Optimal patient outcome for both post-operative and non-operative hand conditions requires a collaborative relationship between the patient, surgeon and hand therapist. The course will present practical applications to select therapy interventions and highlighting the best available current evidence.

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

1. Understand how to stratify appropriate patients for therapy versus home program instruction only.
2. Identify appropriate therapy interventions to optimize: motion; joint stability; muscle performance; and function and the correct dosage.
3. Integrate current evidence into clinical decision making and appropriate referral to hand therapy.

Raynaud's phenomenon and cold sensitivity are challenging clinical diagnoses to assess and treat. This course will present the current evidence regarding the assessment, non-operative treatment and surgical approaches to treatment of Raynaud's phenomenon and trauma-related cold sensitivity.

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

1. Understand the assessment of cold sensitivity and Raynaud's phenomenon.
2. Identify the available non-operative and operative treatment options.
3. Identify the criteria for appropriate patient and treatment selection.

The management of MP, PIP and DIP joint arthritis remains challenging and the optimal treatment is difficult to discern from the available scientific literature. The course faculty will present the optimal treatments based on published evidence and clinical experience. The technical aspects for optimizing surgical outcomes for each treatment option and the post-operative rehabilitation will be presented.

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

1. Understand key technical surgical details and expected outcomes.
2. Define surgical complications and their risk management.
3. Discuss key strategies and evidence for post-operative rehabilitation

Patients with elbow and shoulder pathology can present a diagnostic challenge. This course will present a systematic approach to assessment of the elbow and shoulder including subjective, objective and imaging techniques.

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

1. Identify the bony and soft tissue assessments for elbow and shoulder assessment.
2. Understand the differential diagnoses related to soft tissue elbow and shoulder pathology.
3. Discuss the optimal imaging techniques available for elbow and shoulder assessment.

Fragility fractures in the upper extremity are present a unique challenge for the patient and health care team. Using didactic presentations and case-based examples, this course will present the current evidence regarding medical, surgical and hand therapy approaches to assessment and treatment.

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

1. Identify the barriers to treatment and natural history of fragility fractures.
2. Understand the challenges to selecting the optimal method of non-operative and operative fracture management.
3. Identify the treatment strategies of the post-operative management of fragility fractures.

Following scaphoid fracture, a spectrum of pathology may occur from acute fracture, to stable nonunion, progressing to unstable scaphoid nonunion with avascular necrosis and carpal instability. A combination of various treatment approaches will be presented ranging from percutaneous fixation to arthroscopic assisted internal fixation, arthroscopic guided bone grafting, and open reduction internal fixation with vascularized bone grafts. Using a case-based approach, this course will present the options for treatment following scaphoid fracture.

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

1. Identify the pathologic scaphoid fracture progression stages.
2. Understand the available treatment techniques in each stage of scaphoid pathology and the indications for cancellous, corticocancellous and vascularized bone grafts.
3. Discuss the unique characteristics and demands of the small proximal pole delayed union / nonunion.
4. Understand the post-operative hand therapy approaches to treatment.

Using didactic presentations and case-based learning, this course will present the best available evidence regarding assessment and management of the patient with CMC osteoarthritis. This course will discuss the approaches to assessment and non-operative and operative treatment at the various stages of presentation.

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

1. Understand the anatomy of the thumb CMC joint and implications for treatment.
2. Identify the stages of CMC thumb osteoarthritis and approaches to treatment at each stage.
3. Understand the non-operative treatment and orthoses for CMC OA and the available post-operative hand therapy treatments.

This course will present updates on the comprehensive care of patients with Dupuytren's disease. Using didactic presentations and case-based instructions, this course will present the best available evidence for management of patients with Dupuytren's diseases.

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

1. Understand surgical techniques and alternative methods of treatment for the care of patients with Dupuytren's disease.
2. Understand post-treatment hand therapy approaches and modalities for Dupuytren's disease.

In today's constantly changing health care environment, understanding and maximizing economics can be challenging. This course will provide an overview of the current health care environment and specific approaches to maximizing reimbursements.

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

1. Understand the current health care environment.
2. Identify the barriers to navigating through the changing health care environment.
3. Understand strategies to maximize economics and reimbursements for hand care

This panel will present the most current evidence for management of sports related hand injuries for professional or recreational athletes. Using case-based discussion, the panelists will review the assessment and management of common hand injuries in athletes. The panel will discuss how particular sports and positions affect the treatment thought process.

Objectives: Following this session, participants will be able to:

1. Identify the key assessments for athletes.
2. Understand the non-operative and operative interventions for athletic hand injuries.
3. Examine the differences for treatment of the occasional and elite athlete.

Hand surgery and therapy can positively impact functional outcomes. Using current scientific evidence, the panelists will present their best tips and pearls to optimize patient outcomes after hand injury and surgery. Case based discussions will provide a basis for understanding how these techniques can best be employed for your patients.

Objectives: Following this session, participants will be able to:

1. Understand the current evidence for selection of hand therapy interventions.
2. Evaluate the current evidence for optimizing outcomes after hand surgery.
3. Understand and perform new techniques in both surgical and post-operative management that will improve patient outcomes.

"When can I play doc" will give an overview of the common hand and wrist injuries that we treat in professional athletes. Dr. Hayton will discuss the ethical issues that arise when being pressured to return the athlete to the field. Dr. Hayton will also illustrate his points recounting some amusing anecdotal stories and experiences in his time dealing with athletes.

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

1. Describe the typical hand and wrist injuries in professional athletes.
2. Choose the simplest and most effective conservative and surgical solutions for the athlete wrist injuries.

This interactive lab based course will introduce participants to evidence based techniques combined with theoretical constructs to support therapeutic taping as an adjunct to rehabilitation programs, therapeutic interventions for treated the injured musician, and understanding the concepts of brain neuroplasticity. Participants are anticipated to optimize their patient outcomes for both, conservative and post-operative conditions. Practical clinical skills will be learned to assist clinical goals using the combination of therapeutic taping techniques and sensorimotor and neuroplastic interventions with traditional upper extremity rehabilitation interventions.

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

1. Identify the evidence and theoretical concepts for therapeutic taping and sensorimotor interventions.
2. Describe how taping techniques can complement traditional rehabilitation intervention to achieve clinical goals.
3. Describe how sensorimotor interventions may improve neuroplasticity and improve motor performance.
4. Learn conservative treatment techniques to allow injured musicians to return to play and promote tissue healing.
5. Apply specific taping techniques for joint support, muscle inhibition and facilitation, and proprioception awareness

The application of therapeutic taping is widely used among rehabilitation therapists. Theoretical rational for taping the upper extremity includes:

• External support to optimize joint alignment
• Inhibition of overactive synergistic or antagonistic muscles
• Facilitation of underactive movement synergist
• Enhancement of proprioception
• Pain reduction
• Unloading irritable neural tissue

	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 from an international 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.
12:30 pm – 12:35 pm	Chairman Welcome and Introduction Randy R. Bindra, MD; Asif M. Ilyas, MD
12:35 pm – 12:45 pm	LECTURE: Principles of Interfragmentary Compression with Lag Screws and Compression Plates Alex A.J. Kocheta, MD, FRCS
12:45 pm – 1:05 pm	LAB 1: Application of Lag Screw to Long Oblique Fracture to Ring Metacarpal Fracture Marc J. Richard, MD
1:05 pm – 1:25 pm	LAB 2: Application of Dynamic Compression Plate to Transverse Fracture Index Metacarpal Shaft Charlie F. Leinberry, Jr., MD
1:25 pm – 1:40 pm	DEBATE: K Wires are Better than Screws and Plates for Proximal Phalanx Fractures For: Hilton P. Gottschalk, MD Against: Kim Mezera, MD
1:40 pm – 2:00 pm	LAB 3: Application of Locking T Plate for Rolando Fracture Thumb Metacarpal David Dennison, MD
2:00 pm – 2:15 pm	DEBATE: K Wires for Pinning/External Fixation Are Better than ORIF for Fracture Dislocations of the PIP Joint For: Jerry I. Huang, MD Against: John R. Fowler, MD
2:15 pm – 2:30 pm	LAB 4: Application of Distraction External Fixator for PIP Fracture Dislocations Randy R. Bindra, MD
2:30 pm – 2:40 pm	LECTURE: Indications for Acute Scaphoid Fixation Adam Watts, MD, FRCS
2:40 pm – 3:00 pm	LAB 5: Scaphoid Fracture Fixation Jeffrey Lawton, MD
3:00 pm – 3:10 pm	LECTURE: Reduction Maneuvers When Volar Plating of Distal Radius Fractures Asif M. Ilyas, MD
3:10 pm – 3:40 pm	LAB 6: Volar Plating of Distal Radius and Distal Ulnar Fractures Michael S. Bednar, MD
3:40 pm – 4:00 pm	LECTURE: Technical Pearls in Treating Hand Fractures Jaiyoung Ryu, MD
4:00 pm – 5:00 pm	Challenging Cases for the Panel Randy R. Bindra, MD; Asif M. Ilyas, MD

This late afternoon event was created for young hand surgeons and therapists (in practice five years or less) as well as those still in training to come and meet some of the seasoned AAHS board members. Enjoy a glass of wine and the opportunity to mingle with leaders in the field of hand surgery. Event includes hosted beverages and light appetizers.

Time to catch up with friends, network, and make new contacts within hand surgery. Hosted beverages and light appetizers will be served.

This instructional course will provide a refresher course based on the maintenance of certification module to present the best available evidence in the treatment of carpal tunnel syndrome. We will discuss outcomes based on the state of the art tools to improve practice. The faculty will present guidance regarding pre-operative assessment, treatment plan, outcomes evaluation, and overcoming complications and adverse events.

This course is designed for seasoned surgeons with experience of performing carpal tunnel surgery who are undergoing MOC requirements for ABOS and ABPS. The course has been approved by ABPS and ABOS for credits for fulfilling both Part 2 (continuing medical education) and ABPS for Part 4 (improvement in performance in practice of MOC for carpal tunnel modules).

Objectives: Following this session, participants will be able to:

1. Understand the best practices in management of carpal tunnel syndrome both in diagnosis and treatment.
2. Satisfying MOC Part 2 and Part 4 requirements for carpal tunnel module.
3. Comparing their practice with the majority of American surgeons in performing carpal tunnel surgery.
4. Evaluate the literature on the best evidence for carpal tunnel diagnosis and treatment.
5. Enhance the treatment of carpal tunnel syndrome by minimizing complications and treatment of complications effectively to achieve optimal outcomes.

