A full day course designed to take participants through how to do most operations in hand surgery with WALANT (Wide Awake Local Anesthesia No Tourniquet) in full detail. This will be the first American all day course on the subject, and will be able to get into much greater depth than the short 1 hour courses provided so far. We will explore tips and tricks for most operations, local injection techniques, safety issues, starting up WALANT, and many other areas with plenty of time for questions and discussion.

Participants will:

• Be taken through how to do most operations in hand surgery with WALANT (Wide Awake Local Anesthesia No Tourniquet)
• Explore tips and tricks for most operations, local injection techniques, safety issues, starting up WALANT, and many other areas.
• Engage in discussion with speakers.
• Gain knowledgeable tools to get WALANT surgery started in their facility.

9:00 am - 9:20 am	Introduction and Overview A. Lee Osterman, MD
9:20 am - 9:40 am	First Experiences in WALANT Mark E. Baratz, MD
9:40 am - 10:00 am	WALANT for the Surgeon New to Practice, Patient Education and Buy-In, Cost and Time Efficiency Toni E. Lin, MD
10:00 am - 10:40 am	How to Inject Almost Pain Free Tumescent Local Anesthesia, Safety of Epinephrine and Field Sterility Donald H. Lalonde, MD
10:40 am - 11:00 am	Carpal Tunnel, Median Nerve in the Forearm, And Fingertip Injuries John D. Lubahn, MD
11:00 am - 11:20 am	Coffee Break
11:20 am - 11:40 am	How to Get WALANT Started in Your Practice: Getting Buy-in from Stakeholders and your Administration/Clinic/Hospital/Surgery Center and Overcoming Perceived Obstacles Julie E. Adams, MD
11:40 am - 11:55 am	Tenolysis and Other Pearls of WALANT Michael Sauerbier, MD, PhD
11:55 am - 12:15 pm	Starting a Brand New Wide Awake Green Practice and Facility in My Hospital Robert E. van Demark, Jr., MD
12:15 pm - 12:35 pm	Planning and Set Up Of a Local Anesthetic, Surgical Facility for Elective and Trauma Cases Murray Allen, MD
12:35 pm - 1:00 pm	Overview of WALANT Including Trapeziectomy Peter C. Amadio, MD
1:00 pm - 1:30 pm	Lunch
1:30 pm - 5:00 pm	Afternoon Discussions with Open Forum: Further Details Of Performing Specific Operations with WALANT Carpal tunnel, cubital tunnel, lacertus tunnel decompressions Finger and metacarpal fracture reduction Lacerated flexor and extensor tendons Tenolysis and tendon transfers Trigger finger, DeQuervain, and Dupuytren Tumors, nerves, and amputations Some complex reconstructions

The use of vascularized bone grafts for hand and wrist indications will be discussed. This will include applications of pedicled radius grafts, fibular flaps and femoral condyle periosteal, bone and osteoarticular flaps for a variety of indications.

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

1. Describe the indications for 1,2 ICSRA distal radius bone flaps for scaphoid fractures
2. Recognize the anatomy and surgical techniques for raising bone and osteoarticular flaps from the medial femoral condyle
3. Discuss uses of vascularized fibular autograft in reconstructing segmental loss of the distal radius and carpus
4. Discuss perisoteal flaps with a discussion of upper limb applications

This course will present the options for hand reconstruction with forearm-based flaps and will provide a decision making process to choose the right flap. The advantages and disadvantages of perforator-based and radial/ulnar artery-based flaps will be discussed. Technical issues with major flap types will be demonstrated. Finally, therapeutic concerns and management of complications will be discussed. At the conclusion of the course, participants will have a good working knowledge of forearm flap hand reconstruction.

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

1. Recognize forearm anatomy as it pertains to soft tissue flaps
2. Discuss the advantages and disadvantages to perforator and major-artery flap pedicles
3. Identify principles of perforator pedicle marking and dissection
4. Discuss management of complications arising from forearm based hand reconstruction

This course will focus on various treatment options for brachial plexus injuries in both infants and adults. Topics discussed will include nerve procedures as well as secondary procedures. A theme throughout the discussion and cases presented will be the use of a team approach to optimize treatment. The faculty will include surgeons and therapists, all of whom work at brachial plexus referral centers.

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

1. Identify current treatment trends for brachial plexus injuries.
2. Discuss which components of a team are optimal when evaluating brachial plexus injuries.
3. Recognize how a team approach can optimize treatment outcomes in brachial plexus injuries.

The instructors will discuss technique and long term results of the CoCr/polyethylene-Prosthesis of the PIP joint as well as the new developments in PIP joint replacement, especially the technique and results of the new CapFlex Prosthesis. As an alternative to prostheses, the volar plate interposition arthroplasty will be offered.

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

1. Identify an indication of PIP-joint replacement.
2. Recognize crucial points in the aftercare of PIP joint replacement
3. Consider the volar plate interposition arthroplasty will be offered as an alternative to prostheses.

Elbow fractures are notorious bad actors, with many often resulting in poor outcomes despite seemingly proper management. This course presents a case oriented approach to the treatment of difficult fractures and failed surgery, with emphasis on avoiding pitfalls in surgical technique.

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

1. Identify difficult fractures and how to optimize fixation and rehabilitation
2. Recognize causes for failures of fixation and how to minimize the occurrence.
3. Consider options for salvaging difficult failures.

Current concepts in minimal invasive and open treatment and after treatment of Dupuytrens Disease will be discussed.

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

1. Consider pros and cons of minimal invasive treatment.
2. Select the right treatment for the individual patient.
3. Identify appropriate concepts of after treatment.

The course, divided into three segments, will discuss the burned hand in both adults and children from acute injury and management through reconstruction to maximum return of function. With a recent increase in the number of surgeons participating in world missions, these sound principles can serve as the foundation for planning the complex reconstructions of the hand seen following long standing burn deformities.

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

1. Assess the depth of acute burn injury of the hand and create a treatment plan consistent with maximum functional return.
2. Coordinate hand therapy, timing of reconstructive surgery, and objective selection of procedures producing the best outcomes.
3. Identify deformities of long standing burn contracture of the extremity and be able to apply complex solutions in areas of the world with variable access to resources.

This panel is a case-based discussion of referrals with significant complications related to their initial care elsewhere. The expert panel will discuss their interpretation of the initial cause of the problems and their approach to management of these difficult problems.

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

1. Review the best ways to avoid complications of initial care in hand surgery patients.
2. Give examples of how to manage complications when they occur.
3. Provide options for the reconstruction of difficult complications.
4. Discuss how to deal with patients questions after referred to you from elsewhere.

Zone 2 Flexor Tendon Injuries
Peter C. Amadio, MD; Gwendolyn van Strien, MsC, PT

PIP Joint Injuries
Donald H. Lalonde, MD; Julianne Howell, PT, MS, CHT

Proximal Phalangeal Fractures
A. Lee Osterman, MD; Lynne Feehan, PT, PhD, CHT

Acute Hand Injuries
Marco Rizzo, MD; Maureen A. Hardy, PT, MS, CHT

This panel brings together four hand surgeon and hand therapist 'myth buster' teams challenged to present (and bust) their top myths related to the management of clinical conditions commonly seen in daily hand surgery and hand therapy practice. The clinical problems explored in this 'myth buster' panel are: Zone-2 flexor tendon injuries, Proximal phalangeal fractures, PIP joint injuries and Acute hand injuries. Each panel member has been challenged to bring their top five myths that they want to 'bust' in five minutes or less, with an opportunity to defend their rationale.

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

1. Analyze how many commonly accepted clinical practices ('myths') may or may not be influencing their own clinical practice decisions.

