use of Bilobed Flap in Syndactly Release Cihan Sahin, MD, Ozge Ergun, MD Plastic and Reconstructive Surgery, Kasimpasa Military Hospital, Istanbul, Turkey
9:29 am - 9:31 am	64. Developing a Pollicization Outcomes Measure Dan Zlotolow, MD1, Sarah Ashworth, OTR1, Scott Kozin, MD1, Joshua Abzug, MD2 1Shriners Hospital for Children Philadelphia, Philadelphia, PA, 2Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD
9:31 am - 9:33 am	65. Metacarpal Synostosis: Treatment with a Longitudinal Osteotomy and Bone Graft Substitute Interposition Hilton P. Gottschalk, MD1, Michael Bednar, MD1, Molly Moor, MPh2, Terry Light, MD1 1Orthopaedic Surgery, Loyola University Medical Center, Maywood, IL, 2Loyola University Medical Center, Maywood, IL
9:33 am - 9:35 am	66. The Surgical Treatment of Camptodactyly and Reversal of Radiographic Changes in Children David T. Netscher, MD, Kristy L. Hamilton, BA Department of Orthopedic Surgery and Division of Plastic Surgery, Baylor College of Medicine, Houston, TX
9:35 am - 9:45 am	Panel Discussion

10:00 am - 10:05 am	Overview: Nerve Ranjan Gupta, MD
10:05 am - 10:07 am	67. Chondroitinase and Insulin-like Growth Factor Promote Nerve Regeneration after Limb Transplantation Nataliya Kostereva, PhD1, Yong Wang, MD1, Jignesh Unadkat, MD1, Rami Zanoun, MD1, Wensheng Zhang, PhD1, Timothy Ng, MD2, Xin Xiao Zheng, MD1, Vijay Gorantla, MD, PhD1 1Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, 2Surgery, University of Pittsburgh, Pittsburgh, PA
10:07 am - 10:09 am	68. Adult Rat Mesenchymal Stem Cells Delay Denervated Muscle Atrophy Junjian Jiang, PhD Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China
10:09 am - 10:17 am	Panel Discussion Ranjan Gupta, MD, Steve Kichil Lee, MD, Roger Cornwall, MD; Jorge Boretto, MD
10:17 am - 10:19 am	69. Sequelae Following Use of Sural Nerve for Nerve Reconstruction Lars B. Dahlin, MD, PhD, Alexander Hallgren, MD, Anette Chemnitz, MD, Anders Björkman, MD, PhD Hand Surgery, Department of Clinical Sciences Malmö, Malmö, Sweden
10:19 am - 10:21 am	70. Restoration of Peripheral Nerve after Acute Injury Using Epineural Sheath Conduit Enhanced with Bone Marrow Stromal Cells in Diabetic Conditions Miroslaw Lukaszuk, MD, Halil Safak Uygur, MD, Maria Madajka, PhD and Maria Siemionow, MD, PhD, DSc Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH
10:21 am - 10:23 am	71. Recovery Outcomes of Short Gap Sensory Nerve Repairs with Processed Nerve Allografts from a Multi-center Registry Study Brian Rinker, MD1, Renata V. Weber, MD2, John Ingari, MD3, Bauback Safa, MD4, Darrell Brooks, MD4 and Gregory M. Buncke, MD4 1Division of Plastic Surgery, University of Kentucky, Lexington, KY, 2Institute for Nerve, Hand, and Reconstructive Surgery, Rutherford, NJ, 3WellSpan Health Orthopedics, York, PA, 4The Buncke Clinic, San Francisco, CA
10:23 am - 10:33 am	Panel Discussion
10:33 am - 10:38 am	Overview: Brachial Plexus Steve K. Lee, MD
10:38 am - 10:40 am	72. Traumatic Brachial Plexus Palsy: How Accurate is the Pre-operative Diagnosis? Peter M. Murray, MD, Michael B. Wood, MD Department of Orthopedic Surgery/Division of Hand Surgery, Mayo Clinic, Jacksonville, FL
10:40 am - 10:45 am	73. Natural Course of Brachial Plexus Injuries and the Alteration of this Trajectory through Tendon Transfers Eric Wagner, MD, Mayo Clinic, Rochester, MN, Bassem T. Elhassan, MD Orthopaedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN
10:45 am - 11:00 am	Panel Discussion

