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Guest Organization: The Italian Society for Surgery of the Hand (SICM)

Wednesday January 10, 2018
6:30 am - 8:00 am	Continental Breakfast
7:00 am - 8:00 am	AAHS Instructional Courses
101	Wide Awake Surgery 101 - How to Implement in your Practice Chair: Donald H. Lalonde, MD Instructors: Julie E. Adams, MD; Anthony Parrino, MD; Giovanna Petrella, MD; Lisa A. Flewelling, BScOT, MS This is a basic course in WALANT (Wide Awake Local Anesthesia No Tourniquet) surgery. It is a practical guide for the surgeon who has mostly only done traditional tourniquet/sedation surgery. Some of the pointers will also be helpful for those who want to move beyond the basic carpal tunnel and trigger finger. Objectives: Following this session, the participant will be able to: Overcome some of the traditional barriers to starting this in their hospital or hand therapy practice. Inject local anesthesia safely with minimal pain for most hand operations. Educate patients about the benefits of Wide Awake surgery and decrease the usual fear of the unknown.
102	Solving the Mystery of Ulnar Wrist Disorders - TFCC, Ulnar Impaction, Instability, and Arthritis Chair: Sanj Kakar, MD, MBA Instructors: Brian D. Adams, MD; Warren C. Hammert, MD; Kimberly G. Kraft, PT, DPT We will present a new case based Instructional Course, which is different than the traditional IC format. Ulnar sided wrist pain is commonly regarded as the low back pain of the wrist. Several lesions have been associated with ulnar sided wrist pain and/or instability. Surrounded by controversy and confusion, the purpose of this Instructional Course is to discuss disorders of the ulnar wrist within a truly integrated format. Cases will be presented and the participants will discuss various options with the faculty in small groups to determine their treatment options. Each group will then discuss their approach to the presented clinical scenario. This is designed to encourage group participation and discussion, we will discuss disorders ranging from DRUJ arthritis and instability to TFCC disruption and ulnar impaction, as well as postoperative rehabilitation principles. If you treat wrist pain, this is an IC you do not want to miss! Objectives: Following this session, the participant will be able to: Identify the anatomy and pathophysiology of ulnar sided wrist pain. Describe the spectrum of management options for TFCC injury. Delineate the various treatment options for DRUJ arthritis and their indications and contraindications.
103	PIP Joint Injuries - How to Avoid Complications and Improve Outcomes Chair: Asif M. Ilyas, MD, FACS Instructors: Ryan Calfee MD; Bradley Palmer, MD; Genghis Niver, MD; Sharon Andruskiwec PT, CHT PIP joint injuries of the hand are common and often challenging injuries that can result in pain, swelling, stiffness, weakness, and even post-traumatic arthritic changes. These injuries can range from simple sprains to fracture-dislocations of the joint. The key to treatment is early diagnosis and diligent treatment. Our experienced faculty will focus on accurate diagnosis and treatment with a particular emphasis on pearls and pitfalls. Objectives: Following this session, the participant will be able to: Evaluate and diagnose PIP joint injuries. Describe surgical indications for pinning, fracture repair, arthroplasty, and reconstruction of PIP injuries. List indications, surgical steps, and outcomes of hemi-hamate reconstructions of the PIP joint. Describe physical therapy pearls and pitfalls of PIP Injuries.
104	Scaphoid Nonunions - Current Strategies Chair: Seth D. Dodds, MD Instructors: Jeffrey N. Lawton, MD; Dean G. Sotereanos, MD; Bruno Battiston, MD; Rebecca Saunders, MS, PT/CHT We use many bone grafts and flaps to revitalize difficult scaphoid nonunions. Each technique has its own indications as well as advantages and disadvantages. The goal of this novel instructional course is to focus on bringing technically challenging operations to the everyday hand surgeon. Objectives: Following this session, the participant will be able to: Explain why scaphoid fractures develop nonunions. Discuss biomechanical principles are pertinent to scaphoid nonunion fracture repair. Identify scientific literature that supports the use of vascularized grafting for scaphoid nonunions.
105	Distal Radial Fractures - How to Improve your Outcomes? Chair: Christina M. Ward, MD Instructors: Jorge L. Orbay, MD; Thomas Hunt III, MD; Gregory Pitts, MS, OTR/L, CHT Distal radius fractures vary from low energy nondisplaced fractures to hiogh energy severely comminuted fractures and surgeons should be prepared to treat the entire spectrum of these injuries. This course will review tips and tricks for volar plating, as well as indications for other modes of fixation including bridge plating and fragment specific plating. We will discuss complications of distal radius fractures including tendon rupture and complex regional pain syndrome. Objectives: Following this session, the participant will be able to: Describe methods to improve reduction and fixation of distal radius fractures. Identify optimal volar plate position for treatment of distal radius fractures. Recognize fracture patterns that may benefit from fixation methods other than volar plate fixation. Describe common complications from distal radius fractures.