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:

1. Demonstrate on a saw bone model the application of basic principles of lag screw fixation, neutralization plate, and compression plating in hand fractures.
2. Recognize fracture patterns and plan reduction of distal radius and perform volar plating n a distal radius sawbone model.
3. Discuss surgical options for management of articular fractures and dislocations in the hand and perform them in sawbone model.
4. Explain indications and demonstrate technique for fixation of scaphoid fractures in a sawbone model.

Recent studies show that the lymphatic system plays a crucial role in managing interstitial fluid levels in the body, and is responsible for the majority of fluid reabsorption. Knowing how to activate the lymphatic system to quickly reduce edema can make all the difference to patients for pain reduction, increasing ROM, and return to function. This workshop will give a thorough understanding of the anatomy and fluid management function of the lymphatic system. Participants will identify the types of edema that affect patients, and develop an understanding of how a therapist can facilitate the action of the lymphatics to reduce both sub-acute and chronic edema in patients.

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

1. Review tissue response to trauma.
2. Explain the anatomic differences between the cardiovascular and lymphatic systems.
3. Recognize the lymphatic systems' role in fluid homeostasis (edema / swelling management).
4. Review the different types of edema: acute versus sub-acute versus chronic.
5. Understand manual edema mobilization (MEM) as a method that activates the lymphatic system.
6. Introduce the components of the MEM method which include gentle stimulation of the lymphatic system, usage of pump points, exercise, diaphragmatic breathing, compression/bandaging, chip bags, elastic taping and a self-management program.

This course will focus on the use of small joint arthroscopy in the hand where there appears to be advantages to arthroscopic over open treatment. The faculty will describe the indications, technique and expected outcome for arthroscopic treatment of common conditions affecting the thumb CMC joint, MP and PIP joints.

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

1. Identify arthroscopic management of thumb CMC arthritis.
2. Discuss arthroscopic management of MP and PIP joint synovitis.
3. Discuss arthroscopic management of MP and PIP joint contractures.

There is little consensus about etiology, best management, surgical technique or indication for surgery in Raynaud syndrome patients. This course will explain why there is so little evidence-based data to answer these questions and will focus on the anatomic and clinical rationale for an "extended" periarterial sympathectomy technique in connective tissue patients, including the role of Botox injection for treatment and as an adjunctive topical at surgery. Clinical results will be reported from a 30-year-experience. This course will also review relevant hand therapy techniques and measurements that assist in the diagnosis and management of Raynaud syndrome, including nonoperative therapy treatment techniques, such as the "whirl arm" technique, induced vasodilatation and biofeedback therapy.
Dr. Merritt Handout

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

1. Identify why evidence-based data is lacking, and why there is such widespread discrepancy in technique and indications for this disorder.
2. Discuss anatomic and clinical rationale for an "extended" periarterial procedure in connective tissue patients, and the role injection and topical application of Botox can play.
3. Identify the important role hand therapy plays in the diagnosis, nonsurgical treatment, preoperative assessment and postoperative management and monitoring of Raynaud's patients.
4. Recognize indications for an extended periarterial sympathectomy versus a lesser sympathectomy or other vascular surgical procedure and to review expected clinical outcomes.

This instructional course will review the treatment options for severe compressive neuropathies in the extremities, including decompression, soft tissue flaps, and nerve transfers. This course will also address the role of intra-operative nerve stimulation and assessment to help with operative decision making.

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

1. Discuss the contemporary treatment options for severe compressive neuropathies.
2. Develop a treatment algorithm for management of severe compressive neuropathies
3. Identify the role of intra-operative nerve studies to augment operative decision making.

Therapists and surgeons will discuss common PIP joint problems we all struggle with and provide useful, good solutions. PIP joint fractures, boutonniere injuries, extensor tendon lacerations and other problems will be addressed.

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

1. Develop new strategies that work when dealing with boutonniere closed and open injuries.
2. Improve outcomes with tough PIP fractures.
3. Recognize various solutions to tendon lacerations in the PIP joint.

As the career of a hand surgeon or a hand therapist develop, there are a number of procedures that he or she abandons. Scott’s parabola predicts how often new technology is introduced, enthusiastically adopted, only to be discredited as controlled studies and complications arise. Advanced scientific knowledge and best evidence, improved technology, and Poor outcomes are some of the reasons these procedures are left behind. This course will focus on the lessons that can be learned from such disavowed techniques.

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

1. Discuss Scott’s parabola as it applies to new procedures.
2. Identify the role that he plays in evaluating a procedure.
3. Recognize why specific procedures are no longer used.
4. Discuss procedures that have replaced the abandoned techniques.

Patients and referring providers expect that "everything possible will be done." This becomes even more apparent with a devastating injury such as a digital or partial limb amputation. Surgeons often err on trying to save everything with the rationale that technical or clinical failures can be dealt with later. As resources become tighter, this may not be a reasonable approach. Additionally, certain clinical scenarios and social situations may be better served with revision amputation at the initial presentation.

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

1. Review the absolute indications for finger replantation.
2. Evaluate the contraindications against replantation.
3. Explain the risk benefit ratio of replantation surgery.
4. Discuss how to counsel patients faced with the decision of whether or not to undergo replant surgery.