To err is human. Adverse events are inevitable and they are taxing and disheartening. When complications occur, we need to support our patient and their family through an unexpected challenge. Issues arise as patients become dissatisfied and physicians become defensive. In an interactive, open, case-based forum format, the faculty will lead a discussion of methods for addressing the adverse events and the unsatisfied customer.

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

1. Develop a strategy for handling adverse events.
2. Understand to increase patient understanding and truly provide "informed consent".
3. Learn how to maximize the patient-physician relationship and develop patient trust.

This course will educate the practitioner on the changes in the health care environment and how they affect the practice of hand surgery. The course will touch on accountable care organizations, meaningful use, integrated delivery systems, the use of physician extenders, and how to assess the overall health of your practice.

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

1. Understand “Meaningful Use Criteria” and how changes in these criteria will affect the evaluation of your practice.
2. Discuss the future of healthcare and how integrated delivery and ACO's will play a role in that future.
3. Maximize the use of physician extenders to make your practice more efficient and profitable.

This course will address how to recognize and treat complex radial articular fractures. A variety of treatment options will be described, as well as the best methods to select the correct operative approach and treatment method. The course will also evaluate soft tissue and ensuing bone complications that every wrist and trauma surgeon will encounter.

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

1. Understand fracture patterns and the principles of treatment that exist regardless of fixation method chosen.
2. Describe treatment for simple and complex writ fractures including cast immobilization and surgical treatment.
3. Learn to deal with associated injuries such as soft-tissue and nerve complications seen in these injury patterns.

Participants in this course will learn which flaps can reliably provide coverage for wounds of the hand. This will course will cover complex small and large wounds that can help the hand surgeon provide coverage of most hand wounds.

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

1. Understand their choices for flap coverage in the hand which are the most reliable.
2. Know flap anatomy in hand coverage.
3. Develop a treatment algorithm and understand the indications for certain flaps in the hand.

This course will cover the full range of soft tissue procedures frequently needed to successfully care for pediatric and congenital hand anomalies. The faculty will present a full array of options including: Z plasty, Snow littler, Upton transposition flaps, Index rotation flap, Abdel Ghani dorsal advancement, Seagull flap, Syndactyly dorsal advancement flap, Syndactyly dorsal commisure flap and grafts, and Pollicization incisions.

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

1. Analyze several options for each soft tissue defects encountered in congenital hand surgery.
2. Confirm the relative advantages and risks of surgical choices.

Formulating a diagnostic and management plan for the patient with ulnar sided wrist pain can be challenging. This instructional course will help the participant categorize and organize the differential diagnosis by presenting an algorithm that allows one to understand ulnar sided wrist pain. Diagnostic maneuvers, imaging techniques, and surgical approaches will be presented in the context of our current understanding of the anatomy, biomechanics and pathomechanics that affect patients' presentations. Current treatment options, both open and arthroscopic, will be discussed and demonstrated to highlight surgical pearls and techniques.

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

1. Know the biomechanics and anatomy of the ulnar side of the wrist and how it affects symptomatology and treatment options.
2. Develop a methodical approach to patients with ulnar sided wrist pain.
3. Develop solutions to achieve optimal outcomes in wrist pain treatment.

Understanding the disease processes and the results of treatments is essential to furthering the field of hand surgery. This requires researchers with dedication, support, and opportunities to pursue this science. In this course, the opportunities within hand surgery research are discussed. The role of mentoring of young investigators, the obstacles to performing high quality research and strategies to advance research within hand surgery are reviewed.

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

1. Understand the role of mentoring and support of hand surgery science and research.
2. Identify common pitfalls and roadblocks to successful research completion.
3. Learn to identify gaps in the literature and propose projects to eliminate those gaps.

This course will discuss new techniques for addressing the most common fractures of the elbow, including distal humerus, radius, and ulna, as well as instability issues with elbow trauma. 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 proximal radius and ulna fractures.
3. Recognize the elbow instability patterns associated with certain fractures.

Unexpected complications happen. This panel will present cases that developed complications following hand surgery. The panelists will use these failures, and their subsequent solutions, to illustrate advanced hand treatment concepts.

Objectives: Following this session, participants will be able to:

1. Understand the postoperative management following a surgical complication.
2. Understand the patient selection factors for re-operation following a surgical complication.
3. Identify factors that minimize to likelihood of complications

Musical creativity has existed since the earliest days of human civilization. Until recently, how the brain actually produces musical ideas was poorly understood. Recent advances in brain imaging have allowed us to address questions of artistic significance that were previously felt to be inaccessible to scientific inquiry. Of the multiple creative processes that take place in music, improvisation—the spontaneous generation of musical material—provides an inspiring tool to study these processes. This presentation will highlight several functional neuroimaging studies that have examined the process of musical improvisation in expert jazz and hip hop musicians, as a window into the complex neural processes that give rise to creativity.

11:00 am – 12:15 am	Concurrent Scientific Abstract Session I (2 minute presentations) Moderator: Randip R. Bindra, MD Panelists: Douglas Ross, MD Linda C. Cendales, MD Caudius D. Jarrett, MD Julianne Howell
11:00 am – 11:02 am	1. Side-to-side vs. Pulvertaft Extensor Tendon Repair; Biomechanical Study Michael Rivlin, Amir Reza Kachooei, MD, Ali Hosseini, PhD, Kyle Eberlin, MD, Nikola Zivaljevic, MD, Guoan Li, PhD and Chaitanya S. Mudgal, MD Department of Orthopaedics, Massachusetts General Hospital, Harvard University, Boston, MA
11:02 am – 11:04 am	2. Does Barbed Suture Repair Negate the Benefits of Peripheral Repair in Porcine Flexor Tendon? Alan Sull, MD; Serkan Inceoglu, PhD; Montri Wongworawat, MD Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, CA
11:04 am – 11:06 am	3. Anatomy of the Flexor Digitorum Profundus Insertion Kyle J. Chepla, MD; Robert J. Goitz; John R. Fowler, MD Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
11:06 am – 11:08 am	4. Relative Motion Flexion Splinting for Flexor Tendon Repairs: Proof of Concept Bryan Chung, MD, PhD1; Vishal Thanik, MD2; David T.W. Chiu, MD3 1Plastic Surgery/ Hand Program, University of Toronto, Toronto, ON, Canada; 2Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York, NY; 3Plastic Surgery, NYU Langone Medical Center, New York, NY
11:08 am – 11:10 am	5. Comparing Biomechanical Properties, Repair Times, and Costs of Common Flexor Tendon Repairs Aakash Chauhan, MD, MBA1; Patrick Schimoler, BSE2; Mark C. Miller, PhD2; Edward Birdsong, MD1; Matthew J. Schessler, MD1; Bradley A. Palmer, MD1 1Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA; 2Orthopaedic Research, Allegheny General Hospital, Pittsburgh, PA
11:10 am – 11:12 am	6. Danger Zones For Flexor Tendons In Volar Plating Of Distal Radius Fractures Jerry I. Huang, MD; Sonya Agnew, MD; Karin Ljungquist, MD Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA
11:12 am – 11:14 am	7. Inpatient Status Drives Risk of Superficial Surgical Site Infection In Tendon Procedures P. Sanati-Mehrizy, BA; J. Hernandez-Rosa, MD; PJ Taub, MD Department of Surgery, Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY
11:14 am – 11:24 am	Panel Discussion
11:24 am – 11:26 am	8. Optimized Repopulation of Tendon Hydrogel: Synergistic Effects of Growth Factor Combinations and Adipoderived Stem Cells Simon Farnebo, MD, PhD1; Lovisa Farnebo, MD, PhD2; Maxwell Kim, BS1; Hung Pham, BS1; Colin Y. Woon, MD1; James Chang, MD1 1Division of Plastic Surgery, Stanford University Medical Center, Palo Alto, CA; 2Otolaryngology - Head and Neck Surgery, Stanford University, Palo Alto, CA
11:26 am – 11:28 am	9. Flexor Tendon Repair in an Ex-Vivo Model: An Established Knotless Bidirectional Barbed Suture Technique Does Not Withstand Cyclic Loading Necessary for Early Rehabilitation Fred O'Brien, MD1; Kenneth Means1; Brent Parks1; Ebrahim Paryavi2 1Curtis National Hand Center, Baltimore, MD; 2University of Maryland Medical Center, Baltimore, MD
11:28 am – 11:30 am	10. Glucocorticoids Differentially Inhibit Viability, Proliferation and Differentiation of Human Tenocytes Rich Hillesheim, BS1; A. Lee Osterman, MD2; Rowena McBeath, MD, PhD2 1School of Medicine/Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA; 2The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
11:30 am – 11:32 am	11. Comparisons of Rabbit Flexor Tendon Stiffness via Acoustoelastic Ultrasound during Mechanical Testing and In vivo Loading Danielle Stoll-Tronnes, MS; Ellen M. Leiferman, DVM; Michael Stitgen, BS; Sarah Duenwald-Kuehl, PhD; Ray Vanderby Jr, PhD; Jonathan L. Tueting, MD Orthopedics and Rehabilitation, University Wisconsin Madison, Madison, WI
11:32 am – 11:34 am	12. Ultrasound Guided Percutaneous Annular Pulley Release for Trigger Finger Julia C. Ruston, MBBS; Oliver Bassett, MD; Rupert Eckersley, MD; Robert Pearce, MD; Gajan Rajeswaran, MD; Effie Katsarma, MD Chelsea and Westminster Hospital, London, United Kingdom
11:34 am – 11:36 am	13. Simultaneous Closed Rupture of Flexor Digitorum Superficialis and Flexor Digitorum Profundus Tendons in the Middle Finger: A Case Report Robert W. Jordan, MBChB, MRCS; Naeil Lotfi, K. Srinivas; Gunaratnam Shyamalan Trauma & Orthopaedic, Birmingham Heartlands Hospital, Birmingham, United Kingdom
11:36 am – 11:38 am	14. Linburg-Comstock Anomaly: Prevalence in a Racially Diverse Population and Effect on Hand Strength Nicholas Schraut, MD; David Mossad, BS; Olivia Wang, MD; Mark Gonzalez, MD, PhD Orthopaedic Surgery, University of Illinois Chicago, Chicago, IL
11:38 am – 11:48 am	Panel Discussion
11:48 am – 11:50 am	15. Functional Comparison of Hand Transplantation and Prosthetic Fitting in Below-Elbow Amputees Stefan Salminger, MD1; Agnes Sturma, BSc1; Aidan Roche, MD, PhD1; Marina Ninkovic, MD, PhD2; Gerhard Pierer, MD, PhD3; Adam Chelmonski, Md, PhD4; Jerzy Jablecki, MD, PhD4; Oskar C. Aszmann, MD1 1Division of Plastic and Reconstructive Surgery, Medical University of Vienna, CD Laboratory for Restoration of Extremity Function, Vienna, Austria; 2Department of Physical Medicine and Rehabilitation, Medical University of Innsbruck, Innsbruck, Austria; 3Department of Plastic and Reconstructive Surgery, Medical University of Innsbruck, Innsbruck, Austria; 4Subdepartment of Replantation of Limbs, Hand Trauma Center St. Hedwigs's Hospital, Trzebnica, Poland
11:50 am – 11:52 am	16. Control of Upper Limb Prostheses By Activation of Motor Units in Targeted Muscle Reinnervated Patients Aidan Roche, MBBS, PhD1; Hubertus Rehbaum, PhD2; Tamas Kapelner2; Ning Jiang, PhD2; Dario Farina, PhD2; Oskar C. Aszmann, MD, PhD1 1CD Laboratory for Restoration of Extremity Function, Division of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna, Austria; 2Department of Neurorehabilitation Engineering, Georg-August University, Göttingen, Germany
11:52 am – 11:54 am	17. WITHDRAWN
11:54 am – 11:56 am	18. Complications following Upper Extremity Amputation or Replantation: A Review of 14,481 Cases Arjun Sebastian, MD1; Rajaie Hazboun, BA1; Amy Wagie, BA2, Elizabeth Habermann, PhD2; Sanjeev Kakar, MD1 1Department of Orthopedics, Mayo Clinic, Rochester, MN; 2Department of Health Sciences Research, Mayo Clinic, Rochester, MN
11:56 am – 11:58 pm	19. Cadaveric Study: Detailed Intra-flap Perforator Anatomy of the Dorsal Ulnar Artery Perforator Flap (Becker Flap) Hui Qi Crystalline Lim, BSc1; Sze Wei Justin Lee, MbChB1; Quentin A. Fogg BSc, PhD2; Andrew M. Hart, MD, PhD, FRCS3 1School of Medicine, University of Glasgow, Glasgow, United Kingdom; 2Laboratory of Human Anatomy, University of Glasgow, Glasgow, United Kingdom, 3Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, United Kingdom
11:58 am – 12:00 pm	20. Various Types of Superficial Circumflex Iliac Artery Perforator (SCIP) Flap for Hand Reconstruction: A Single Surgeon's Experience Hidehiko Yoshimatsu, MD1; Takumi Yamamoto1; Taku Iwamoto, MD2; Akitatsu Hayashi, MD1; Nobuko Hayashi1; Mitsunaga Narushima1; Takuya Iida1; Isao Koshima1 1Plastic and Reconstructive Surgery, University of Tokyo, Tokyo, Japan; 2Tomei Atsugi Hospital, Atsugi, Japan
12:00 am – 12:02 pm	21. Lateral Arm Flap: A Detailed Quantitative and Qualitative Cadaveric Study of Intra-Flap Perforators Hui Qi Crystalline Lim, BSc1; Sze Wei Justin Lee, MbChB1; Quentin A. Fogg, BSc, PhD1; Andrew M. Hart, MD, PhD, FRCS2 1School of Medicine, University of Glasgow, Glasgow, United Kingdom; 2Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, United Kingdom
12:02 pm – 12:15 pm	Panel Discussion