106	Reconstruction of Traumatic Elbow Injuries Chair: Marc J. Richard, MD Instructors: Mark Trzeciak, DO; Peter Jebson, MD, Fabrizio De Lazzari, PT Management of traumatic elbow injuries remains a significant challenge to upper extremity surgeons. Elbow trauma results in an array of injuries including bone loss, soft tissue defects and stiffness. Secondary procedures are common, but with a broad armamentarium of reconstructive tools, successful outcomes can be achieved. This instructional course will review treatment options for the common pitfalls encountered during management of these injuries. Principles of fracture fixation will be reviewed as well as treatment options for management of the stiff elbow. We will review options for the arthritic elbow including interpositional, hemi-, and total elbow arthroplasty. Finally, soft tissue injuries requiring coverage will be reviewed. Participants will learn about local, pedicled and free tissue coverage options to treat elbow soft tissue defects. Objectives: Following this session, the participant will be able to: Describe the limitations of various elbow arthroplasty options. Identify pathologic structures responsible for post-traumatic stiffness and treatment options for surgical release. Describe the anatomy and application or local pedicled flaps for soft tissue coverage of the elbow.
107	Congenital Hand Surgery - What Every Hand Surgeon Should Know Chair: Scott N. Oishi, MD Instructors: Joshua M. Abzug, MD; Nunzio Catena, MD; Christopher Stutz, MD; Aviva Wolff, OTR/L, MA, CHT The course is designed to educate the hand surgeon on topics that are specific to patients with congenital hand differences. This will include proper evaluation and testing as well as surgical and non-surgical treatments applicable to common diagnoses that may be seen by the hand surgeon. Objectives: Following this session, the participant will be able to: Identify common congenital hand difference diagnoses. Perform appropriate diagnostic work-up based on the diagnosis. Discuss appropriate timing of surgery. Describe surgical and non-surgical options for common congenital hand difference diagnoses.
108	Reconstruction Following Peripheral Nerve Injuries - Tendon Transfers and Nerve Transfers Chair: Amy M. Moore, MD Instructors: Kyle R. Eberlin, MD; A. Bobby Chhabra, MD; Christine Novak, PT, PhD Although nerve transfers have gained popularity, tendon transfers remain a viable option for restoring motor function after nerve injury. There are distinct advantages, indications and limitations for each of these procedures. This course will identify the differences, compare and contrast the techniques and outcomes of nerve transfers and tendon transfers to assist the surgeon in developing a treatment algorithm for patients with nerve injuries. Objectives: Following this session, the participant will be able to: List reliable nerve and tendon transfers for median, ulnar and radial nerve injuries. Identify patient assessment tools and timing for the use of nerve and tendon transfers. Compare and contrast the indications and limitations of nerve transfers and tendon transfers for median, ulnar and radial nerve injuries. Develop a treatment algorithm for patients with acute and chronic nerve injury.
8:15 am - 8:30 am	President and Program Chairs Welcome (Not for Credit) William C. Pederson, MD; AAHS President Warren C. Hammert; AAHS Program Chair Kim McVeigh, OT, CHT; AAHS Therapist Chair
8:30 am - 8:45 am	Invited ASHT President (Not for Credit) Strategies to Counter the Factors That Affect Therapeutic Noncompliance Kristin A. Valdes, OTD, OTR, CHT
8:45 am - 9:00 am	2017 Vargas Award Presentation (Not for Credit) Recipient: Catherine M. Sullivan, PT, CHT
9:00 am - 10:00 am	Panel I: Stump the Masters Moderator: Mark E. Baratz, MD Panelists: Michael W. Neumeister, MD Peter M. Murray, MD A. Lee Osterman, MD David Ruch MD Rebecca Neiduski, PhD, OTR/L, CHT This symposium will present challenging cases that may have many treatment options, ranging from acute traumatic injuries to late reconstruction, from initial presentation through the rehabilitation process. Objectives: Following this session, the participant will be able to: Describe methods of communication with patients that have not obtained the anticipated result following their initial surgical procedure. Identify the important considerations when discussing and performing secondary surgery. Discuss methods of treatment following secondary surgical procedures to keep the patients motivated and engaged throughout the rehabilitation process.