11:00 am - 11:02 am	1. Fat Transplantation in CMC I Arthritis - Operative Technique and Preliminary Results Riccardo E. Giunta, MD, PhD; Elisabeth Haas, MD, PhD; Elias Volkmer, MD, PhD Handchirurgie, Plastische Chirurgie, Ästhetische Chirurgie, Klinikum der Ludwigs-Maximilians Universität München, München, Germany
11:02 am - 11:04 am	2. Metacarpophalangeal Arthroplasty for the Management of Inflammatory Arthritis; An Analysis of 583 Arthroplasties Eric Wagner, MD; Matthew Houdek, MD; Robert Van Demark, MD; Steven L. Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN
11:04 am - 11:06 am	3. Wrist Fusion Using a New Wrist Fusion Plate. First Results Berthold Bickert, MD; Philipp Schoenle, MD; Jochen-Frederick Hernekamp, MD; Ulrich Kneser, PhD BG Trauma Center Ludwigshafen, Ludwigshafen, Germany
11:06 am - 11:08 am	4. Buying Time: Long-Term Results of Wrist Denervation and Time to Repeat Surgery Maureen A. O'Shaughnessy, MD; Sanjeev Kakar, MD Mayo Clinic, Rochester, MN
11:08 am - 11:10 am	5. German Hand Trauma Alliance - Current Status Riccardo E. Giunta, MD, PhD Handchirurgie, Plastische Chirurgie, Ästhetische Chirurgie, Klinikum der Ludwigs-Maximilians Universität München, München, Germany
11:10 am - 11:12 am	6. Spiral Tenodesis for Metacarpophalangeal Instability with Trapeziometacarpal Arthroplasty Mark Henry, MD Hand and Wrist Center of Houston, Houston, TX
11:12 am - 11:20 am	Panel Discussion
11:20 am - 11:22 am	7. The Role of the Synovia in the Nociception in Rhizarthritis Susanne Rein, MD, PhD1; Janet Okogbaa2; Elisabet Hagert, MD, PhD3; Suzanne Manthey, MD4; Amy Ladd, MD2 1Department for Hand and Plastic Surgery, Burn Center, Hospital Bergmannstrost, Halle (Saale), Germany; 2Stanford University, Stanford, CA; 3Karolinska Institutet, Stockholm, Sweden; 4University Hospital "Carl Gustav Carus", Dresden, Germany
11:22 am - 11:24 am	8. Outcomes of a Cementless Thumb Basal Joint Hemiarthroplasty for Treatment of Trapeziometacarpal Osteoarthritis Patrick G. Marinello, MD; Mark Shreve, MD; Peter J. Evans, MD, PhD Cleveland Clinic Foundation, Cleveland, OH
	9. WITHDRAWN
11:26 am - 11:28 am	10. Prevalence and Predictors of Second Metacarpal Fracture After Suture Button Suspension for 1st CMC Arthritis Ajul Shah, MD; Robin Wu, BS; Rajendra Sawh, MD; Carmella Fernandez, MD; Grant Thomson Yale University School of Medicine, New Haven, CT
11:28 am - 11:30 am	11. The Role of First Metacarpal Osteotomy in the Management of Basilar Thumb Arthritis Megan Anne Conti Mica, MD; O'Shaughnessy Maureen, MD; Rizzo Marco, MD Mayo Clinic, Rochester, MN
11:30 am - 11:32 am	12. Revision Trapeziometacarpal Arthroplasty with Dermal Xenograft Interposition Michael Doarn, MD; John Fernandez, MD Midwest Orthopaedics at Rush, Chicago, IL
11:32 am - 11:40 am	Panel Discussion
11:40 am - 11:42 am	13. Safety and Efficacy of a Novel Topical Analgesic for Treatment of Basal Thumb Arthritis: A Pilot Study Patrick M. Kane, MD1; Michael P. Gaspar, MD1; Mihir M. Sheth, BS2; Evan Baron, BS2; Sidney M. Jacoby1; Eon K. Shin, MD1 1Philadelphia Hand Center, Philadelphia, PA; 2Thomas Jefferson University, Philadelphia, PA
11:42 am - 11:44 am	14. Disabilities of the Arm, Shoulder and Hand (DASH) Users Viewpoint Clarifies Interpretability of Scores 1Dorcas E. Beaton, PhD; 2Carol A. Kennedy, BScPT, MSc 1University of Toronto, Toronto, ON; 2Institute for Work & Health, Toronto, ON, Canada
11:44 am - 11:46 am	15. Incidence and Extent of Tenosynovitis in Trigger Fingers Mohini Rawat, DPT, ECS, RMSK; Mukund Patel, MD NYU Langone Hand Surgery Brooklyn, New York, NY
11:46 am - 11:48 am	16. Prospective Evaluation of Post-Operative Opioid Utilization after Upper Extremity Surgery: We are Over-Prescribing! Asif Ilyas, MD; Jonas Matzon; Jack Abboudi; Christopher Jones; William Kirkpatrick; Charles Leinberry; Frederic Liss, Kevin Lutsky; Mark Wang; Nayoung Kim Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
11:48 am - 11:50 am	17. Cost-Utility Analysis of Clinic-Based Hand Therapy versus Home Therapy after Distal Radius Fracture Lin Lin Gao, MD; Ines Lin, MD Hospital of the University of Pennyslvania, Philadelphia, PA
11:50 am - 11:52 am	18. The Deltoid Lift: A Comparison Study of Exposure Area in Proximal Humeral Approaches John Dunn, MD1; Nicholas Kusnezov, MD2; Justin Mitchell, DO1; Michael Ting, BS2; Miguel A. Pirela-Cruz, MD3 1William Beaumont Army Medical Center, Fort Bliss, TX; 2Texas Tech University Medical Center, El Paso, TX; 3Texas Tech University Health Sciences Center El Paso, Paul L. Foster School of Medicine, El Paso, TX
11:52 am - 12:00 pm	Panel Discussion

11:00 am - 11:02 am	19. Disabilities of the Arm, Shoulder and Hand (DASH) 20 Years Old: The Little Tool that Grew Carol A. Kennedy, BScPT, MSc1; Dorcas E. Beaton, PhD2 1Institute for Work & Health, Toronto, ON, Canada; 2University of Toronto, Toronto, ON, Canada
11:02 am - 11:04 am	20. Novel Approach to Treat Rotator Cuff Tear Using Tendon Stem/Progenitor Cell (TSC) Sheets Issei Komatsu, MD; Yaron Sela, MD; Kevin Kruse, MD; James HC. Wang, MD; Christopher C. Schmidt, MD; Mark E. Baratz, MD University of Pittsburgh, Pittsburgh, PA
11:04 am - 11:06 am	21. Do Prefabricated Splints Limit Wrist Motion as well as a Traditional Cast? A Pilot Study Karan Patel, MD1; John Palsis, MD2; Nina Lara, MD3; Paulo Castaneda, BS3; Alex McLaren, MD3 1Mayo Clinic, Phoenix, AZ; 2Medical University of South Carolina, Charleston, SC; 3Banner University Medical Center, Phoenix
11:06 am - 11:08 am	22. Distal Ulnar Stump (DUS) Stability: The Role of the Distal Interosseous Membrane (DIOM). Anatomic Research Study Luciano A. Poitevin, MD, PhD; Daniel Postan, MD Buenos Aires University, Buenos Aires, Argentina
11:08 am - 11:10 am	23. Performance of Automated Mobile Phone Text Messaging in the Delivery of Patient Reported Outcome Instruments Chris A. Anthony, MD; Natalie Glass, MD; Katelyn McDonald, MD; Ericka A. Lawler, MD; Apurva S. Shah, MD University of Iowa, Iowa City, IA
11:10 am - 11:12 am	24. Late Onset Upper Extremity Lymphedema Following Elective Hand Surgery in Breast Cancer Survivors Heather L. Baltzer, MD; Jamison Harvey, BSc; Paige M. Fox, MD, PhD; Steven L. Moran, MD Mayo Clinic, Rochester, MN
11:12 am - 11:20 am	Panel Discussion
11:20 am - 11:22 am	25. Do Pre-Operative Antibiotics Reduce Bacterial Culture Growth from Hand Abscesses? Arianna Trionfo, MD; Joseph Thoder; Rick Tosti Temple University, Philadelphia, PA
11:22 am - 11:24 am	26. An App Provides Reliable Finger Measurement Faster Than a Goniometer Jeremy Smalley, MD; Eric Angermeier, MD; William Barfield, PhD; Kyle Kokko, PhD, MD Medical University of South Carolina, Charleston, SC
11:24 am - 11:26 am	27. Publication Bias in the Hand Surgery Literature Nicholas J. Lemme, BS; Brian C. Drolet, MD; Benjamin R. Johnston, PhD; Jonathan Bass, MD; Edward Akelman, MD; Scott Schmidt, MD Alpert Medical School, Brown University, Providence, RI
11:26 am - 11:28 am	28. Major Upper Extremity Amputations and Prosthetics: Comparison of Prosthetist and Surgeon Preferences Ramsen Azizi, MD1; Jessica Korsh, MS1; Michael Singer, BS1; Abe Mathews, CPO2; Brian Pinsky, MD1 1Plastic Surgery, Long Island Plastic Surgical Group/Nassau University Medical Center, Garden City, NY; 2Orthotics and Prosthetics, Progressive Orthotics and Prosthetics, Albertson, NY
11:28 am - 11:30 am	29. A Comparison of Headless Screw, Locking Plate, and Non-Locking Plate Fixation for Simulated Scaphoid Defects: A Biomechanical Study Jill A. Goodwin, MD; Patricia Drace, MD; Scott G. Edwards, MD; Paulo Castaneda, MD Banner University Medical Center- Phoenix, Phoenix, AZ
11:30 am - 11:32 am	30. Stability and Pain Relief After Arthroscopic Transosseous Repair Of The Triangular Fibro-Cartilage Complex (TFCC) Eva-Maria Baur, MD Practice for Plastic and Hand Surgery, Murnau, Germany
11:32 am - 11:40 am	Panel Discussion
11:40 am - 11:42 am	31. Human Scaphoid Non-unions Exhibit Increased Osteoclast Activity Compared To Adjacent Cancellous Bone Bjorn Behr, MD; Matthias Schulte, PhD; Döbele Carmen, MD; Christoph Wallner, MD; Kneser Ulrich, MD; Lehnhardt Marcus, MD; Schira Jessica, MD BG Trauma Center Ludwigshafen/ University of Heidelberg, Ludwigshafen, Germany
11:42 am - 11:44 am	32. Tendon Regeneration with Tendon Hydrogel-Based Cell Delivery: A Comparison of Fibroblasts and Adipose-Derived Stem Cells Arhana Chattopadhyay, MD; Michael G. Galvez, MD; Anais Legrand, MD; Chris Crowe, MD; Rory McGoldrick, MD; Hung Pham, MD; James Chang, MD Stanford University, Palo Alto, CA
11:44 am - 11:46 am	33. Hypoxia Maintains the Connective Tissue Microenvironment Rowena McBeath, MD, PhD; A. Lee Osterman, MD The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
11:46 am - 11:48 am	34. The Influence of Dominant Limb Involvement on DASH and QuickDASH Amir Reza Kachooei, MD; Ali Moradi, MD; Stein Janssen, MD; David C. Ring, MD Massachusetts General Hospital, Harvard University, Boston, MA
11:48 am - 11:50 am	35. Independence in Hand and Plastic Surgery - Benefit or Barrier? Analysis of the Publication Performance in Academic Plastic Surgery Depending on Varying Organizational Structures Riccardo E. Giunta, MD, PhD; Cornelius Schubert, MD, PhD Handchirurgie, Plastische Chirurgie, Ästhetische Chirurgie, Klinikum der Ludwigs-Maximilians Universität München, München, Germany
11:50 am - 11:52 am	36. Functional Assessment of Thumb Spica Cast Immobilization versus Short Arm Cast Immobilization Lyubov Tsytsikova, MD2; Raghuveer Muppavarapu, MD1, Michael Gottschalk, MD1, Charles Cassidy, MD2; John T. Capo, MD1 11NYU Hospital for Joint Diseases, New York, NY; 2Tufts Medical Center, Boston, MA
11:52 am - 12:00 pm	Panel Discussion