11:00 am – 12:15 am	Concurrent Scientific Abstract Session II (2 minute presentations) Moderator: John T. Capo, MD Panelists: Marco Rizzo, MD Scott F. Duncan, MD, MPH Cherrie A. Heinrich, MD Susan Michlovitz, PT, PhD, CHT
11:00 am – 11:02 am	22. Efficacy and Safety of Collagenase Clostridium Histolyticum Treatment for Dupuytren's Contracture: Effect of Delayed Finger Extension Gary M. Pess, MD1; Robert I. Gelb, MD2; Huey Y. Tien, MD3; Gregory J. Kaufman, MD4; James P. Tursi, MD4; Ted Smith, PhD4 1Central Jersey Hand Surgery, Eatontown, NJ; 2CORE Orthopaedic Medical Center, Encinitas, CA; 3Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY; 4Auxilium Pharmaceuticals, Inc, Chesterbrook, PA
11:02 am – 11:04 am	23. Efficacy and Safety of Xiaflex Injections for the Treatment of 1st Web Cords in Dupuytren Contractures F. Thomas D. Kaplan, MD Indiana Hand to Shoulder Center, Indianapolis, IN
11:04 am – 11:06 am	24. Collagenase for Dupuytren's Disease in the U.K. N.H.S. - The Royal Orthopaedic Hospital Experience Eleonore E. Breuning, MBBCh, MD, FRCS; Elizabeth George, MD; Anuj Mishra, MD; Marianne Yousif, MD; Richard Pinder, MD; Claire Simpson, MD; Michael Craigen, MD; Subodh Deshmukh, MD; Michael Waldram, MD; Mark Brewster, MD Hand Surgery Department, Royal Orthopaedic Hospital, Birmingham, United Kingdom
11:06 am – 11:08 am	25. Improved Outcomes With Injectable Clostridial Collagenase For Dupuytren's Contracture: A Single Surgeon's Experience Arezou Yaghoubian, MD; Jusin Koh, BS; Elizabeth Zielens, MD; Raul Cortes, MD; Matt Kwan, MD; Prosper Benhaim, MD Plastic Surgery, UCLA, Los Angeles, CA
11:08 am – 11:10 am	26. Predictors of Satisfaction with Hand Function In Patients Undergoing Limited Fasciectomy for Dupuytren's Disease Chao Zhou, MD1; Ranjit Singh, MSc1; Michiel Zuidam, MD1; Xander Smit, MD1; Harm Slijper, PhD2; Reinier Feitz, MD2; Steven Hovius, MD, PhD1; Ruud Selles, PhD1 1Plastic, Reconstructive and Hand surgery, Erasmus Medical Center and Xpert Clinic, Rotterdam, Netherlands; 2Hand and Wrist Surgery, Xpert Clinic, Hilversum, Netherlands
11:10 am – 11:12 am	27. Developing an Animal Model of Dupuytren's Disease by Orthotopic Transplantation of Human Fibroblasts into Athymic Rat Latha Satish, MSc, MPhil, PhD1; Bradley A. Palmer, MD2; Fang Liu, BS1; Loukia Papatheodorou, MD4; Lora Rigatti, VMD, DACVP3; Mark E. Baratz, MD4; Sandeep Kathju, MD, PhD1 1Plastic Surgery, University of Pittsburgh, Pittsburgh; 2Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, PA; 3University of Pittsburgh, Pittsburgh, PA; 4Hand and Upper Extremity Surgery, Orthopaedic Specialists at University of Pittsburgh Medical Center, Washington, PA
11:12 am – 11:14 am	28. Prevalence of Palmar Fibromatosis with and without Contracture in Asymptomatic Patients Gustave Diep, BS; Julie Agel, MA; Julie E. Adams, MD Department of Orthopaedics, University of Minnesota, Minneapolis, MN
11:14 am – 11:24 am	Panel Discussion
11:24 am – 11:26 am	29. Bupivicaine Extended-Release Liposome vs. Marcaine for Early Post-Operative Pain Control Following Wrist Operations: A Prospective Randomized Double-Blind Controlled Trial Elizabeth L. Dale, MD; Jason Rehm, MD; Justin Cowart, MD; Marshall Jemison, MD; Woody Kennedy; MD; Mark Brzezienski, MD Department of Plastic Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN
11:26 am – 11:28 am	30. The Use of Liposomal Bupivacaine in the Treatment of Vaso-occlusive Symptoms in the Hand Scott F.M. Duncan, MD, MPH, MBA1; Jose Soberon, MD2 1Department of Orthopedic Surgery, Ochsner Health System, New Orleans, LA; 2Department of Anesthesia, Ochsner Health System, New Orleans, LA
11:28 am – 11:30 am	31. Quantification of Venous Pressures During Intravenous Regional Anesthesia Alex C. Lesiak, MD, MS1; Christopher M. Viscomi, MD2; Hayk Minasyan, MD3, Borzoo Farhang, DO, MS1; Adam B. Shafritz, MD1; Michel Y. Benoit, MD1 1Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, VT; 2Department of Anesthesiology, University of Vermont, Burlington, VT; 3Department of Anesthesiology and Perioperative Medicine, UCLA, Los Angeles, CA
11:30 am – 11:32 am	32. Osteoporosis: Survey of Hand Surgeons' Interest and Competency in its Management Michael Rivlin, MD; Nayoung Kim, BS; Asif Ilyas, MD Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
11:32 am – 11:34 am	33. Opportunistic Osteoporosis Screening: Gleaning Additional Information from Diagnostic Wrist CT Scans Joseph J. Schreiber, MD1; Elizabeth B. Gausden, MD2; Paul A. Anderson, MD3; Michelle G. Carlson, MD1; Andrew J. Weiland, MD2 1Orthopaedic Surgery, Hospital for Special Surgery, New York, NY; 2Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, NY; 3University of Wisconsin, Madison, WI
11:34 am – 11:36 am	34. The Effect of Limited Elbow Range of Motion on Gait Mechanics Samir K. Trehan, MD; Aviva L. Wolff, OT, CHT; Mandi Gibbons, MS; Mauro Miranda, MA; Howard J. Hillstrom, PhD; Aaron Daluiski, MD Hand & Upper Extremity Surgery, Hospital for Special Surgery, New York, NY
11:36 am – 11:38 am	35. Subungual Melanoma: A Search for an Evidence-Based Treatment Plan Abigail Maciolek Cochran, MD1; Patrick J. Buchannan, MD2; Reuben A., Jr. Bueno, MD1; Michael W. Neumeister, MD1 1Institute of Plastic Surgery, Southern Illinois University, Springfield, IL; 2Department of Plastic surgery, University of Michigan, Ann Arbor, MI
11:38 am – 11:48 am	Panel Discussion
11:48 am – 11:50 am	36. Surgical Stabilization For Thumb Base Hyperlaxity; A Randomized Comparison Of The Dorsal And Volar Approach With A Cohort Of The Volar Approach K.R. Spekreijse, MD1; G.M. Vermeulen, MD, PhD2; T.M. Moojen, MD, PhD2; H.P. Slijper, PhD1; R.W. Selles, PhD1; S.E.R. Hovius, MD, PhD1; R. Feitz, MD2 1Plastic Surgery, Erasmus MC, Rotterdam, Netherlands; 2Plastic Surgery, Xpert Clinic, Hilversum, Netherlands
11:50 am – 11:52 am	37. First CMC Arthritis - A Novel Staging System and Radiographic Analysis of Suture Button Suspension Ajul Shah, MD1; Sarah Rizzo, BS1; Anup Patel, MD, MBA1; J. Grant Thomson, MD1; John Safanda, MD2 1Section of Plastic & Reconstructive Surgery, Yale University School of Medicine, New Haven, CT; 2Foundation Hospital, Kaiser Permanente, San Rafael, CA
11:52 am – 11:54 am	38. Sensitivity and Specificity of Radiographs in the Diagnosis of Carpometacarpal Joint Injuries S. Hassan, MB, ChB, MRCS; A. Aziz, MRCS; T. R. C. Davis, MBChB, FRCS, MD; ND Downing, MA, BM, BCh, FRCS; R. W. Trickett, MBBCh, MSc, FRCS Department of Hand Surgery, Queen's Medical Centre, Nottingham, United Kingdom
11:54 am – 11:56 am	39. Outcomes of Surgical Management Of Bilateral Rheumatoid Wrist Disease K. Kailash, MCh, MRCS, MBBS; A. Raza, MCh, MRCS, MBBS; Senthil Mahalingam, MCh, MBBS; SC Talwakar, FRCS, Michael Hayton, FRCS; SR Murali, FRCS; I. Trail, FRCS Wrightington Upper Limb Unit, Wrightington Hospital, Wigan, United Kingdom
11:56 am – 11:58 am	40. Basal Joint Arthroplasty Decreases Carpal Tunnel Pressure Kevin Lutsky, MD; Asif Ilyas, MD; Nayoung Kim, BS; Pedro Beredjiklian, MD Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
11:58 am – 12:00 pm	41. Outcomes of Pyrolytic Carbon Hemiarthroplasty for Thumb Basal Joint Arthritis: A Single Centre Experience Imran Ratanshi, MD, MSc; Kenneth A. Murray, MD, FRCSC; Avinash Islur, MD, FRCSC Department of Surgery/Section of Plastic Surgery, University of Manitoba, Winnipeg, MB, Canada
12:00 pm – 12:02 pm	42. Radiographic Analysis Of Simulated First Dorsal Interosseous And Opponens Pollicis Activation Upon Thumb CMC Joint Subluxation: A Cadaver Study Julie E. Adams, MD1; Virginia H. O'Brien, OTD, OTR/L, CHT1; Erik Magnusson, MD2; Benjamin Rosenstein, MA3; David Nuckley, PhD4 1Department of Orthopaedics, University of Minnesota, Minneapolis, MN; 2Department of Orthopaedic Surgery, University of Washington, Seattle, WA; 3Medical School, University of Minnesota, Minneapolis, MN; 4Zimmer Spine, Minneapolis, MN
12:02 pm – 12:15 pm	Panel Discussion