10:00 am - 10:30am	Coffee Break
10:30 am - 11:30 am	Panel II: Secondary Surgery Moderator: Warren C. Hammert, MD Panelists: Dean G. Sotereanos, MD Brian D. Adams, MD Thomas B. Hughes, MD Kristin A. Valdes, OTD, OT, CHT Surgery does not always produce the desired outcome. In some situations, the initial surgeon has the need to provide revision surgery and other times, the patient seeks the care of a new surgeon in attempt to achieve the desired result. This case based symposium will focus on communication with a patient that has not achieved the expected or desired outcome following their initial procedure, including questions about legal issues and setting appropriate expectations. The panelists will describe insight on approaching these challenging situations and how they were able to improve the final outcome with revision or secondary procedures. Objectives: Following this session, the participant will be able to: Describe the approach to management of a patient that has had a previous surgery that did not achieve the desired result. Explain the preoperative work up for revision surgery, including need for work up for infection and pain management. Assist the patient in setting realistic expectations following revision surgery. Describe the differences in rehabilitation when a patient has had revision surgery.
11:30 am - 12:15 pm	Invited Guest Lecture To Make a Thumb or to Not Make a Thumb - That is the Question James R. Urbaniak, MD Absence of a thumb is not common, and as hand surgeons our natural feeling is to restore it. We have accepted the concept that microsurgery is useful in the treatment of amputated and deficient thumbs. The author will stress that the importance of the judgement of the thinking surgeon is perhaps more important than the surgical skill in thumb restoration. Objectives: Following this session, the participant will be able to: Describe the procedures available to restore an amputated or congenitally deficient thumb. Analyze the needs and function of a patient without a thumb. Describe the important role of judgement in decision making for thumb restoration.
12:30 pm - 5:00 pm	Hands-On Surgeon Development Workshop (Separate Registration Required. Lunch Provided) Chairs: Jeffrey N. Lawton, MD; Bradley Palmer, MD The AAHS Principles of Internal Fixation in the Wrist and Hand Workshop is a Surgical Skills Course designed to provide participants an opportunity to learn techniques for internal fixation and technical pearls in wrist and hand fractures from an expert faculty panel and put them into practice in a hands-on sawbone workshop. Objectives: Following this session, the participant will be able to: Demonstrate on a saw bone model the application of basic principles of lag screw fixation, neutralization plate, and compression plating in hand fractures. Recognize fracture patterns and plan reduction of distal radius and perform volar plating n a distal radius sawbone model. Discuss surgical options for management of articular fractures and dislocations in the hand and perform them in sawbone model. Explain indications and demonstrate technique for fixation of scaphoid fractures in a sawbone model. 12:30 pm - 12:35 pm Chairman Welcome and Introduction Jeffrey N. Lawton, MD, Bradley Palmer, MD 12:35 pm - 12:45 pm LECTURE: Principles of Interfragmentary Compression with Lag Screws and Compression Plates Rafael Diaz-Garcia, MD 12:45 pm - 1:15 pm LAB 1/2: Application of Lag Screw to Long Oblique Fracture to Ring Metacarpal Fracture and Application of Dynamic Compression Plate to Transverse Fracture Index Metacarpal Shaft John Fowler, MD 1:15 pm - 1:30 pm LECTURE: Principles and Indications for Locking Screw & Plates Steve Maschke, MD 1:30 pm - 1:50 pm LAB 3: Application of Locking T-Plate for Thumb Metacarpal Base Fracture Steve Maschke, MD 1:50 pm - 2:10 pm LECTURE: PIP Fracture-Dislocations: Indications and Techniques for ORIF vs. Ext Fix Jeffrey Lawton, MD, Steven Haase, MD, FACS 2:10 pm - 2:30 pm LAB 4: Application of Distraction External Fixator for PIP Fracture Dislocations (1.2mm Kwires) Steven Haase, MD, FACS 2:30 pm - 2:40 pm LECTURE: Indications for Acute Scaphoid Fixation Alexander Spiess, MD 2:40 pm - 3:00 pm LAB 5: Scaphoid Fracture Fixation Alexander Spiess, MD 3:00 pm - 3:10 pm LECTURE: Reduction Techniques: Volar Plating of Distal Radius Fractures Gregory Rafijah, MD 3:10 pm - 3:40 pm LAB 6: Volar Plating of Distal Radius and Distal Ulnar Fractures John Fowler, MD 3:40 pm - 4:00 pm LECTURE: Technical Pearls in Treating Hand Fractures Bradley Palmer, MD 4:00 pm - 5:00 pm Challenging Cases for the Panel Jeffrey N. Lawton, MD, Steven Maschke, MD
12:30 pm - 2:30 pm	Therapist Panel: The Painful Thumb: OA, RA, and Current Evidence-Informed Therapy Management; Including Hands On Orthosis Moderator: Kim McVeigh, OT, CHT Panelists: Virginia H. O'Brien, OTD Stephanie N. Kannas, OTR/L, CHT Jeanine Beasley, EdD, OTR, CHT, FAOTA This course will offer participants current evidence on osteoarthritis (OA) and rheumatoid arthritis (RA) involving the thumb. Etiology of OA and RA will be discussed. Emphasis will be on therapy interventions for both etiologies that reduce pain and increase participation in daily occupations. Orthotic considerations will be discussed and participants will fabricate a soft style orthosis. Objectives: Following this session, the participant will be able to: Describe three interventions than can facilitate proper carpometacarpal joint alignment. Identify two evidenced informed interventions that have been reported to decrease carpometacarpal joint pain. Fabricate a soft orthosis for carpometacarpal joint osteoarthritis. Describe two evidence informed interventions for reducing pain of the rheumatoid arthritic thumb.