12:00 pm - 12:02 pm	37. Modified Great Toe Wraparound Flap Preserving Plantar Triangular Flap Xiao Fang Shen, MD1; Jing Yi Mi, MD1; Harvey Chim, MD2 1Wuxi 9th People's Hospital, Wuxi, China; 2University of Miami, Miami, FL
12:02 pm - 12:04 pm	38. Restoration of Finger Flexion in Children Using Functioning Free Gracilis Transfer Mohamed Mostafa Kotb, MD Assiut University Hospital, Assiut, Egypt
12:04 pm - 12:06 pm	39. Smartphone Based Thermal Imaging: A Valid New Modality For Tissue Temperature Measurement? Kyros Ipaktchi, MD1; Kellie Currie, MD2; Grady Maddox, MD2 1Denver Health Medical Center, Denver, CO; 2University of Colorado, Aurora, CO
12:06 pm - 12:08 pm	40. Microsurgeons Do Better -Tactile Training Prevents the Age-Dependent Decline of the Sensibility of the Hand Kai Megerle, MD; Daniel Schmauss, MD; Michael Cerny, MD; Jörn A. Lohmeyer, MD; Hans-Günther Machens, MD, PhD; Erne Holger, MD Clinic for Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany
12:08 pm - 12:10 pm	41. Outcome in Reconstruction of Upper Limb Defects After Free Flap Salvage Christoph Hirche, MD; Amir Khosrow Bigdeli, MD; Emre Gazyakan, MD; Volker Jürgen Schmidt, MD; Frederick Jochen Hernekamp, MD; Thomas Kremer, MD; Ulrich Kneser, MD BG-Trauma Center Ludwigshafen/University of Heidelberg, Ludwigshafen, Germany
12:10 pm - 12:12 pm	42. Comparisons of Functional Recovery Outcomes Between Processed Nerve Allograft and Hollow Tube Conduits for Short and Long Gap Digital Nerve Repairs Bauback Safa, MD1, Jason Ko, MD2; Mitchell Pet, MD2; Harry Hoyen, MD3; Wesley Thayer, MD, PhD4; Gregory Buncke, MD1 1The Buncke Clinic, San Francisco, CA; 2University of Washington, Harborview Medical Center, Seattle, WA; 3Metro Health Medical Center, Cleveland, OH; 4Vanderbilt University, Nashville, TN
12:12 pm - 12:20 pm	Panel Discussion
12:20 pm - 12:22 pm	43. A Direct Cost Comparison Study of Open Carpal Tunnel Surgery Brad T. Morrow, MD; Logan Carr, MD; William B. Albright, MD; Brett Michelotti, MD; Randy Hauck, MD Penn State Hershey Medical Center, Hershey, PA
12:22 pm - 12:24 pm	44. Arthroscopical Assisted Scapholunate Capsuloplasty: the Role of the Dorsal Capsulo-Scaphlunate Septum (DCSS) Max Haerle, MD, PhD; Tobias Del Gaudio, MD Clinic for Hand- and Plastic Surgery, Markgroningen, Germany
12:24 pm - 12:26 pm	45. Burden of Hand Maladies in US Emergency Departments David Colen, MD; Justin P. Fox, MD, MHS; Ines Lin, MD University of Pennsylvania, Philadelphia
12:26 pm - 12:28 pm	46. Distal Radius Fractures - Does Obesity Affect Fracture Pattern, Treatment and Functional Outcome Michael D. Montague, MD; Jesse T. Lewis, MD; Jaiyoung Ryu, MD West Virginia University, Morgantown, WV
12:28 pm - 12:30 pm	47. Outcomes of Surgical Treatment for High Energy Open Forearm Fractures Jonathan Seavey, MD1; Elizabeth M. Polfer, MD1; Benjamin W. Hoyt, BS2; George C. Balazs, MD1; Derek F. Ipsen, DO1; George P. Nanos, MD1; Scott M. Tintle, MD1 1Walter Reed National Military Medical Center, Bethesda, MD; 2Uniformed Services University of the Health Sciences, Bethesda, MD
12:30 pm - 12:32 pm	48. Factors Associated with Removal of a Radial Head Prosthesis Placed for Acute Trauma Amir Reza Kachooei, MD1; Femke M.A.P. Claessen, MD1; Samantha M. Chase, MD1; Kirsten K.J Verheij, BSc1; C. Niek van Dijk, MD, PhD2; David C. Ring, MD1 1Massachusetts General Hospital, Harvard University, Boston, MA; 2Academic Medical Centre, Orthopedic Research Center Amsterdam, Amsterdam, Netherlands
12:32 pm - 12:40 pm	Panel Discussion
12:40 pm - 12:42 pm	49. Variation in Admission and Transfer Volume at a Regional Hand Trauma Referral Center Christopher M. Jones, MD1; Neil Vranis, BS2;, James P. Higgins, MD1; Kenneth R. Means, MD1; Ebrahim Paryavi, MD, MPH1 1Curtis National Hand Center, Baltimore, MD; 2University of Maryland, Baltimore, MD
12:42 pm - 12:44 pm	50. Skin Involvement in Dupuytren's Disease Ryckie George Wade, MBBS, MClinEd; Laszlo Igali, MD, FRCPath; Andrea Figus, MD, PhD, FEBOPRAS Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom
12:44 pm - 12:46 pm	51. The Use of Psychosocial Services Post Hand and Upper Limb Injury and Trauma Gregory A. Chown, OTD, BHSc Alvernia University, Reading, PA
12:46 pm - 12:48 pm	52. A Randomized, Double-Blinded, Placebo-Controlled Clinical Trial Assessing the Therapeutic Efficacy of Botulinum Toxin in Treating Scleroderma-Associated Raynaud's Phenomenon Ricardo J. Bello, MD, MPH; Carisa M. Cooney, MPH, CCRP; Eitan Melamed, MD; Keith Follmar, MD; Scott D. Lifchez, MD, FACS Johns Hopkins University, Baltimore, MD
12:48 pm - 12:50 pm	53. Treatment of Failed Submuscular Ulnar Nerve Transposition Loukia K. Papatheodorou, MD; Sophia Leung, MD; Dean G. Sotereanos, MD University of Pittsburgh, Pittsburgh, PA
12:50 pm - 12:52 pm	54. Carpal Tunnel Syndrome and the Unmeasured Strength J. Christopher Gayton, MD1; Mark Miller, PHD1; Mark E. Baratz, MD2; Bradley A. Palmer, MD1 1Allegheny General Hospital, Pittsburgh, PA; 2Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
12:52 pm - 1:00 pm	Panel Discussion