12:15 pm – 1:30 am	Concurrent Scientific Abstract Session III (2 minute presentations) Moderator: Peter M. Murray, MD Panelists: Scott Wisotsky, MD Alexandru V. Georgescu, MD, PhD William H. Seitz, Jr., MD Joy MacDermid, BScPT, PhD
12:15 pm – 12:17 pm	43. Volar Locking Plates Versus External Fixation and Adjuvant Pin Fixation in Unstable Distal Radius Fractures: A Randomized, Controlled Study - Clinical Outcomes at 5 Years John H. Williksen, MD1; Frede Frihagen, MD, PhD1; Johan C. Hellund, MD, PhD1; Hebe D. Kvernmo, MD, PhD2, Carina Rosales, OT1; Torstein Husby, MD, PhD1 1Department of Orthopaedics, Oslo University Hospital, Oslo, Norway; 2Department of Orthopaedics, University Hospital of North Norway, Tromso, Norway
12:17 pm – 12:19 pm	44. Intramedullay (Sonoma Wrx Distal Radius Nail) Versus Volar Locking Plate Fixation for Distal Radius Fractures: A Prospective, Randomized Controlled Study Ajmal Ikram, FCS, Orth(SA); Mark Van Der Kaag, MBChB Orthopaedic Department, Tygerberg Hospital, University of Stellenbosch, Cape Town, South Africa
12:19 pm – 12:21 pm	45. Bridge Plating For Distal Radius Fractures: A Prospective Functional Analysis Alexander Lauder, MD; Sonya Agnew, MD; Christopher H. Allan, MD; Jerry I. Huang, MD Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA
12:21 pm – 12:23 pm	46. Distal Radius Fracture Fixation Using a Specialized Threaded Pin John S. Taras, MD; Jason Saillant, MD; Peter Goljan, MD The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
12:23 pm – 12:25 pm	47. A Clinical Decision Rule for the Use of Radiography in Acute Wrist Injury: Development and External Validation of the Amsterdam Wrist Rules Monique M.J. Walenkamp, MD, MSc; J. Carel Goslings, MD, PhD; Niels W.L. Schep, MD, PhD, MSc Trauma Unit, Deptartment of Surgery, Academic Medical Center, Amsterdam, Netherlands
12:25 pm – 12:27 pm	48. ORIF Distal Radius: Catastrophic Thinking Leads to Stiff Fingers Teun Teunis, MD; Arjan Bot, MD; Emily Thornton, BSc; David Ring, MD, PhD Hand & Upper Extremity Service, Massachusetts General Hospital - Harvard Medical School, Boston, MA
12:27 pm – 12:29 pm	49. How Important is Cast Application to the Successful Management of Paediatric Distal Radius Fractures Robert W. Jordan, MBChB, MRCS; Gurdip Chahal, K. Srinivas; Gunaratnam Shyamalan Trauma & Orthopaedic, Birmingham Heartlands Hospital, Birmingham, United Kingdom
12:29 pm – 12:39 pm	Panel Discussion
12:39 pm – 12:41 pm	50. Obesity Increases Complexity of Distal Radius Fracture in Fall from Standing Height Thomas Ebinger, MD; Lori Dolan, PhD; Katelyn McDonald, BS; Brian Adams, MD; Apurva Shah, MD, MBA; Department of Orthopaedics, University of Iowa, Iowa City, IA
12:41pm – 12:43 pm	51. Changes in the Fracture Patterns of the Distal Radius in Patients Aged Between 51-89 Years Between 2006 And 2012 Sohail Nisar, MBBS, MRes; Osman Riaz; Mayank Vashishta; Sudhi Ankarath Trauma and Orthopaedics, Huddersfield Royal Infirmary, Huddersfield, United Kingdom
12:43 pm – 12:45 pm	52. Are Distal Radial Fractures in Elderly Patients Best Managed by Percutaneous Wires or Moulded Cast – a Retrospective Comparative Study? Robert W. Jordan, MBChB, MRCS; Rahil Naeem; Saqiba Jadoon; Gunaratnam Shyamalan Trauma & Orthopaedic, Birmingham Heartlands Hospital, Birmingham, United Kingdom
12:45 pm – 12:47 pm	53. Economic Analysis of Implant Costs of Distal Radius Fracture Suneel Bhat, MD, MPhil; Frederic Liss, MD; Pedro Beredjiklian, MD Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
12:47pm – 12:49 pm	54. The Use of a Predictive Model in the Assessment of Distal Radial Fractures – Are We Being Too Conservative? Reema Chawla, MBChB, BSc; Jamie Mckenzie; Dimpu Bhagawati Department of Trauma and Orthopaedics, Royal Berkshire Hospital, Reading, United Kingdom
12:49pm – 12:51 pm	55. Intra-articular Fractures of the Sigmoid Notch of the Distal Radius: Analysis of Progression to Distal Radial Ulnar Joint Arthritis and Impact on Upper Extremity Function in Surgically Treated Fractures Mark Vitale, MD, MPH1; David M. Brogan2; Alexander Shin2; Richard A. Berger, MD, PhD2 1ONS, PC, ONS Foundation for Clinical Research and Education, Greenwich, CT; 2Orthopedic Surgery, Mayo Clinic, Rochester, MN
12:51 pm – 12:53 pm	56. Extensor Pollicis Longus Ruptures Following Distal Radius Osteotomy Michael Rivlin, MD1; Diego L. Fernandez, MD2; Ladislav Nagy, MD3; Gabriel López Gabriel, MD4; Jesse Jupiter, MD5 1Department of Orthopaedics, Massachusetts General Hospital, Harvard University, Boston, MA; 2Orthopedics, Lindenhoff Hospital, Berne, Switzerland; 3Department of Orthopedics, Balgrist University Hospital, Zurich, Switzerland; 4Rosario Hospital, Madrid, Spain; 5Orthopaedice Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA
12:53 pm – 1:03 pm	Panel Discussion
1:03 pm – 1:05 pm	57. The Long Term Outcome of Four Corner Fusion IA Trail, MD; Raj Murali, MD; John K. Stanley, MD; Michael Hayton, MD; Sumedh Talwalkar, MD; Ramankutty Sreekumar, MD; Ann Birch, MD Wrightington Upper Limb Unit, Wrightington Hospital, Wigan, United Kingdom
1:05 pm – 1:07 pm	58. Four Corner Arthrodesis Using a Funnel Shaped Plate Allowing Multi-Planar Fixation Arnold Peter Weiss, MD1; Amy Ladd, MD2 1Brown University, Providence, RI; 2Stanford University, Stanford, CA
1:07 pm – 1:09 pm	59. Medium Term Outcomes of the Universal-2 Total Wrist Arthroplasty for Rheumatoid Arthritis K. Kailash, MCh, MRCS; A. Raza, MCh, MRCS; S. Mahalingam, MCh; SC Talwakar, FRCS; IA Trail, FRCS; R. Murali, FRCS; JK Stanley, FRCS Wrightington Upper Limb Unit, Wrightington Hospital, Wigan, United Kingdom
1:09 pm – 1:11 pm	60. Clinical Outcomes Following Midcarpal Hemiarthroplasty Of The Wrist Kate Spacey, MRCS, MBBS1; Aftab Siddiqui1; Gregory Packer, FRCS1; Scott W. Wolfe, MD2 1Trauma and Orthopaedics, Southend University Hospital Foundation Trust, Essex; 2Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY
1:11 pm – 1:13 pm	61. Lunate Pyrocarbon© Implant Arthroplasty: Analysis of Physical Function and Patient Satisfaction Reinier Feitz, MD; Noortje J. Visser, MD, PhD; Harm Slijper, PhD; Thybout Moojen, MD, PhD Xpert Clinic, Hilversum, Netherlands
1:13 pm – 1:15 pm	62. Revision Metacarpophalangeal Arthroplasty; 128 Consecutive Cases Eric Wagner, MD1; Matthew Houdek, MD1; Daryl Kor, MD1; Steven L. Moran, MD2; Marco Rizzo, MD3 1Mayo Clinic, Rochester, MN; 2Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN; 3Division of Hand Surgery, Mayo Clinic, Rochester, MN
1:15 pm – 1:17 pm	63. WITHDRAWN
1:17 pm – 1:30 pm	Panel Discussion