5:00 pm - 6:00 pm	Mentors Reception Invitational Only
6:30 pm - 8:00 pm	Welcome Reception in Exhibit Hall
Thursday January 11, 2018
6:30 am - 8:00 am	Continental Breakfast with Exhibitors
7:00 am - 8:00 am	AAHS Instructional Courses
109	Wide Awake Tendon Surgery - Tendon Repair, Reconstruction, Transfer, and Tenolysis Chair: Donald H. Lalonde, MD Instructors: Peter C. Amadio, MD; Lisa A. Flewelling, BScOT, MS This is an advanced course in tendon surgery in which we show the latest improvements in tendon repair, reconstruction, and rehabilitation enhanced by the wide awake approach without a tourniquet. Objectives: Following this session, the participant will be able to: Describe "full fist place and hold" to "up to half a fist of true active movement" in the rehabilitation of post-operative flexor tendon repair. Implement the latest advances in wide awake tendon repair, reconstruction, and rehabilitation in their practice. Discuss traditional tourniquet tendon surgery with its inherent limitations.
110	Management of Arthritis of the Wrist Chair: David Ruch, MD Instructors: Steven D. Maschke, MD; Jose Ortiz, MD; John Indalecio, MS, OTR/L This course is to evaluate current and future treatment options for the management of both post traumatic, degenerative and inflammatory arthritis of the radio carpal joint. The panel will provide a valuable update on the management of common conditions of the wrist seen in every hand practice. The focus will be on both the operative treatment and the role of therapy both before and following surgery Objectives: Following this session, the participant will be able to: Review the etiology of posttraumatic arthritis of the wrist. Discuss the indications for arthroscopic and open procedures in the management of inflammatory arthritis. Describe new treatment options for degenerative arthritis in adults. Present the role of the hand therapist in both non-operative and operative treatment of wrist arthritis.
111	Basal Joint Arthritis - How to Avoid and Manage Complications Chair: Mark Rekant, MD Instructors: Bill W. Dzwierzynski, MD; Jeffrey Marchessault, MD; Virginia H. O'Brien, OTD This instructional course will enhance and bolster the knowledge of both hand surgeons and therapists regarding the care, management and collaboration across both surgical and non-surgical disciplines regarding the thumb basal or carpometacarpal joint. This course focuses on complications associated with a common condition for the hand surgeon. Objectives: Following this session, the participant will be able to: Describe potential conditions that can lead to a suboptimal result following surgery for basal joint arthritis. Discuss complications of surgical treatment for base of thumb arthritis and means to avoid them. List surgical options for revision CMC arthroplasty. Identify the role of therapy and specific means to provide the best outcomes following primary or revision surgery for thumb arthritis.
112	Management of Elbow Instability Chair: Scott Steinman, MD Instructors: Jorge L. Orbay, MD; Mark E. Baratz, MD; Thomas Berger, DPT, CHT Elbow instability can be a devastating problem for the patient and often presents a challenge for the surgeon and therapist. This instructional course will help the attendee understand concepts for diagnosis and treatment of elbow instability occurring with trauma as well as late instability. Objectives: Following this session, the participant will be able to: Discuss techniques to maintain stability during surgical treatment of elbow fracture dislocations. Describe treatment for persistent instability following surgical treatment of elbow fracture dislocations. Explain methods to improve stability when treating isolated corned fractures. Prescribe a rehabilitation program to improve motion for a stiff elbow.