12:00 pm - 12:02 pm	55. A Comparison of Three Diagnostic Tests for Diagnosis of Carpal Tunnel Syndrome Using Latent Class Analysis John R. Fowler, MD1; William Cipolli, MS2; Timothy Hanson, PhD 1University of Pittsburgh Medical Center, Pittsburgh, PA; 2University of South Carolina, Columbia, SC
12:02 pm - 12:04 pm	56. Replantation and Revascularization Under Wide Awake Anesthesia Chung-Chen Hsu, MD1; Wang Jason, MD2; Cheng-Hung Lin, MD1; Nai-Jen Chang, MD1, Hung-Chang Chen, MD1; Yu-Te Lin, MD1; Chih-Hung Lin, MD1 1Chang Gung Memorial Hospital, Chang Gung University, Taoyaun, Taiwan; 2University of Manchester, United Kingdom
12:04 pm - 12:06 pm	57. The Detrimental Effect of Patient Comorbidities on Digital Replantation Success in the United States Joshua W. Hustedt, MD, MHS1; Michael Murri, BS2; Patricia Drace, MD3 1University of Arizona-Phoenix College of Medicine, Phoenix, AZ; 2Baylor College of Medicine, Houston, TX; 3Banner University Medical Center- Phoenix, Phoenix, AZ
12:06 pm - 12:08 pm	58. WITHDRAWN
12:08 pm - 12:10 pm	59. Primary Surgical Release of Trigger Digits in Diabetics versus Nondiabetics: A Prospective Comparative Study Claudius D. Jarrett, MD; Gary Mcgillivary, MD; Jonathan Gillig, MD; Michael Devon Smith, MD; Laura Tabilo, ATC; Vinura Withanawasam, MD Emory University, Atlanta, GA
12:10 pm - 12:12 pm	60. Management Trigger Finger: Maximizing Non-Operative Success Without Increasing Morbidity Alyssa R. Golas, MD1; Robert S. Reiffel, MD2 1New York University Langone Medical Center, New York, NY; 2White Plains Hospital Medical Center, White Plains, NY
12:12 pm - 12:20 pm	Panel Discussion
	61. WITHDRAWN
12:22 pm - 12:24 pm	62. Long-Term Results Of Articular Fractures Of The Base Of The Thumb Metacarpal Using Different Fixation Methods Isabella Maria Mehling, PhD; Katrin Schillo, MD; Annika Arsalan-Werner, MD; Michael Schlageter, MD; Michael Sauerbier, MD, PhD BG Trauma Center Frankfurt am Main, Frankfurt am Main, Germany
12:24 pm - 12:26 pm	63. Minimally Invasive Ultrasonic Tenotomy for Medial and Lateral Epicondylosis Allows for Early Recovery and Return to Work Elizabeth Elander, PA-C; Anna Cobb, MS, DC; Tyson Cobb, MD Orthopaedic Specialists, Inc, Davenport, IA
12:26 pm - 12:28 pm	64. Prospective Evaluation of Opioid Use After Distal Radius Fracture Surgery: Determining What Effects Consumption Asif Ilyas, MD; Joseph O'Neil, MD; Mark Wang, MD Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA
12:28 pm - 12:30 pm	65. Long-Term Outcomes Following Operative Management of Pediatric Scapholunate Ligament Injuries Paige M. Fox, MD, PhD; Robert J. van Kampen, MD; Heather L. Baltzer, MD; Steven L. Moran, MD Mayo Clinic, Rochester, MN
12:30 pm - 12:32 pm	66. Repeated Closed Reduction Attempts of Distal Radius Fractures in the Emergency Department - Are we Helping our Patients to Avoid Surgery? Haggai Sherman, MD; Assaf Kadar, MD; Tamir Pritsch, MD Tel Aviv Sourasky Medical Center Orthopaedic Division, Tel Aviv, Israel
12:32 pm - 12:40 pm	Panel Discussion
12:40 pm - 12:42 pm	67. Obesity and Failure of Nonoperative Management of Pediatric Both-Bone Forearm Fractures Ugochi C. Okoroafor, MD; Jasmin L. McGinty, MD Saint Louis University, St. Louis, MO
12:42 pm - 12:44 pm	68. Computed Tomography Analysis of Ulnar CMC Fractures Identifies Injuries Missed on Plain Film Radiographs and Significantly Changes Management Jacqueline Rose Piggott, MD; Christopher Doherty, MD, FRCSC; Douglas Ross, MD, FRCSC St. Joseph's Health Care Center, Western University, London, ON, Canada
12:44 pm - 12:46 pm	69. Using Hounsfield Units to Assess Osteoporotic Status on Wrist CT Scans: A Missed Opportunity? Christine Cleora Johnson, MD; Elizabeth B. Gausden, MD; Andrew J. Weiland, MD; Joseph M. Lane, MD; Joseph J. Schreiber, MD Hospital for Special Surgery, New York, NY
12:46 pm - 12:48 pm	70. Comparison of Dorsal Plate Fixation versus Intramedullary Headless Screw Fixation of Metacarpal Shaft Fractures: A Biomechanical Study Eitan Melamed, MD; Richard M. Hinds, MD; Michael Gottschalk, MD; Oran Kennedy, MD; John T. Capo, MD NYU Hospital for Joint Diseases, New York, NY
12:48 pm - 12:50 pm	71. Treating Scaphoid Nonunions with Plate Fixation and Cancellous Grafting: First Clinical Report Scott G. Edwards, MD Banner University Medical Center, Phoenix, AZ
12:50 pm - 12:52 pm	72. Outcomes Following Scaphoid Non-union Reconstruction Marianne Williams, PT, CHT; Christine B. Novak, PT, PhD; Herbert P. von Schroeder, MD University of Toronto, Toronto, ON, Canada
12:52 pm - 1:00 pm	Panel Discussion

AM Surgical Workshop
Surgeons will have the opportunity for hands-on cadaver training utilizing the STRATOS endoscopic system for cubital and carpal tunnel release. Faculty will present on their clinical experience and surgical pearls prior to the lab. Space is limited. The STRATOS is an all-in-one, disposable (no other instrumentation needed) endoscopic system that features a static clear cannula for unparalleled views and protection of anatomy during endoscopic release.
Learn more at amsurgical.com/stratos
Sign up here.

Integra Lifesciences Workshop
"Limiting Uncertainty in Total Wrist Arthroplasty" Scrub in alongside designing surgeons Dr Brian Adams and Dr Randy Bindra for a guided hands-on tour of the NEW Integra Freedom Wrist Arthroplasty system. Surgical pearls will be demonstrated in a lab setting as well as a discussion on patient selection and design rationale.
Sign up here.

MicroAire Workshop
This concentrated two-hour cadaver-based bioskills course provides the training required to perform endoscopic carpal tunnel release surgery using MicroAire’s SmartRelease® system. Surgeons will have the opportunity to observe the technique in-person as demonstrated on a cadaver specimen by a faculty surgeon. Additionally, participants will have the chance to perform the demonstrated technique on their own cadaver specimen as well as observe and assist at least two other surgeons.
Sign up here.