12:15 am – 1:30 am	Concurrent Scientific Abstract Session IV (2 minute presentations) Moderator: Jeffrey Greenberg, MD Panelists: Charles S. Day, MD John Bauman, MD Steve K. Lee, MD Kristen A. Valdes, OTD, OTR, CHT
12:15 pm – 12:17 pm	64. An Evaluation of Content and Accessibility of Hand Surgery Fellowship Websites Jason Silvestre, BS1; J.Z. Guzman, BS2; Benjamin Chang, MD3; L. Scott Levin, MD4 1Perelman School of Medicine, Philadelphia, PA; 2Icahn School of Medicine, New York City, NY; 3Division of Plastic Surgery, University of Pennsylvania Health System, Philadelphia, PA; 4Department of Orthopedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
12:17 pm – 12:19 pm	65. The Diagnostic Value of MRI Ordered by Providers Prior to Referral to a Hand Surgeon: A Look at Efficiency and Quality of Imaging Jesse T. Lewis, MD1; Michael D. Montague, MD1; Jaiyoung Ryu, MD1; Andrew H. Mace, MD2; Jon Kline, PA1 1Department of Orthopaedics, West Virginia University, Morgantown, WV; 2Department of Radiology, West Virginia University, Morgantown, WV
12:19 pm – 12:21 pm	66. A Comparison of Plastic and Orthopaedic Hand Surgery Curricula Jason Silvestre, BS1; J.Z. Guzman, BS2; Benjamin Chang, MD3; L. Scott Levin, MD4 1Perelman School of Medicine, Philadelphia, PA; 2Icahn School of Medicine, New York City, NY; 3Division of Plastic Surgery, University of Pennsylvania Health System, Philadelphia, PA; 4Department of Orthopedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA
12:21 pm – 12:23 pm	67. Is Smartphone Technology Reliable and Effective in Assessing Pediatric Elbow Trauma? Ebrahim Paryavi, MD, MPH; Brandon Schwartz, MPH; Joshua Abzug, MD Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD
12:23 pm – 12:25 pm	68. The Attitude of Hand Surgeons Toward the Affordable Care Act: A Survey of Members of the American Society for Surgery of the Hand Valeriy Shubinets, MD; Patrick Gerety, MD; Christopher Pannucci, MD, MS; Michael Mirzabeigi, MD; Paris Butler, MD, MPH; Benjamin Chang, MD, FACS; L. Scott Levin, MD; Ines Lin, MD Plastic Surgery, University of Pennsylvania, Philadelphia, PA
12:25 pm – 12:27 pm	69. Current Climate of Hand Surgery Call: A Survey of ASSH Members Randy Hauck, MD1; Brett Michelotti, MD1; Samer Rajjoub, MD2 1Division of Plastic Surgery, Penn State Hershey Medical Center, Hershey, PA; 2Surgery, Pinnacle Health, Harrisburg, PA
12:27 pm – 12:29 pm	70. FDA Approval and Recall Trends for Orthopaedic Devices: A 21-year Analysis Frederick S. Rozenshteyn, BS; David J. Park, MS; Nana Owusu-Sarpong, BS; Charles S. Day, MD, MBA Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA
12:29 pm – 12:39 pm	Panel Discussion
12:39 pm – 12:41 pm	71. A Chance “Mutation” – The Evolution of a Hand Therapy Regimen for Tupper Arthroplasty R. W. Trickett, MBBCh, MSc, FRCS1; J. Bullock2; J. A. Oni, MA, MBBCh, FRCS1 1Department of Hand Surgery, Queen's Medical Centre, Nottingham, United Kingdom; 2Physiotherapy Department, Queen's Medical Centre, Nottingham, United Kingdom
12:41pm – 12:43 pm	72. MatOrtho Proximal Interphalangeal Joint Arthroplasy: Minimum Two-Year Follow-up Olivia Flannery, MD; Oliver Harley, MD; Ann Birch, MD; Mike Hayton, MD; Ian A. Trail, MD Wrightington Upper Limb Unit, Appley Bridge, United Kingdom
12:43 pm – 12:45 pm	73. Can Computerized Tomography be Used to Predict Successful Non-Operative Treatment of Scaphoid Waist Fractures? Ruby Grewal, MD, MSc, FRCSC; Nina Suh, MD, FRCSC; Joy MacDermid, BScPT, PhD Roth|MacFarlane Hand and Upper Limb Centre, University of Western Ontario, London, ON, Canada
12:45 am – 12:47 am	74. Three-Dimensional Analysis of Acute Scaphoid Fracture Displacement Shai Luria, MD1; Yael Schwarcz, MD1; Eran Peleg, PhD1; Leo Joskowicz, PhD2; Ronit Wollstein, MD3; Yonatan Schwarcz, MD1 1Orthropaedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel; 2School of Engineering and Computer Science, The Hebrew University, Jerusalem, Israel; 3Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA
12:47pm – 12:49 pm	75. Distal Radioulnar Joint Reaction Force After Ulnar Shortening: Diaphyseal Osteotomy vs Wafer Resection Colin D. Canham, MD1; Michael J. Schreck, MD1; Noorullah Maqsoodi, BS2; Mark Olles, PhD2; John C. Elfar, MD1 1Department of Orthopaedic Surgery, University of Rochester, Rochester, NY; 2Department of Mechanical Engineering, Rochester Institute of Technology, Rochester, NY
12:49pm – 12:51 pm	76. A Mixed-Methods Assessment of Patient Costs Following Hand Trauma Heather Baltzer, MD, MSc, FRCSC1; Melissa Roy, MD2; Catherine McMillan, MSc3; Christine B. Novak, PT, PhD1; Steven J. McCabe, MD1; Paul A. Binhammer, MD, MSc, FRCSC3; Herb von Schroeder, MD, MSc, FRCSC1 1Hand & Upper Extremity Program, Division of Plastic & Reconstructive Surgery, University of Toronto, Toronto, ON, Canada; 2Division of Plastic and Reconstructive Surgery, McGill University, Montreal, QC, Canada; 3Division of Plastic Surgery Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
12:51 pm – 12:53 pm	77. Radiation Exposure and Hand Dominance using Mini C-arm Fluoroscopy in Hand Surgery Corey B. Fuller, MD; Montri D. Wongworawat, MD; Barth Riedel, MD Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA
12:53 pm – 1:03 pm	Panel Discussion
1:03 pm – 1:05 pm	78. Results of Arthroscopic Reduction Association of the Scapholunate Joint Steven Koehler, MD; Sara Guerra, MD; Michael Hausman, MD Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, NY
1:05 pm – 1:07 pm	79. Does SLAC IV Exist? A Radiographic and Magnetic Resonance Imaging Analysis Alexia Marie Hernandez-Soria, MD1; Steve Lee, MD1; Lauren E. Lamont, MD1; Nadja Farshad-Amacker, MD2, Hollis Potter1; Scott W. Wolfe, MD1 1Hospital for Special Surgery, New York, NY; 2Institute of Diagnostic and Interventional Radiology, University Hospital of Zurich Raemistr, Zurich
1:07 pm – 1:09 pm	80. The Utility of Ultrasound for Detecting Stener Lesions in Ulnar Collateral Ligament Injuries Julia C. Ruston, MBBS; Ian Yuen; Jackie Hanna; Robert Pearce; Kate Owers; Alice Bremner-Smith; Gajan Rajeswaran; Maxim Horwitz Chelsea and Westminster Hospital, London, United Kingdom
1:09 pm – 1:11 pm	81. Dynamic External Traction Device for PIP Joint Fracture Dislocation: Which Is The Best Model? A Comparative Cadaveric Biomechanical Analysis Stephanie Thibaudeau, MD; Julian Diaz Abele; Mario Luc, MD, FRCSC Plastic Surgery, McGill University, Montreal, QC, Canada
1:11 pm – 1:13 pm	82. A Prospective Randomized Crossover Study On The Comparison Of Cotton Vs Waterproof Cast Liners Phillip Tomas Guillen, MD; Corey B. Fuller, MD; Montri D. Wongworawat, MD; Barth Bishop Riedel, MD Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, CA
1:13 pm – 1:15 pm	83. Outcomes of Radial Head Fractures in Patients Under 50 Years Old: What's Better ORIF or Arthroplasty? Sanmeet Singh, BS1; Xuyang Song, MS2; W. Andrew Eglseder, MD2; Raymond Pensy, MD2; Joshua Abzug, MD2 1School of Medicine, Howard University, Washington D.C, DC; 2Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD
1:15 pm – 1:17 pm	84. Upper Extremity Injuries in Motor Vehicle Crashes Involving Partial Ejection; an Analysis of 20 years of NASS-CDS Data Angelo B. Lipira, MD1; Laura A. Blanar, MHS2; Jessica Hsu, MD, PhD3; Robert P. Kaufman, BS2; Eileen M. Bulger, MD4; Jeffrey B. Friedrich, MD1 1Plastic Surgery, University of Washington, Seattle, WA; 2Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA; 3Plastic Surgery, University of Michigan, Ann Arbor, MI; 4Trauma Surgery, University of Washington, Seattle, WA
1:17 pm – 1:30 pm	Panel Discussion

This symposium presented by women hand surgeons explores perspectives related to personal and family life in conjunction with managing a successful surgical career. We will discuss obstacles for advancement and professional development and competing demands on the surgeon's time and energy. Importantly, we will address strategies relevant to success in the personal and professional arenas, including time management and stress reduction. A panel of hand surgeons at all stages and types of careers with different family and personal situations will describe challenges, pearls, and pitfalls in personal and professional realms.

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

1. Identify challenges to success in personal and professional life.
2. Develop strategies to manage competing interests for time and energy.
3. Identify strategies to rejuvenate rather than overextend

This MOC-approved course will focus on an update on comprehensive management of metacarpal fractures. The course will cover conservative management of fractures as well as open reduction and fixation techniques. Best available evidence will be presented based on the current literature. Cases will be presented to allow for discussion of treatment options. Lastly, updates on the MOC process for both plastic surgeons and orthopaedic surgeons will be presented.

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

1. Recognize fracture patterns in metacarpal fractures.
2. Understand the risks and benefits of various techniques of management.
3. Apply best practice standards to the operative and nonoperative management of these injuries.

Course instructors will present their best simple solutions on how to improve results for common flexor and extensor injuries. The panel will discuss the merits of the wide awake flexor tendon repair, early protected movement of zones 3-7 extensor tendon injuries with relative motion and “True active” vs. “place and hold” early protected movement after flexor tendon repair. Results via outcomes data will be presented. Technical pearls and surgical techniques will be described.