113	Arthroplasty in the Hand - Finger MCP and PIP joints Chair: Marco Rizzo, MD Instructors: Peter M. Murray, MD; Fabio Curini-Galletti, MD; Jeanine Beasley, EdD, OTR, CHT, FAOTA This one hour instructional course is entitled "Arthroplasty of the hand: MCP and PIP joints." Educational content will review the use of arthroplasty in the management of finger arthritis. We will review indications for the use of arthroplasty as a treatment for MCP and PIP arthritis, review the technical aspect of the surgeries, and rehabilitations. Finally, the outcomes and complications associated with small joint arthroplasty will be highlighted. Objectives: Following this session, the participant will be able to: Summarize the role of arthroplasty in the surgical management of MCP and PIP arthritis. Discuss the types of implants and how they fit into the treatment of different arthritis. Describe the technical aspects and pearls associated with these surgeries. Identify the current evidence based outcomes of arthroplasty.
114	Secondary Procedures - Reconstruction of Phalangeal and Metacarpal Malunions and Nonunions and Management of the Stiff Digit Chair: Jonathan L. Tueting, MD Instructors: A. Bobby Chhabra, MD; Gregory Rafijah, MD; Cynthia C. Ivy, OTR/L, CHT Finger fractures are common and many patients do well, but unfortunately, this is not always the case. Injuries are missed or the diagnosis is delayed while others may have had a suboptimal result in spite of initial treatment. This course will help the attendee understand diagnosis and treatment of late finger problems from the stiff digit to malunions or nonunions in the phalanges. The role of preoperative and postoperative therapy will be discussed as well as timing for surgery and setting appropriate patient expectations. Objectives: Following this session, the participant will be able to: Summarize the diagnostic work up for patients who present with a stiff digit. Describe the preoperative considerations and when it is appropriate to utilize hand therapy prior to surgery. Discuss the surgical options for treating malunions and nonunions in the hand. Identify the role of tenolysis and joint contracture release.
115	Cubital Tunnel Syndrome - What Should you do in 2018? Chair: John R. Fowler, MD Instructors: Jonathan Isaacs, MD; Nathan A. Hoekzema, MD; Jane Fedorczyk, PT, PhD, CHT This course will describe the current state of the art for the diagnosis and treatment of cubital tunnel syndrome, reviewing diagnostic modalities, including the use of ultrasound as well as surgical treatment, including the role of transposition and revision surgery. Objectives: Following this session, the participant will be able to: Identify current recommendations for the diagnostic work-up for cubital tunnel syndrome. Describe the evidence for and against current treatment options for cubital tunnel syndrome. Discuss options for supplementing recovery after cubital tunnel release.
116	Extensor Tendon Disorders - Swan Neck, Boutonniere, and Mallet Reconstruction Chair: Jeffrey B. Friedrich, MD Instructors: Steven Haase, MD, FACS; Bradley Palmer, MD; Lisa M. Cyr, OTD, OTR/L, CHT Chronic extensor tendon disorders can be vexing problems for both patients and providers. The often require a combination of non-surgical and surgical treatments. The initial insult may not be recognized immediately, and as time from injury elapses, the treatment options change. This panel will take on the treatment of these problems such as boutonniere deformity, mallet finger, and swan neck deformity, discussing non-operative and operative treatment and accompany rehabilitation. Objectives: Following this session, the participant will be able to: Describe the pathology and chronic anatomic derangements associated with boutonniere deformity, mallet finger, and swan neck deformity. Describe non-surgical treatments for the above extensor tendon problems. Explain surgical treatment and accompanying rehabilitation considerations for extensor tendon problems.
117	Diagnosis and Treatment of Radial Wrist Articular Disorders Chair: Andrea Atzei, MD Instructors: Sanj Kakar, MD; PierPaolo Borelli, MD; Giulia Pompili PT, MSC, PhD The course will focus on the management of intra articular conditions affecting the radial aspect of the wrist. This will include conditions associated with intrinsic wrist ligaments as well as extrinsic capsuloligamentous ligaments. The diagnostic modalities, including the role of arthroscopy will be reviewed as treatment for both acute injuries and chronic conditions. Objectives: Following this session, the participant will be able to: Describe the conditions affecting the radial aspect of the wrist, including diagnostic modalities. Identify the treatment for acute injuries and the role of operative and nonoperative treatment. Explain the treatment options for chronic ligamentous injuries affecting the radial aspect of the wrist.