State-of-the-Art in Nerve Repair:
A Hands On Experience for Residents and Fellows
Don't miss the opportunity to improve your nerve repair practice.
This hands-on session will allow residents and fellows to:

• Learn the preferred algorithms of the experts
• Understand and implement concepts for tensionless nerve repairs
• Gain hands-on experience in nerve grafting, nerve protection, and connector-assisted repair
• Please remember to bring your loupes

Sign up here.

This course will highlight the expanding role of nerve transfers in peripheral nerve surgery. Once limited to preganglionic brachial plexus injuries, peripheral nerve surgeons are now using nerve transfers in innovative ways: these include at distal sites and in unusual clinical scenarios, such as in reconstruction following spinal cord injury or peripheral nerve tumors/lesions.

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

1. Highlight the principles and advantages/disadvantages of nerve transfers over other techniques, such as nerve grafts or tendon transfers.
2. Discuss new surgical techniques of distal nerve transfers and new indications for their use.
3. Summarize outcomes of common nerve transfers.

This hour long course will briefly discuss basics of diagnostic and interventional ultrasound as they apply to a hand surgery practice and include; ultrasound diagnosis of common hand, wrist and elbow disorders and basic interventional techniques, such as ultrasound guided injections.

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

1. Recognize basic terminology and technical considerations when performing diagnostic ultrasound.
2. Discuss advantages and limitations of diagnostic ultrasound
3. Recognize normal anatomy and common pathology of the hand, wrist and elbow on ultrasound.
4. Identify ultrasound guided interventional techniques.

This course will discuss the management of distal radius fractures including how to prevent secondary dislocation, plate position, plate design and the management of failed surgery.

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

1. Recognize how to prevent secondary dislocation.
2. Discuss principles of plate position and plate design with regard to tendon ruptures.
3. Discuss the management of failed surgery.

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

The Scratch Collapse Test has emerged as a useful adjunct in the clinical assessment of patients with compression neuropathy. This course will review the evolution and clinical applications of the Scratch Collapse Test, and will detail the many nuances of performing the test through demonstration. The use of the "hierarchical" Scratch Collapse Test for evaluating complex patients with multi-level compression neuropathy will also be covered.

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

1. Explain how the Scratch Collapse Test can help evaluate patients with compression neuropathy in relation to traditional tests, such as the Tinel's test.
2. Discuss technical nuances of performing the Scratch Collapse Test.
3. Describe the application of ethyl chloride, a topical anaesthetic, with the Scratch Collapse test to facilitate the clinical evaluation of complex patients with multi-level compression and diffuse pain.

8:50 am - 9:15 am	Awards & Announcements (Not for Credit)
	HAND Journal Update Michael W. Neumeister, MD
	HAND Journal Award Name TBD
	Lean & Green Award Mark E. Baratz, MD
	Hand Surgery Endowment (HSE) Report Jeffrey Greenberg, MD
	Humanitarian Award Lynn Bassini MA, OTR/L, MA, OTR/L, CHT

10:30 am - 10:32 am	73. Pediatric Upper Extremity Fractures Associated with Sports Participation: Incidence, Etiology, and Prevention Xuyang Song, MD; Brandon Schwartz, MD; Joshua M. Abzug, MD University of Maryland Medical Center, Baltimore, MD
10:32 am - 10:34 am	74. Lateral versus Dorsal Plating for Metacarpal and Phalanx Fractures Joshua W. Hustedt, MD, MHS1; Michael Bonnelli, BA1; Patricia Drace, MD2; Lloyd Champagne, MD3 1University of Arizona-Phoenix College of Medicine, Phoenix, AZ; 2Banner University Medical Center- Phoenix, Phoenix, AZ; 3Arizona Center for Hand Surgery, Phoenix, AZ
10:34 am - 10:36 am	75. Orthogonal Plating with Corrective Osteotomy for Treatment of Distal Radius Fracture Malunion Michael P. Gaspar, MD; Jenniefer Y. Kho, MD; Patrick M. Kane, MD; Randall W. Culp, MD Thomas Jefferson University, Philadelphia Hand Center, Philadelphia, PA
10:36 am - 10:38 am	76. Age Matters Jacqueline Watchmaker, BA1; Greg Watchmaker, MD2 1Medical College of Wisconsin, Mequon, WI; 2Orthopaedic Hospital of Wisconsin, Mequon
10:38 am - 10:40 am	77. Can a Stener Lesion be Created During Physical Examination? Manesha Lankachandra, MD1; Richard L. Hutchison, MD2 1University of Missouri-Kansas City, Kansas City, MO; 2Children's Mercy Hospital / University of Missouri - Kansas City, Kansas City, MO
10:40 am - 10:42 am	78. Surgical Treatment of Scaphoid Fractures - Does Delayed Treatment Affect Union Rate? Verena M. Schreiber, MD; Caiyan Zhang, MS; James J. Irrgang, PT, PhD, ATC, FAPTA; John R. Fowler, MD University of Pittsburgh Medical Center, Pittsburgh, PA
10:42 am - 10:50 am	Panel Discussion
10:50 am - 10:52 am	79. Performance Outcomes After Metacarpal Fractures in National Basketball Association Players Michael S. Guss, MD; John P. Begly, MD; Austin J. Ramme, MD; Richard M. Hinds, MD; Raj J. Karia, MPH; John T. Capo, MD New York University Hospital for Joint Diseases, New York, NY
10:52 am - 10:54 am	80. Efficacy of Surgical Approaches for Treatment of Pyogenic Flexor Tenosynovitis Trung Ho, MD; Ian McGraw, MS; Wendy L. Parker, MD, PhD Baylor Scott & White, Temple, TX
10:54 am - 10:56 am	81. Is Insurance Status Associated with Development of Nonunion Following Scaphoid Fracture? Amy K. Fenoglio, MD1; Daniel D. Bohl, MD, MPH2; Raj J. Gala, MD1; Seth D. Dodds, MD1 1Yale School of Medicine, New Haven, CT; 2Rush University Medical Center, Chicago, IL
10:56 am - 10:58 am	82. What are the Indications for Transosseous Reinsertion of Ulnar Avulsion of the TFCC Heinrich Tünnerhoff, MD Marbach Hospital, Marbach, Germany
10:58 am - 11:00 am	83. A Novel Internal Joint Stabilizer for the Elbow Kristen M. Meier, MD; Steven M. Koehler, MD; Michael R. Hausman, MD Mount Sinai Medical Center, New York, NY
11:00 am - 11:02 am	84. Does Attempted Reduction of Isolated Small Finger Metacarpal Neck Fractures Reduce the Measured Angular Deformity at Final Follow-up? Gregory I. Pace, MD; David Gendelberg, MD; Kenneth F. Taylor, MD Pennsylvania State College of Medicine, Hershey, PA
11:02 am - 11:10 am	Panel Discussion
11:10 am - 11:12 am	85. Functional and Radiological Outcome after Reduction-Association of the Scapholunate Ali Izadpanah, MSc, MD, FRCSC1; William Aibinder, MD2; Bassem T. Elhassan, MD2 1McGill University Health Centre, Montreal, QC, Canada; 2Mayo Clinic, Rochester, MN
11:12 am - 11:14 am	86. Characteristics of Elbow Deformity After Mild Lateral Humeral Condylar Fracture Takehiko Takagi, MD, PhD1; Atsuhito Seki, MD, PhD2; Shinichiro Takayama, MD, PhD2; Yuka Kobayashi, MD, PhD1; Joji Mochida, MD, PhD1 1University School of Medicine, Isehara, Kanagawa, Japan; 2National Center for Child Health and Development, Tokyo, Japan
11:14 am - 11:16 am	87. Smartphone Photography as a Tool to Measure Elbow Range of Motion Megan Anne Conti Mica, MD; Eric Wagner, MD; Alex Shin, MD Mayo Clinic, Rochester, MN
11:16 am - 11:18 am	88. The Distribution of Specialist Hand Surgeons Across the United States Arturo J. Rios Diaz, MD; David Metcalfe, LLB, MBChB; Mansher Singh, MD; Olubode Olufajo, MD, MPH; Cheryl K. Zogg, MSPH; Margarita S. Ramos2, Edward J. Caterson, MD, PhD; Simon G. Talbot, MD Brigham and Women's Hospital. Harvard Medical School & Harvard T.H. Chan School of Public Health, Boston, MA
11:18 am - 11:20 am	89. Radiocarpal and Midcarpal Joint Malalignment with Distal Radius Malunion and Factors in Correction after Osteotomy Michael Doarn, MD; Youssef Hedroug, BS; John Fernandez, MD; Mark Cohen, MD; Robert Wysocki, MD Midwest Orthopaedics at Rush, Chicago, IL
11:20 am - 11:22 am	90. Treatment of Acute Osteomyelitis Using Oral Antibiotics in the Pediatric Population Jennifer Kargel, MD; Douglas M. Sammer, MD; Jonathan Cheng, MD University of Texas Southwestern Medical Center, Dallas, TX
11:22 am - 11:30 am	Panel Discussion