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

1. Understand the multitude of technical considerations involved in a successful tendon repair.
2. Use new concepts in early protected movement after extensor and flexor tendon repair to get better outcomes.
3. Understand the pros and cons of tendon repair using the different techniques.

The treatment of complex trauma in the upper-extremity requires the use of multiple techniques to lead to successful outcomes. This course will discuss the integral roles played by the combination of bony reconstruction, soft-tissue coverage, nerve and tendon repair/reconstruction and rehabilitation of these complex injuries.

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

1. Identify cases that require the use of multiple techniques in order to restore upper-extremity function.
2. Understand the principles necessary to develop algorithms to address these complicated trauma cases.
3. Understand the interrelation of bony and soft-tissue reconstruction as it applies to complex trauma.
4. Have an understanding of the thought processes in staging reconstruction and developing a long-term rehabilitation program.

Treatment of hand and wrist fractures leads to significant improvement in patient function. At times, however, the initial outcomes do not meet these expectations. This course will discuss common complications seen with fracture care: non-union, stiffness, hardware issues, instability. The lectures will focus on identifying risk factors that lead to these complications as well as provide treatment algorithms to resolve these problems.

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

1. Identify risk factors that lead to poor outcomes after fracture care.
2. Describe treatment options and salvage for failed internal fixation of the hand and wrist fractures.
3. Detail nerve and tendon complications of internal fixation and strategies for treatment of hand and wrist fractures.
4. Describe indications and techniques for treatment of nonunion/malunion of hand and wrist fractures.

Scapholunate instability is the most common form of carpal instability yet its diagnosis can be difficult, and its successful treatment can be even more complicated. This course will apply the best evidence to help the surgeon make the diagnosis of SL injury through physical exam, MRI and arthroscopy. A review of our current understanding of the anatomy, biomechanics and pathomechanics will be provided followed by the presentation of a treatment algorithm incorporating both open and arthroscopic techniques.

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

1. Describe the typical injury and biomechanical consequences that define scapholunate injuries.
2. Choose the simplest and most effective conservative and surgical solutions calibrating clinical rationale and evidence.
3. Describe key technical details and expected outcomes for management.

Degeneration of the wrists leads to a significant amount of pain and dysfunction. The use of arthroplasty can restore function and alleviate pain for these patients. However, the track record for some of these arthroplasties has limited their use in the past. This course will review the arthroplasties available for the wrist and discuss when they can best be used. Outcomes and best levels of evidence available will be presented to guide decision making when choosing arthroplasty as a treatment option. There will be a particular focus on technical aspects for optimizing surgical outcomes for each treatment option as well as a detailed review of the post-operative rehabilitation.

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

1. Choose the simplest and most effective reconstructive options calibrating clinical rationale and evidence.
2. Define potential surgical complications and their risk management.
3. Describe key technical details and expected outcomes.
4. Discuss key principles and evidence for post-operative rehabilitation.

The focus of this instructional course will be to discuss the basic techniques of targeted muscle reinnervation for the control of upper extremity prosthetic devices. We will examine the indications for targeted muscle reinnervation, the operative techniques to optimize functional outcome, and the various approaches for various amputation levels. We will also examine the role of targeted reinnervation to provide sensory feedback from prosthetic devices. The types of sensory feedback that can be provided with targeted reinnervation, and the benefits of this approach over sensory substitution approaches will be examined. Experts in the field of reconstructive surgery, physical medicine and rehabilitation, and recovery of function following limb loss will participate as panelists. This is sure to be a highly valuable instructional course which will not only discuss the current state-of-the-art but will also look into the future of targeted reinnervation to provide high fidelity motor control and sensory feedback.

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

1. Learn the indications for targeted reinnervation, eligibility criteria, and operative approaches for targeted reinnervation inpatients sustaining upper extremity amputations.
2. Develop an understanding of use of targeted reinnervation for recording efferent motor action potentials for prosthetic control.
3. Develop an understanding of the use of targeted reinnervation for stimulating afferent sensory action potentials for sensory feedback.
4. Understand the challenges for restoration of function following limb loss and the role of targeted reinnervation to enhance that function.
5. Understand the importance of sensory feedback to optimize functional recovery while using a prosthetic limb.

Chronic pain in joints of the upper and lower extremities represents a major, and often undertreated, cause of morbidity. Several investigators have developed methods of effectively denervating otherwise functional joints, improving and in many cases eliminating pain.

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

1. Understand the indications and contraindications related to joint denervation.
2. Evaluate the available clinical outcome studies to gauge effectiveness of these treatments.

New imaging modalities offer the surgeon the means to more effectively diagnose nerve injuries than has been available in the past. These noninvasive methods are rapidly moving from investigational to clinical use.

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

1. Understand the rationale for the use of preoperative imaging in the setting of suspected nerve injury.
2. Critique the available clinical studies in which these technologies are used.

The AAHS was built on volunteerism with an emphasis on education, research, and outreach. Members of the AAHS have unique abilities and skills that can help shape the global community. Caring for patients and sharing our knowledge is within our core personality. Many members give with their time treating those less fortunate and sharing knowledge with physicians lacking accessibility to hand surgery information. These missions are a win-win journey. Tangible and intangible benefits are gleaned by ALL that participate. The experiences have lifelong meanings to those participants, patients, and caregivers. Volunteerism does shape the global community and provide a glimpse into the trials, tribulations, and cultures around the world. This Danyo lecture will emphasize the role and responsibility of the AAHS in the global hand care community. Highlights and vignettes will provide the backdrop. AAHS members are the cast of characters that have had a profound affirmative impact on global hand surgery.

Objectives: Following this session, participants will be able to:

1. Understand the role of AAHS and the opportunities for volunteerism.
2. Learn the requisites necessary for participation in a medical mission.
3. Formulate a plan to volunteer using AHHS for guidance.
4. Recognize the need for hand surgery acre and education around the globe.

10:30 am – 11:30 am	Concurrent AAHS Scientific Abstract Session V Moderator: Mark Rekant, MD Panelists: Shelley S. Noland, MD Brian I. Labow, MD Adam Watts, MD Kim McVeigh, OT, CHT
10:30 am – 10:32 am	85. Simultaneous Bilateral Pollicization is Effective and Efficient George Edwards III, MD; Nina Lightdale-Miric, MD; Tamara Alexandrov, MD; Jamie Berggren, OTR; Stephanie Iantorno, BA; Milan Stevanovic, MD Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA
10:32 am – 10:34 am	86. Anatomy and Natural History of the Elbow Joint in Obstetric Brachial Plexus Injuries Eric Wagner, MD; J.D. Werthel, MD; Bassem T. Elhassan, MD Orthopaedic Surgery, Divison of Hand Surgery, Mayo Clinic, Rochester, MN
10:34 am – 10:36 am	87. Appropriateness and Adequacy of Splints Applied for Pediatric Fractures in an Emergency Department/Urgent Care Environment Aaron J. Johnson1; Brandon Schwartz1; Joshua Abzug, MD2 1Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD; 2Orthopaedics, University of Maryland School of Medicine, Timonium, MD
10:36 am – 10:38 am	88. Comparison of Ultrasound and MRI for the Diagnosis of Glenohumeral Dysplasia in Brachial Plexus Birth Palsy Kenneth W. Donohue, MD1; Kevin J. Little, MD2; Dan Zlotolow, MD3; Scott Kozin, MD3 1Orthopaedic Surgery, Baylor College of Medicine, Houston, TX; 2Department of Orthopaedic Surgery, Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH; 3Shriners Hospital for Children Philadelphia, Philadelphia, PA
10:38 am – 10:40 am	89. Epidemiologic Dynamics Contributing to U.S. Pediatric Wrist Fractures Neil Shah, MD; David Buzas, MD; Ephraim Zinberg, MD Orthopaedic Surgery, Wayne State University, Taylor, MI
10:40 am – 10:50 am	Panel Discussion
10:50 am – 10:52 am	90. Atypical Mycobacterial Infections of the Upper Extremity: Becoming More Atypical? Mariela Lopez, MD; Julie Amthor, BS; Kevin Murphy, MD Plastic and Reconstructive Surgery, University of Texas Medical Branch, Galveston, TX
10:52 am – 10:54 am	91. Risk Factors Associated with Emerging Clindamycin Resistant MRSA in Hand Infections Rick Tosti, MD; Asif Ilyas, MD Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
10:54 am – 10:56 am	92. New Resistant Strains of MRSA: Risk Factors Associated with Clindamycin-resistant MRSA in Hand Infections Rick Tosti, MD; Asif Ilyas, MD Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
10:56 am – 10:58 am	93. Predictors of Admission for Patients Who Present With Hand Cellulitis to the Emergency Department: A 13- year Retrospective Review Oscar J. Manrique, MD1; Joshua Y. Jacobson, MD1; Matthew Doscher, MD1; Ricardo Galan, MD2; Ralph Liebling, MD1 1Division of Plastic and Reconstructive Surgery, Albert Einstein College of Medicine. Jacobi Medical Center, Bronx, NY; 2Division of Plastic and Reconstructive Surgery, Universidad Militar Nueva Granada, Hospital Militar Central, Bogota, Colombia
10:58 am – 11:00 am	94. Pointing a Finger at Hospital Volume: Analysis of Digital Replantation Outcomes Using a National Database Patrick L. Reavey, MD, MS; Horatiu Muresan, MD; Marc Soares, MD; Vishal Thanik, MD Institute of Reconstructive Plastic Surgery, New York University Medical Center, New York, NY
11:00 am – 11:10 am	Panel Discussion
11:10 am – 11:12 am	95. Comparisons of Patient Smoking Status and Functional Recovery Following Peripheral Nerve Repair with Processed Nerve Allograft Bauback Safa, MD1; Brian Rinker, MD2; Renata V. Weber, MD3, Jozef Zoldos, MD4; John Ingari, MD5; Jeffrey A. Greenberg, MD6; Wesley Thayer, MD, PhD7; Jason Ko, MD8; Gregory M. Buncke, MD1 1The Buncke Clinic, San Francisco, CA; 2Division of Plastic Surgery, University of Kentucky, Lexington, KY; 3Institute for Nerve, Hand, and Reconstructive Surgery, Rutherford, NJ; 4Arizona Center for Hand Surgery, Phoenix, AZ; 5WellSpan Health Orthopedics, York, PA; 6The Indiana Hand to Shoulder Center, Indianapolis, IN; 7Department of Plastic Surgery, Vanderbilt University, Nashville, TN; 8Division of Plastic and Reconstructive Surgery, University of Washington, Harborview Medical Center, Seattle, WA
11:12 am – 11:14 am	96. Is Specialist Outpatient Follow-Up for Carpal Tunnel Decompression Necessary - A Patient Satisfaction Survey Satish Babu BSc, MBBS, MRCS4; Piyush Mahapatra, MA, MB, BS, MRCS1; Edmund Ieong, BSc, MB, BS, MRCS2; Harry Belcher, MS, FRCS3 1Trauma & Orthopaedics, Kingston Hospital, Kingson, United Kingdom; 2Trauma & Orthopaedics, St Mary's Hospital, London, United Kingdom; 3Plastic Surgery, Queen Victoria Hospital NHS Foundation Trust, East Grinstead; 4St George's University Hospital, London, UK
11:14 am – 11:16 am	97. Doctor-patient Visit Versus Internet Directive for Carpal Tunnel Syndrome Patients Khin-Kyemon Aung, AB; Wei Kang Wu, BA; Andrew Tokumi, BA; Phoebe Kuo, AB; Charles Day, MD, MBA Orthopedics, Beth Israel Deaconess Medical Center, Boston, MA
11:16 am – 11:18 am	98. Positional Tension of the Ulnar Nerve After Decompression Procedures John Dunn, MD1; Nicholas Kusnezov1; Justin Mitchell, DO2; Derek Ipsen, DO3; Christopher Forthman, MD4; Aaron Dkystra, MD5 1Orthopaedic Surgery, Texas Tech University Medical Center, El Paso, TX; 2Orthopaedic Surgery, William Beaumont Army Medical Center, Fort Bliss, TX; 3Department of Orthopedic Surgery, WRNMMC, Bethesda, MD; 4Hand Surgery, Union Memorial Hospital, Lutherville, MD; 5Hand Surgery, Walter Reed Army Medical Center, Bethesda, MD
11:18 am – 11:20 am	99. Incidence of Ulnar Nerve Instability in Patients Considered for in Situ Ulnar Nerve Decompression Jonas Matzon, MD; Kevin Lutsky; C. Edward Hoffler, MD, PhD; Nayoung Kim, BS; Pedro Beredjiklian, MD Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
11:20 am – 11:30 am	Panel Discussion