8:15 am - 8:20 am	Presidential & Program Chairs Welcome (Not for Credit) William C. Pederson, MD; AAHS President Warren C. Hammert; AAHS Program Chair Kim McVeigh, OT, CHT; AAHS Therapist Chair
8:20 am - 8:25 am	Italian Society for Surgery of the Hand (SICM) President Welcome (Not for Credit) Bruno Battiston, MD
8:25 am - 8:30 am	ASSH President Welcome (Not for Credit) James Chang, MD
8:30 am - 9:15 am	Concurrent Scientific Abstract Session I Moderator: Ida Fox, MD Panelists: Sami Tuffaha, MD; Jonathan L. Tueting, MD; Gregory Pitts, MS, OTR/L, CHT Topic: Pain, Infection 8:30 am - 8:32 am HS 1. A Prospective, Randomized, Double-Blinded Controlled Trial Comparing Ibuprofen and Acetaminophen verses Hydrocodone and Acetaminophen for Soft Tissue Hand Procedures Kent Thomas Weinheimer, MD; Alexander Payatakes, MD; Brett F. Michelotti, MD Penn State Hershey, Hershey, PA 8:32 am - 8:34 am HS 2. MRSA Incidence and Antibiotic Trends in Urban Hand Infections: A Ten-Year Longitudinal Study Justin Kistler, MD1, Joseph Thoder, MD1; Asif Ilyas, MD2 1Temple University, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadelphia, PA 8:34 am - 8:36 am HS 3. The Natural History of Surgical Hand Infections: Patient, Presentation, Surgeon, and Microbiology Variables that Predict Clinical Course from Treatment to Discharge Ketan Sharma, MD, MPH1; Aaron Mull, MD1; James Friedman, MD2; Deng Pan, BS1; Amy M Moore, MD2 1Washington University St Louis, St Louis, MO; 2University of Pennsylvania, Philadelphia, PA 8:36 am - 8:38 am HS 4. Opioid Prescriber Education and Guidelines Decreases Opioids Prescribed after Ambulatory Hand Surgery Jeffrey Stepan, MD, MSc; Francis C Lovecchio, MD; Ajay Premkumar, MD, MPH; Michael C Fu, MD, MHS; Hayley A Sacks, BA; Duretti T Fufa, MD; Daniel A Osei, MD, MSc Hospital for Special Surgery, New York, NY 8:38 am - 8:40 am HS 5. Hand Infection and Antibiotic Choice in the Diabetic Patients of an Underserved Population Andrew J. Hayden, MD1; Steven A. Burekhovich, BS1; Sarah G. Stroud, AB1; Neil V. Shah, MD, MS1; Aadit T. Shah, BS2; Steven M. Koehler, MD1; Bassel G. Diebo, MD1 1State University of New York, Downstate Medical Center, Brooklyn, NY; 2Albert Einstein College of Medicine, Bronx, NY 8:40 am - 8:42 am HS 6. A Prospective Randomized Study Analyzing the Effect of Pre-Operative Opioid Counseling on Post-Operative Opioid Consumption after Hand Surgery Todd Alter, BS1; Asif Ilyas, MD2 1Sidney Kimmel Medical College, Philadelphia, PA; 2Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA 8:42 am - 8:44 am HS 7. Pain Management for Patients Following Open Reduction Internal Fixation of Distal Radius Fractures Steven R. Niedermeier, MD; Sonu A. Jain, MD, FACS; Krystin Hidden, MD; Nisha Crouser, BS Ohio State University, Columbus, OH 8:44 am - 8:46 am HS 8. Elevated Preoperative Hemoglobin A1c Increases Complications in Diabetic Patients undergoing Carpal Tunnel Release Rita E Baumgartner, MD; Andrew E Federer, MD; Daniel Cunningham, MD, MHSc; Marc Richard, MD; Suhail K. Mithani, MD Duke University, Durham, NC 8:46 am - 8:54 am Panel Discussion Topic: Nerve 8:54 am - 8:56 am HS 9. Improvement in Perceived Sleep Quality Following Carpal Tunnel Release Andrew Yang, MD1; Harleen Kaur, BA1; Jack Choueka, MD2; Arie G. Trouw, MD1; John Kelly, BS1; Karan Dua, MD1; Daniel Caligiuri, MD1 1State University of New York, Downstate Medical Center, Brooklyn, NY, 2Maimonides Medical Center, Brooklyn, NY 8:56 am - 8:58 am HS 10. Ultrasonography Findings in Severe Carpal Tunnel Syndrome Gideon Nkrumah, OD; John R. Fowler, MD University of Pittsburgh Medical Center, Pittsburgh, PA 8:58 am - 9:00 am HS 11. Risk Factors for Revision Carpal Tunnel Release Ritsaart F. Westenberg, MD; Catherine A de Planque, BSc; Kamilcan Oflazoglu, MD; Kyle R. Eberlin, MD; Neal C Chen, MD; Jesse