James W. May is most recognized for his teaching, having won teaching awards at the Massachusetts General Hospital and at Harvard University. He has been elected as a member of the Academy of the Harvard Medical School. He was recognized by the American Society of Plastic Surgeons in 2006 with the life-time Educational Award. During the Danyo Lecture, Dr. May will discuss the history of the first public demonstration of ether anesthesia at the Massachusetts General Hospital. In addition, he will examine the lessons learned from the men who made this event possible and will explore current challenges facing modern educators in Hand Surgery.

Achieving both stability and mobility of the elbow joint in a complex elbow trauma is no easy task. The problem is even more challenging when the nerves around the joint are involved. This panel features experts who deal with this situation on a regular basis and will present the pearls and pitfalls in the management of these difficult injuries.

Experienced faculty will deliver a comprehensive review of commonly encountered hand and upper extremity conditions. 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 course, the participant will be able to:

1. Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist.
2. Practice with an enhanced understanding of the indications for surgical treatment, the post-operative rehabilitation, expected outcomes, and potential complications of the most common bone, joint, nerve, and soft tissue disorders involving the hand and wrist.
3. Explain the etiology, clinical presentation, physical examination findings, and diagnostic imaging features of various common disorders of the hand and wrist.
4. 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.
5. Compare different treatment methods to avoid complications and improve patient outcomes

This course will discuss the indications, patient selection and surgical techniques for restoring upper extremity function with the use of nerve transfers after nerve injury and in tetraplegia. From the shoulder to the hand, reinnervation options for motor and sensory function will be described and the post operative therapy protocols and expectations will be emphasized.

Objectives: Following this course, the participant will be able to:

1. To establish an algorithm for treating a patient with a nerve injury.
2. To understand the options for restoring critical motor and sensory function to the upper extremity.
3. To understand the importance of timing of nerve transfers after nerve injury.
4. To gain knowledge of the post operative therapy protocols to enhance post operative function after nerve
5. To establish use of distal nerve transfers in the tetraplegic patient population and discuss rationale, indications, pre-operative assessment, intra-operative tips and preliminary results.

This course will review the relevant anatomy of the brachial plexus and the factors predictive of prognosis. The various surgical options for the typical injuries seen by peripheral nerve surgeons are highlighted, as well as the evolution of the treatment algorithm.

As prosthetics improve, the ability to interface the motor and sensory systems becomes increasingly important. This course will review the anatomy, techniques and goals of targeted muscle and sensory reinnervation.

Peripheral alteration produced by neurotization often leads to extensive functional reorganization of the sensorimotor cortex. This course will highlight the findings in cortical recognition and reorganization following intercostal nerve transfer and contralateral C7 transfer.

Replantation is one of the most challenging problems we face- particularly difficult in the setting of avulsion mechanisms. Find out how to tackle this difficult problem and improve your odds of success.

Training the next generation of microsurgeons while remaining compliant with duty hour regulations and hospital initiatives on patient safety can be challenging to residency and fellowship program directors. Panelists will share

Current and future prospects of tissue engineering in reconstruction in defects in the extremities.

Bestselling novelist and journalist Carl Hiaasen is among South Florida's most vital natural resources. He writes in a comic style -- Hiaasenesque -- that combines thrilling plot lines, blunder-prone schemes, headstrong men and women, corrupt politicians, and a loving nod to the natural landscape of South Florida. Carl Hiaasen will present true weird stories of Florida and how they weave their way into the novels.