10:30 am - 11:30 am	Concurrent AAHS/ASPN Scientific Abstract Session VI Moderator: Ranjan Gupta, MD Panelists: Steven McCabe, MD Jennifer Waljee, MD Raj Murali, MD
10:30 am – 10:32am	100. Prospective Evaluation of Sensitivity and Specificity of CTS-6 for Diagnosis of Carpal Tunnel Syndrome Brian H. Gander, MD; John R. Fowler, MD Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
10:32 am – 10:34 am	101. Does Pre-Operative Electrodiagnostic Testing Predict Time to Resolution of Symptoms After Carpal Tunnel Release John R. Fowler, MD1; Maria Munsch, BS2; William Hagberg, MD2; Joseph E. Imbriglia, MD2 1Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA; 2Hand and Upper Ex Center, Wexford, PA
10:34 am – 10:36 am	102. Early Active Motion Versus Protective Splinting Following Open Carpal Tunnel Release Surgery Blake D. Murphy, MD, PhD; Gloria Rockwell, MD, MSc Division of Plastic Surgery, University of Ottawa, Ottawa, ON, Canada
10:36 am – 10:38 am	103. Ultrasound Evaluation of the Median Nerve After Carpal Tunnel Release Alexander Joseph Davit III, MD1; Joseph E. Imbriglia, MD2; Glenn A. Buterbaugh, MD2; William C. Hagberg, MD2; John R. Fowler, MD3 1Department of Plastic Surgery, University of Pittsburgh Medical Center / Children's Hospital of Pittsburgh, Pittsburgh, PA; 2Orthopaedic Surgery, Hand & Upper Ex Center, Wexford, PA; 3Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
10:38 am – 10:40 am	104. Cost Effective Analysis of Simultaneous Versus Staged Bilateral Carpal Tunnel Release Paul Phillips, MD; James Kennedy, MD; Tara Lee, MPH Department of Plastic Surgery, University of Tennessee College of Medicine, Chattanooga, TN
10:40 am – 10:45 am	Panel Discussion
10:45 am – 10:47 am	105. PEG-fused Allografts Produce Rapid Behavioral Recovery After Segmental Nerve Loss David Colton Riley, BS1; Kevin Sexton, MD1; G. D. Bittner, PhD2; Cameron Ghergherehchi, BS2; Bruce Shack, MD1; W. P. Thayer, MD, PhD1 1Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN; 2Department of Neurobiology, University of Texas at Austin, Austin, TX
10:47 am – 10:49 am	106. Chaining Nerve Grafts With An Additional Suture Line Has Limited Impact On Axonal Regeneration Ying Yan, MD, PhD; Amy M. Moore, MD;Daniel A. Hunter, RA; Xueping Ee, MD, MS; Susan E. Mackinnon, MD; Matthew D. Wood, PhD Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO
10:49 am – 10:51 am	107. Magnesium Microfilaments inside Traditional Nerve Conduits Improve Nerve Regeneration Characteristics Kevin J. Little, MD1; Tracy Hopkins2, Alex Heilman3; Meir Hershcovitch, MD4; David Hom, MD4; Sarah Pixley, PhD2 1Department of Orthopaedic Surgery, Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH; 2Department of Molecular and Cellular Biology, University of Cincinnati, Cincinnati, OH; 3School of Medicine, Vanderbilt University, Nashville, TN; 4Department of Otolarygology Head and Neck Surgery, University of Cincinnati, Cincinnati, OH
10:51 am – 10:53 am	108. Bilateral Regenerative Peripheral Nerve Interface Function Correlates with Hind Limb Kinematics during Treadmill Locomotion Daniel Catalin Ursu, MS1; A. Nedic1, Cheryl A. Hassett, BS1; Jana D. Moon, BS1; Nicholas B. Langhals, PhD1; Richard B. Gillespie, PhD2; Paul S. Cederna, MD1; MG Urbanchek1 1Department of Surgery, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI; 2Mechanical Engineering, University of Michigan, Ann Arbor, MI
10:53 am – 10:55 am	109. Histomorphometric Evaluation of Median Nerve Injury in Wistar Rats Treated with GM1 Osvaldo Mendes Oliveira Filho1, Márcia dos Santos Rizzo1, Antônio César Almeida de Oliveira1, Gustavo Bispo dos Santos2; William Dias Belangero3 1Department of Specialized Medicine, Experimental Surgery Sector, Universidade Federal do Piauí, Teresina, Brazil; 2Department of Experimental Surgery Sector, Universidade de São Paulo, São Paulo, Brazil; 3Department of Orthopaedics and Traumatology, Universidade Estadual de Campinas (UNICAMP), Campinas, Brazil
10:55 am – 11:00 am	Panel Discussion
11:00 am – 11:04 am	110. Motion Deficits of Thumb Opposition and Circumduction Due to Carpal Tunnel Syndrome Tamara L. Marquardt1; Raviraj Nataraj, PhD1; Peter J. Evans, MD, PhD2; William H. Seitz Jr, MD2; Zong-Ming Li, PhD1 1Biomedical Engineering, Cleveland Clinic, Cleveland, OH; 2Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH
11:04 am – 11:08 am	111. Reverse End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer for Severe Ulnar Neuropathy at the Elbow C. Doherty1; T.A. Miller, MD2; Douglas C. Ross1 1Roth | McFarlane Hand and Upper Limb Centre, Division of Plastic Surgery, University of Western Ontario, London, ON, Canada; 2Rehabilitation Medicine/ Hand and Upper Limb Centre, St. Joseph's Health Centre, University of Western Ontario, London, ON, Canada
11:08 am – 11:12 am	112. In-situ Decompression of Ulnar Nerve Entrapment: A Controlled Randomized Study Comparing Decompression using Two Small Transverse Incisions with Standard Open Decompression Ashraf N. Moharram, MD; Mostafa Mahmoud, MD; Ayman Mansour, MD; Ayman Shaheen, MD; Ahmed Afifi, MD Orthopedic Department, Cairo University, Cairo, Egypt
11:12 am – 11:16 am	113. Nerve Transfers to Restore Hand Function in Cervical Spinal Cord Injury: A More Appealing and Accessible Option for Patients Gwendolyn Hoben, MD, PhD1; Rahul Varmun, BS1; Aimee James, PhD, MPH1; Neringa Juknis, MD2; Rimma Ruvinskaya, MD2; Christine B. Novak, PT, PhD3; Kristen Davidge, MD, MSc4; Lorna Kahn, PT, CHT5; Susan E. Mackinnon, MD1; Ida K. Fox, MD1 1Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO; 2Physical Medicine and Rehabilitation, Washington University, Saint Louis, MO; 3University of Toronto, Toronto, ON, Canada; 4Division of Plastic Surgery, University of Toronto, Toronto, ON, Canada; 5Milliken Hand Rehabilitation Center/ TRISL, Saint Louis, MO
11:16 am – 11:20 am	114. Double Distal Nerve Transfer for Hand Reconstruction after Lower Brachial Plexus Injuries Zhongyu Li, MD, PhD Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC
11:20 am – 11:24 am	115. Outcomes from an Ongoing Multicenter Registry Study on the Use of Processed Nerve Allograft as Compared to Contemporary Controls for Sensory, Mixed, and Motor Nerve Reconstructions Jason Ko, MD1; Bauback Safa, MD2; Brian Rinker, MD3; Mickey S. Cho, MD4;Dmetry Tuder, MD4; John Ingari, MD5; Emran Sheikh, MD6; Renata V. Weber, MD6; Jozef Zoldos, MD7; Jeffrey A. Greenberg, MD, MS8; Gregory A. Merrell, MD8; Wesley Thayer, MD, PhD9; Gregory Buncke, MD2 1Division of Plastic and Reconstructive Surgery, University of Washington, Harborview Medical Center, Seattle, WA; 2The Buncke Clinic, San Francisco, CA; 3Division of Plastic Surgery, University of Kentucky, Lexington, KY; 4Department of Orthopedics & Rehabilitation, San Antonio Military Medical Center, San Antonio, TX; 5WellSpan Health Orthopedics, York, PA; 6Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ; 7Arizona Center for Hand Surgery, Phoenix, AZ; 8Indiana Hand to Shoulder Center, Indianapolis, IN; 9Department of Plastic Surgery, Vanderbilt University, Nashville, TN
11:24 am – 11:30 am	Panel Discussion

Nerve transfers have revolutionized the management of major nerve injuries. Dr. Mackinnon will discuss her pathway from nerve repair and graft to nerve transfers and use this as an example of how surgical innovation occurs. The nerve transfer technique appears simple, strait forward and “makes sense”. However, like most progress in medicine and science the pathway to nerve transfers was anything but smooth and direct. Dr. Mackinnon will emphasis the importance of embracing the slow path with multiple false starts and blind alleys punctuated frequently by failure as the only and sure path to important medical innovation. She will remind the younger surgeons just starting their career to expect that the pathway to their surgical passion will be fraught with mistakes, failure but ultimate success and great impact in their own area of surgical passion.