B Jupiter, MD Massachusetts General Hospital, Boston, MA 9:00 am - 9:02 am HS 12. Elbow Flexion Restoration in Brachial Plexus Injuries: What is the Optimal Nerve Transfer? Natalia Fullerton, MD1,2; Eliana Saltzman, BA1; Joseph Nguyen, MPH1; Anum Lalani, MPH1; Steve K Lee, MD1; Scott W Wolfe, MD1 1Hospital for Special Surgery, New York, NY; 2Division of Plastic Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY 9:02 am - 9:04 am HS 13. Traumatic Brachial Plexus Palsy: How Accurate is the Pre-operative Diagnosis? Yan Chen, MD1; Peter M. Murray, MD2; Michael B. Wood, MD2 1Affiliated Pu Ai Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China; 2Department of Orthopedic Surgery/Division of Hand Surgery, Mayo Clinic, Jacksonville, FL 9:04 am - 9:06 am HS 14. Testing of Primary Neurorrhaphy Strain: Evaluating 8.0 Nylon as the Gold Standard Brandon S Smetana, MD; Jue Cao, MD; Gregory A Merrell, MD; Jeffrey A. Greenberg, MD, MS Indiana Hand to Shoulder Center, Indianapolis, IN 9:06 am - 9:08 am HS 15. Sleep Disturbance and Response to Surgical Decompression in Patients with Carpal Tunnel Syndrome: A Prospective Randomized Pilot Comparison of Open versus Endoscopic Release A. Lee Osterman, MD; Michael P. Gaspar, MD; Eon K. Shin, MD; Meredith N. Osterman, MD; Patrick M. Kane, MD Thomas Jefferson University, Philadelphia, PA 9:08 am - 9:15 am Panel Discussion
8:30 am - 9:15 am	Concurrent Scientific Abstract Session II Moderator: Kim McVeigh, OT, CHT Panelists: Seth D. Dodds, MD; Sanj Kakar, MD, MBA; Jonathan Isaacs, MD Topic: Outcomes 8:30 am - 8:32 am HS 16. Comparison of Pediatric PROMIS Computer Adaptive Tests between Parent-Proxy and Patient Report Populations with Upper Extremity Fractures William D. Gerull, BS; Ugochi Okoroafor, MD; Jason Guattery, MS; Charles A. Goldfarb, MD; Lindley B. Wall, MD, MSc; Ryan P. Calfee, MD, MSc Washington University in St. Louis School of Medicine, St. Louis, MO 8:32 am - 8:34 am HS 17. Preoperative PROMIS Scores Allow for Better Postoperative Expectation Counseling Prior to Elective Hand Surgery David N Bernstein, MBA, MA1; Jeff R Houck, PhD2; Danielle M Wilbur, MD1; Ronald M Gonzalez, DO1; Richard J Miller, MD1; Dave J Mitten, MD1; Warren C. Hammert, MD1 1University of Rochester Medical Center, Rochester, NY, 2George Fox University, Newberg, OR 8:34 am - 8:36 am HS 18. Interpreting Patient Reported Outcome Results: Is One MCID Value Really Enough? Benjamin F Sandberg, MD1; Dylan L McCreary, BA2; Deborah Bohn, MD3; Brian P Cunningham, MD2 1University of Minnesota, Minneapolis, MN; 2Regions Hospital, St. Paul, MN; 3Orthopaedics, Park Nicollet Health Services/Tria Orthopaedic Center, Minneapolis, MN 8:36 am - 8:38 am HS 19. System Analysis Identifies Preparatory Time as a Substantial Source of Hand Surgery Operating Room Inefficiency Michael Milone, MD1; Louis W Catalano, MD1; Mark Saraceni, MBA1; Heero Hacquebord, MBA2; Jacques Henri Hacquebord, MD1 1New York University Hospital for Joint Diseases, New York, NY; 2APT Leadership LLC, West Cape, South Africa;3University of California Irvine, Orange, CA 8:38 am - 8:40 am HS 20. Interim Results and Lessons Learned in Implementing a Fragility Fracture Protocol at a Suburban Community Hospital Sonya Khurana, MD1; Alexander Lundy, MD1; Haik Kavookjian, MD2 1New York Medical College, Valhalla, NY; 2Stamford Hospital, Stamford, CT 8:40 am - 8:42 am HS 21. Does a 60 Seconds Personalized Mindfulness Exercise Improve Pain and Emotional Outcomes in Patients With Upper Extremity Illness? A Single Blinded Randomized Control Trial Ritsaart Frederik Westenberg, MD; Emily Lynn Zale, MSc; Tessa Heinhuis, BSc; Sezai Özkan, MD; Adam Nazzal, MD; Sang-Gil Lee, MD; Neal C Chen, MD; Ana-Maria Vranceanu, MSc, PhD Massachusetts General Hospital/Harvard Medical School, Boston, MA 8:42 am - 8:44 am HS 22. A