10:30 am - 10:32 am	91. Nerveregeneration after Reconstruction with Processed Human, Decellularized Allografts - First German Experiences in the Use of the Avance® Nerve Graft Kristian Weissenberg, MD1; Eirini Liodaki, MD2; Catharina Elisabeth Strauss, MD1; Felix Stang, MD2; Peter Mailänder, MD, PhD2; Frank Siemers, MD, PhD1 1Bergmannstrost Trauma Center, Halle (Saale), Germany; 2Universityhospital of Schleswig-Holstein, Luebeck, Germany
10:32 am - 10:34 am	92. The Effects of Carpal Tunnel Syndrome and its Release on Sleep Chad M. Turner, MD; Thomas J. Fischer, MD The Indiana Hand to Shoulder Center, Indianapolis, IN
10:34 am - 10:36 am	93. When Are Static/Moving Two Point Discrimination and Semmes-Weinstein Monofilament Tests Reliable in Children? Timothy Patrick Lancaster, BS, Karan Dua, MD; Joshua M. Abzug, MD University of Maryland School of Medicine, Baltimore, MD
10:36 am - 10:38 am	94. Interhemispheric Plasticity in Response to Peripheral Nerve Injury Thomas Hansson, MD, PhD; Lotta Fornander, MD; Torbjörn Nyman, MD Linköping University, Linköping, Sweden
10:38 am - 10:40 am	95. Validity of the DASH Questionnaire in Upper Extremity Nerve Injury Christine B. Novak, PT, PhD University of Toronto, Toronto, ON, Canada
10:40 am - 10:45 am	Panel Discussion
10:45 am - 10:47 am	96. Level I Evidence: How Much Volume of Local and How Long Should You Wait for an Effective Median Nerve Block? Lyndsay M. Lovely, BSc, MSc(OT) 1; Donald H. Lalonde, BSc, MSc, MD2 1Dalhousie Medicine New Brunswick, Saint John, NB, Canada; 2Dalhousie University, Saint John, NB, Canada
10:47 am - 10:49 am	97. Demographics and Outcomes of Radial Tunnel Syndrome Release: A Single Surgeon's Experience of 97 Cases Ryan W. Schmucker, MD; Shaun D. Mendenhall, MD; Timothy H. Daugherty, MD; James N. Winters, MD; Jordan J. Myhre, BS, BA; Michael W. Neumeister, MD Southern Illinois University School of Medicine, Springfield, IL
10:49 am - 10:51 am	98. Tendon Transfers for Radial Nerve Palsy in Brachial Plexus Injuries Ali Izadpanah, MD; Allen Bishop, MD; Robert Spinner, MD; Michelle, F. Kircher, RN; Alexander Y. Shin, MD Mayo Clinic, Rochester, MN
10:51 am - 10:53 am	99. The Nerve of Henle: An Anatomic and Sympathetic Study of the Ulnar Innervation Eduardo Pablo Zancolli, MD1; Diego Piazza, MD2; Carlos Lozano, MD3; Christina Kaufman, PhD3; Jim Kleinert, MD3; Luis Scheker3; Eduardo Zancolli, MD4 1Kleinert Kutz, Louisville, KY; 2Fundacion Favaloro, Buenos Aires, Argentina; 3Christine M. Kleinert Institute, Louisville, KY; 4Hospital Naval Pedro Mallo, Buenos Aires, Argentina
10:53 am - 10:55 am	100. Predictors of Return to Work After Carpal Tunnel Release in a Workers' Compensation Population Jenniefer Y. Kho, MD; Michael Gaspar, MD; Patrick Kane, MD; Sidney M. Jacoby, MD; Eon K. Shin, MD Thomas Jefferson University, Philadelphia Hand Center, Philadelphia, PA
10:55 am - 11:00 am	Panel Discussion
11:00 am - 11:04 am	101. Comparison of Ulnar Intrinsic Function following Supercharged End-to-Side AIN Transfer to Ulnar Motor Nerve: A Matched Cohort of Study High Ulnar Nerve Injury Patients Heather L. Baltzer, MD; Alice Woo, MD; Christine Oh, MD; Steven L. Moran, MD Mayo Clinic, Rochester, MN
11:04 am - 11:08 am	102. Virally Mediated Brachial Plexus Neuritis: A Case Series and Surgical Algorithm Anthony Thanh Vu, MD; Emily Louden, MPH; Melissa Miller, RN, BSN; Ann Schwentker, MD; Kevin Yakuboff, MD Cincinnati Children's Medical Center, Cincinnati, OH
11:08 am - 11:12 am	103. Risk Factors for Revision After In-Situ Ulnar Nerve Decompression with or without Medial Epicondylectomy in Patients with Idiopathic Cubital Tunnel Syndrome Michael P. Gaspar, MD; Patrick M. Kane, MD; Dechporn Putthiwara, MD; Sidney M. Jacoby, MD; A. Lee Osterman, MD Thomas Jefferson University, Philadelphia Hand Center, Philadelphia, PA
11:12 am - 11:16 am	104. Recovering Extension Function Using a Modified Contralateral C7 Neurotization in BPAI Patients Su Jiang, MD Huashan Hospital, Fudan University, Shanghai, China
11:16 am - 11:20 am	105. Functional Outcomes of Nerve Grafting and Triple Nerve Transfers For Upper Trunk Obstetrical Brachial Plexus Injuries Kathleen O'Grady, MD1; Hollie Power, MD2; Jaret Olson, MD2; Michael Morhart, MD, FRCSC2; Rob Harrop3; Joe Watt2; K. Ming Chan, MD, FRCPC2 1Glenrose Rehabilitation Hospital, Edmonton, AB, Canada; 2University of Alberta, Edmonton, AB, Canada; 3University of Calgary, Calgary, AB, Canada
11:20 am - 11:24 am	106. Assessment of the Psychometric Properties of the Brachial Assessment Tool (BrAT) a New Patient-reported Outcome Measure for Adult Traumatic Brachial Plexus Injury Bridget Hill, MD1; Julie Pallant, MD2; Gavin Williams, MD3; Scott Ferris, MD4; John Olver, MD3; Andrea Bialocerkowski, MD1 1Menzies Health Institute, Griffith University, Queensland, Australia; 2University of Melbourne, Melbourne, Australia; 3Epworth Monash Rehabilitation Unit, Melbourne, Australia; 4Alfred Healthcare, The Alfred, Melbourne, Australia
11:24 am - 11:30 am	Panel Discussion

During this course, the panelists will discuss the management of complications after peripheral nerve surgery procedures, including decompression, repair, and nerve transfers. The discussion will cover early recognition of complications as well as management strategies including watchful waiting, medical management, and finally, surgical management.