Objectives: Following this session, participants will be able to:

1. Following this session participates will understand that the typical pathway to surgical innovation that involves several factors.
2. Specifically, hard work, failure, a supportive work environment a critical coach and eventually some good luck and serendipity.

This course will review the current management of ulnar, radial and median nerve injuries using nerve transfers. Using didactic presentations, surgical videos and interactive case discussions, patient selection, timing, surgical approaches and postoperative management will be discussed. This course will be of interest to general hand surgeons, peripheral nerve surgeons, hand therapists and other allied health professionals.

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

1. To understand the assessment, timing and patient selection for nerve transfers for treatment of ulnar, radial and median nerve injuries.
2. To review the surgical reconstruction, operative techniques and post-operative management for distal motor and sensory nerve transfers for ulnar, radial and median nerve injuries.
3. To understand the selection of nerve versus tendon transfers for patients with ulnar, radial and median nerve injuries.

	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 course, the participant will be able to: Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist. Have an understanding of the different 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 Sanjeev Kakar, MD & Alex M. Spiess, MD
1:35 pm - 2:05 pm	Distal Radius Fractures-A Case Based Discussion; Ryan Calfee, MD; Sanj Kakar, MD; Marc Richard, MD View Handout for Dr. Calfee View Handout for Dr. Kakar View Handout for Dr. Richard
2:05 pm - 2:35 pm	Scaphoid Fractures/ Nonunions Jerry I. Huang, MD; Peter J. Evans MD; Michael R. Hausman, MD View Handout for Dr. Hausman View Handout for Dr. Evans View Handout for Dr. Huang
2:35 pm - 2:55 pm	Acute & Chronic SL Instability Robert Strauch, MD; David S. Zelouf, MD View Handout for Dr. Strauch View Handout for Dr. Zelouf
2:55 pm - 3:10 pm	Finger Fractures & Dislocations David Dennison, MD View Handout
3:10 pm- 3:25 pm	TFCC and Ulnar Impaction Jeffrey Greenberg, MD View Handout
3:25 pm - 3:40 pm	Motion Sparing Procedures for the Arthritic Wrist Warren C. Hammert, MD View Handout
3:40 pm- 3:50 pm	Questions
3:50 pm - 4:05 pm	Break
4:05 pm - 4:25pm	Compression Neuropathies Ranjan Gupta, MD
4:25 pm - 4:45 pm	Tendon Transfers for Nerve Palsies Amy M. Moore, MD View Handout
4:45 pm - 5:15 pm	Basal Joint Arthritis - A Case Based Discussion CMC Arthroscopy Jeffrey Yao, MD View Handout Trapeziectomy & Suspension Arthroplasty John R. Fowler, MD View Handout CMC Fusion & Arthroplasty Marco Rizzo, MD
5:15 pm - 5:35 pm	Flap Coverage for Hand Injuries Alexander M. Spiess, MD
5:35 pm - 5:50 pm	Dupuytren's Contracture Thomas Kaplan, MD View Handout

Join your fellow AAHS members, including the President and Board Members, in a fun filled evening full of island flare. Experience the richness of the Bahamas with a feast like never before and dance the night away with island music for all to enjoy.

Involvement in a medical mission can be a rewarding and educational experience. During this course, speakers will describe their experiences performing medical missions. They will use their experiences to demonstrate how to make a mission successful and rewarding for the patients, staff, and physician's involved. They will discuss common problems that may interfere with a successful project and how to avoid these problems.

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

1. Understand the potential rewards of participating in a medical mission from both an educational and humanitarian perspective.
2. Asses the practicality of a proposed mission and understand the forces that will lead to a successful mission.
3. Develop a preliminary availability to plan or participate in a mission with resources for developing that mission.

This course will cover the continuously developing world of social media and its effect on your practice. Common sites such as YouTube, Facebook, and Twitter will be discussed. Issues of privacy that develop as a result of social media involvement will also be addressed. Finally, avoiding common pitfalls will be addressed to make you social media experience a positive one.

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

1. Understand the most common social media sites such as Twitter, YouTube, and Facebook.
2. Learn how the use of social media sites can benefit your practice.
3. Understand how privacy issues must be addressed when interacting in the social media sphere.
4. Learning how to avoid the common pitfalls when using social media.

Increasing clinical evidence is highlighting the importance of diagnosing and treating proximal forearm compressions. Are we as hand surgeons able to successfully diagnose and treat these conditions? In this course, the panel will discuss anatomy and clinical presentations of forearm nerve compressions including those in the radial tunnel, cubital tunnel, and nerve dysfunction after humerus fracture.

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

1. Identify compressive neuropathies in the arm, elbow, and forearm.
2. Develop algorithms for the operative and non-operative treatment of these compressive neuropathies.
3. Understand surgical options, approaches, and outcomes for these problems.
4. Understand expected outcomes and complications.

Nerve transfers have revolutionized the care of many kinds of nerve injury, but they are not always successful in restoring the degree of function we seek for our patients. In this course the instructors will discuss their experience with conditions in which nerve reconstructions have failed, necessitating other interventions.

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

1. Understand reasons why nerve based reconstructions may yield suboptimal results.
2. Examine the options that may be available for improving function beyond nerve based reconstruction.

Acellularized nerve allografts have become widely adopted for bridging nerve gaps. A considerable amount of preclinical and clinical data involving their use has accumulated recently. Instructors will provide a non-biased view of their thoughts surrounding the indications for or against the use of this biomaterial.

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

1. Understand the basis for the use of nerve allografts.
2. Describe when a nerve allograft may not be preferred.
3. Critically appraise the available data surrounding the use of allografts.

With the implementation of the ACA, confusion and misunderstanding persists for patients but also for surgeons. How will surgeons deal with the impact of the ACA? How will the ACA affect physician salaries? What are the metrics for productivity and value in this new era? What are some of the strategies that surgeons are employing in this new era? The panel will address issues of cost containment and the new set of rules the ACS is enforcing.

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

1. To identify the impact of ACA on the physician.
2. To understand how to measure metrics for productivity and value in the new medical era.

The single greatest impediment to neuroscience is the difficulty of getting fine-grained data in and out of the brain. Gradually, however, we are overcoming this barrier. Neural prosthetics in clinical use now restore hearing and vision to patients who’ve lost those senses, and bring relief to severe Parkinson’s sufferers. The next generation of neural prosthetics, in animals, have proven effective in restoring damaged memory formation abilities, in boosting pattern matching abilities, and in facilitating electronic brain-to-brain communication. Recent breakthroughs in brain imaging techniques allow us to observe every neuron in simple animal brains, in real-time, opening the door to new insights never before possible. And computer simulations of brain models are not far behind. We’re taking the first steps into a new era of neuroscience, with incredible potential ramifications.

Ramez Naam is a computer scientist and the H.G. Wells and Prometheus Award winning author of four books, including the neuroscience-based science-fiction thriller Nexus. He spent 13 years at Microsoft where he led teams working on web browsing, email, internet search, and artificial intelligence. He serves as Adjunct Faculty at Singularity University at NASA Ames. His work has appeared in or been reviewed in The New York Times, Scientific American, The Atlantic, Slate, NPR, and other prominent outlets. He lives in Seattle.

11:00 am - 12:00 pm	AAHS/ASPN/ASRM Joint Outstanding Paper Session Moderators: Thomas B. Hughes, MD Christine B. Novak, PT, PhD Gregory H. Borschel, MD Goetz Geissler, MD Steven L. Moran, MD
11:00 am - 11:07 am	AAHS #1 Patient Factors Associated with Complications within 30 days of Hand Surgery; an Analysis of 9,969 Patients Using the 2006-2011 ACS-NSQIP Datasets Angelo B. Lipira, MD; Philip D. Tatman, BS; Jason H. Ko, MD Plastic Surgery, University of Washington, Seattle, WA
11:07 am – 11:14 am	AAHS #2 Can Platelet-rich Plasma Impact the Formation of Flexor Tendon Adhesions? Brett Michelotti, MD; Jordan Olson, MD; Sebastian Brooke, MD; T. Shane Johnson, MD Division of Plastic Surgery, Penn State Hershey Medical Center, Hershey, PA
11:14 am - 11:20 am	Discussion
11:20 am – 11:27 am	ASPN #1 The Result of Contralateral C7 Spinal Nerve Transfer – a 28 Years of Experience Margaret Woon Man Fok, FRCSED1; Chieh-Han John Tzou, MD2; David Chwei-Chin Chuang, MD3 1Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, Hong Kong, 2Division of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna, Austria, 3Division of Reconstructive Microsurgery; Dep. of Plastic & Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan
11:27 am – 11:34 am	ASPN #2 A Quantitative Analysis of the Sensory and Motor Fibres of the Brachial Plexus in Man Bernhard Gesslbauer1, Marie Hahn, MD1, Roland Blumer, MD, PhD2 and Oskar C. Aszmann, MD3 1Division of Plastic and Reconstructive Surgery, CD Laboratory for Restoration of Extremity Function, Vienna, Austria, 2Systemic Anatomy, Medical University of Vienna, Vienna, Austria, 3Division of Plastic and Reconstructive Surgery, Medical University of Vienna, Vienna
11:34 am - 11:40 am	Discussion
11:40 am – 11:47 am	ASRM #1 Evaluation of Viability and Structural Integrity after Whole Eye Transplantation Yang Li, MD, PhD1; Chiaki Komatsu, MD1; Bo Wang, BS1; Nataliya Kostereva, PhD1; Wensheng Zhang, MD, PhD1; Bo Xiao, MD, PhD1; Mario Solari, MD1; Jeffrey Goldberg, MD, PhD2; Larry Benowitz, PhD3; Larry Kagemann, PhD1; Shuzhong Guo, MD, PhD4; Gadi Wollstein, MD1; Joel Schuman, MD1; Vijay S. Gorantla, MD, PhD1; Kia Washington, MD1 1University of Pittsburgh; 2University of California San Diego; 3Harvard University; 4Fourth Military Medical University
11:47 am – 11:54 am	ASRM #2 Implications of Intracranial Facial Nerve Grafting in the Setting of Facial Reanimation Bridget Harrison, MD; Khalil Chamseddin, MS; Gangadasu Sagar Reddy, MD; Shai Rozen, MD UT Southwestern Medical Center
11:54 am - 12:00 pm	Discussion