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

1. Name categories of symptoms of patients with failed peripheral nerve surgery.
2. Recognize failed nerve surgery and differentiate failure due to incorrect diagnosis versus improper surgical intervention (technical issues) and/or other reasons (patient related, therapy related, etc.).
3. Discuss evaluation and management strategies to both avoid and subsequently manage "failures".

	Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam. Objectives: Following this session, the participant will be able to: Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist. 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 Joshua M. Abzug, MD & Alex M. Spiess, MD
1:35 pm - 2:00 pm	Distal Radius Fractures: Dorsal vs. Volar Approach, Carpal Tunnel Release Indications Moderator: A. Lee Osterman, MD Panelists: Meredith N. Osterman, MD; Jeffrey A. Marchessault, MD
2:05 pm - 2:30 pm	Scaphoid Fractures/ Nonunions and SL injuries Moderator: Steve K. Lee, MD Panelists: Julie E. Adams, MD; Jason H. Ko, MD
2:35 pm - 3:00 pm	CMC Arthritis (different techniques) Moderator: Warren C. Hammert, MD Panelists: Thomas B. Hughes, MD; Roy Meals, MD
3:05 pm - 3:30 pm	Joint Replacement - Finger/Wrist/DRUJ Moderator: Ryan Calfee, MD Panelists: John R. Fowler, MD; Seth Dodds, MD
3:30 pm - 3:45 pm	Break
3:45 pm - 4:05 pm	Potpourri: Dupuytren’s/Raynaud’s/Hypothenar Hammer Moderator: Thomas D. Kaplan, MD Panelist: Jaimie T. Shores, MD; Thomas A. Davenport, MD
4:10 pm - 4:30 pm	Soft Tissue Tumors and Skin Cancer: Giant Cell/Glomus/ Subungual Melanoma/Pyogenic Granuloma Moderator: Simon G. Talbot, MD Panelists: Jeffrey B. Friedrich, MD; Renata V. Weber, MD
4:35 pm - 5:00 pm	Zone 2 Flexor and Extensor Tendon Injuries: Swan Neck, Boutonniere Moderator: David Bozentka, MD Panelists: Theresa O. Wyrick, MD; Fraser J. Leversedge, MD
5:05 pm - 5:30pm	Compression Neuropathies: Cts/Cubital Tunnel/Revision Surgery Moderator: Jonathan Isaacs, MD Panelists: Amy M. Moore, MD; Scott M. Schulze, MD

Supported By TriMed
Show your kids what you do in surgery!
The AAHS will be conducting a Children’s Workshop during the Annual Meeting for children ages 5–12. Joshua Abzug, MD will lead a brief discussion of pediatric anatomy and fractures followed by a workshop where children can fix fractures on sawbones. Parents can usher their child through a predrilled sawbone or choose to guide older children to use a drill before inserting screws. A parent must accompany their children. Enrollment is limited to 20 children
Sign up here.

The advents of microsurgery, and more recently supermicrosurgery, have had a major impact on the evolution of physiologic procedures, such as vascularized lymph node transfer and LV bypass to treat lymphedema. We will discuss advances and new innovations in surgical techniques, patient selection, potential complications, and outcomes of these and other novel procedures to treat lymphedema.

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

1. Recognize the preoperative evaluation, intraoperative choices, and postoperative assessment of the patient with lymphedema.

This panel will describe current approaches to addressing injuries to the upper extremity. The topics will include triage, emergency care, stabilization, debridement, soft tissue coverage, functional recovery, and solutions to complications that may arise in the treatments of these patients.

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

1. Recognize the fundamentals of managing mangled extremities.
2. Discuss how to avoid complications in mangles extremities.
3. Idnetigy possible solutions to complications of the mangled upper extremity.

This course will discuss the novel application of peripheral nerve transfers to central nervous system disorders, primarily cervical spinal cord injury and transverse myelitis, as well as other potential applications.

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

1. Describe key differences in spinal cord injury versus peripheral nerve injury pathophysiology and type of treatment options available.
2. Identify goals to improve function within the restraints of the options that are available.
3. Discuss potential nerve transfer treatment options and list donor and recipient nerve combinations.

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

1. Recognize situations in which a sensory innervated free flap is needed.
2. Indicate the types of flaps available, and their expected outcomes.

This course will identify and review common complications encountered during reconstructive nerve procedures including nerve repair, grafting, and transfers. Such complications include but are not limited to inadequate repair and grafting technique, suboptimal nerve regeneration and failure of functional return, inadequate nerve graft harvest and donor site morbidity.

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

1. Recognize common complications after nerve reconstruction and their management.
2. Identify methods that help to minimize complications after nerve reconstruction.
3. Discuss management options of complications after nerve reconstruction.

This panel will discuss the pros and cons of autogenous nerve graft vs. the alternatives (allograft, tubes, wraps). There will be an objective non-biased discussion of the indications, contraindications, and complications of each.

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

1. Review the limitations of nerve conduits and allografts.
2. Discuss the morbidity of sural nerve harvest.
3. Examine the best way to reconstruct a gap in the patient's nerve.
4. Provide the best option for nerve reconstruction while avoiding favoritism.

Colonel Rick Searfoss speaks on leadership, teamwork, and personal performance with authority born of in-depth personal experience. He has piloted two Space Shuttle missions and commanded a third, with over 939 hours in space and 5400 hours flying time in 61 different types of aircraft.

11:00 am - 11:05 am	AAHS #1. Proximal Interphalangeal Arthroplasty for Osteoarthritis; a Comparison of Silicone, Pyrocarbon and Surface Replacing Arthroplasty Eric Wagner, MD; John Weston, MD; Matthew Houdek, MD; Steven L. Moran, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN
11:05 am - 11:10 am	AAHS #2. Are Surgeons Price-Sensitive? A Randomized Controlled Study on Factors Driving Surgeon Implant Selection Amy Wasterlain, MD1; Eitan Melamed, MD2; Raj Karia, MPH1; Kathryn Birenbaum, MD1; John T. Capo, MD1 1NYU Hospital for Joint Diseases, New York, NY; 2Johns Hopkins Bayview Medical Center, Baltimore, MD
11:10am - 11:20 am	Discussion
11:20 am - 11:25 am	ASPN #1. Electrical Stimulation Enhances Axon Regeneration And Functional Recovery Following Cubital Tunnel Surgery In Humans - A Randomized Controlled Trial Hollie A. Power, MD; Michael J. Morhart, MSc, MD; Jaret L. Olson, MD; K. Ming Chan, MD University of Alberta, Edmonton, AB, Canada
11:25 am - 11:30 am	ASPN #2. Neurolysis Outcomes in Leprosy Patients: Prospective Stufy of Sensory and Motor Changes Following "Double CRUSH" Decompressions Eric Wan, BS; Gedge D Rosson, MD; A. Lee Dellon, MD Johns Hopkins University, Towson, MD
11:30 am - 11:40 am	Discussion
11:40 am - 11:45 am	ASRM #1. Correlation between Indocyanine Green (ICG) Patterns and Real-time Elastography Images in Lower Extremity Lymphedema Patients Nobuko Hayashi, MD; Takumi Yamamoto, MD; Akitatsu Hayashi, MD; Hidehiko Yoshimatu, MD Plastic and Reconstructive Surgery, University of Tokyo Hospital, Tokyo, Japan
11:45 am - 11:50 am	ASRM #2. A Single Institution Experience with 116 Consecutive Free-Flap and Pedicled Phalloplasties Bauback Safa, MD, MBA, FACS1; Andrew J. Watt, MD1; Curtis Crane, MD2 1The Buncke Clinic, San Francisco, CA, 2Brownstein & Crane Surgical Services, Greenbrae, CA
11:50 am - 12:00 pm	Discussion