Population-Based Assessment of Potential Patients for Targeted Muscle Reinnervation Charles T Tuggle, MD, MHS; Cheryl K Zogg, MSPH, MHS; Fatima Mirza, MPH; James E Clune, MD Yale University, New Haven, CT 8:44 am - 8:46 am HS 23. Disparities in Access to Care following Traumatic Digit Amputation: A Nationwide Analysis Chao Long, AB; Paola A Suarez, BS; Tina Hernandez-Boussard, PhD; Catherine Curtin, MD Stanford University, Palo Alto, CA 8:46 am - 8:54 am Panel Discussion Topic: Hand Trauma 8:54 am - 8:56 am HS 24. Expedited Return to Play Following Intramedullary Headless Screw Fixation of Metacarpal Fractures in Elite Athletes Gilad Pinchas Eisenberg, MD Tel Aviv Medical Center, Tel Aviv, Israel 8:56 am - 8:58 am HS 25. Fracture Gap Reduction with Variable Pitch Headless Screws Austin J Roebke, BS1; Logan J Roebke, BS2, Kanu S Goyal, MD1 1The Ohio State University, Columbus, OH; 2University of Dayton, Dayton, OH 8:58 am - 9:00 am HS 26. Optimal Oblique Radiographs to Identify Fifth Carpometacarpal Dorsal Subluxations: A Cadaveric Study Julie E Johnson, MD; John R. Fowler, MD; Joanna Costello, MD; Robert Kaufmann, MD University of Pittsburgh Medical Center, Pittsburgh, PA 9:00 am - 9:02 am HS 27. 24897 - Utility of Follow-up Radiographs after Non-Operatively Managed Fifth Metacarpal Neck Fractures Andrew R. Tyser, MD1; Erin Martens, MD2; Wyatt M Walsh, BS1; Anthony Montanez, MD1 1University of Utah, Salt Lake City, UT; 2Midwest Orthopedics, Orland Park, IL 9:02 am - 9:04 am HS 28. A Comparison of Minimally Invasive and Conventional Techniques for Stabilisation of the Carpometacarpal Joint of the Thumb after Dislocation or Subluxation Zhemin Zhang, MD; Xu Zhang, MD; Yadong Yu, MD Third Hospital of Hebei Medical University, Shijiazhuang, China 9:04 am - 9:06 am HS 29. Complications of Low-Profile Plate Fixation in Metacarpal Fractures Rita E Baumgartner, MD; Andrew E Federer, MD; Erin M Meisel, MD; Suhail K. Mithani, MD; David Ruch, MD; Marc Richard, MD Duke University, Durham, NC 9:06 am - 9:08 am HS 30. Outcomes Related to Mechanism of Zone I and II Finger Amputations Treated by Revision Amputation Andrew Paul Harris, MD; Andrew D Sobel, MD; Avi D Goodman, MD; Neill Y Li, MD; Jeremy Raducha, MD; Julia A. Katarincic, MD Brown University, Providence, RI 9:08 am - 9:15 am Panel Discussion
9:15 am - 9:45 am	Presidential Address (Not for Credit) Introduction: Brian D. Adams, MD Primum No Nocere - How Do We Teach Judgment? William C. Pederson, MD
9:45 am - 10:30 am	Invited Guest Speaker (Not for Credit) Submarines - How and Why Admiral John D. Butler, CBE "Submarines - How and Why" will examine the missions behind the Attack (SSN) and Ballistic Missile (SSBN) Nuclear Powered Submarines. It will also examine how these submarines remain submerged for months at a time without a need to surface. Objectives: Following this session, the participant will be able to: Describe life support in a hostile environment. Describe how nuclear power plants work. Describe strategic deterrence and why it remains important today.
10:30 am - 11:00 am	Coffee Break with Exhibitors
11:00 am - 11:45 am	Panel III: AAHS and ASSH - The Past, Present, and Future Moderator: William C. Pederson, MD Panelists: James Chang, MD; Robert Russell, MD; David P. Green, MD This symposium will describe the history of the two hand surgery organizations, including why two organizations is a benefit for hand and upper limb surgeons and how we can work together in the future for the benefit of both surgeons and patients.
11:45 am - 1:00 pm	Concurrent Scientific Abstract Session III - Tendon, Wrist Trauma Moderator: Thomas Hunt, MD Panelists: Scott N. Oishi, MD; Steven D. Maschke, MD; Kristin A. Valdes, OTD, OT, CHT Topic: Tendon 11:45 am - 11:47 am HS 31. Celestone versus Ketorolac Injection for the Treatment of DeQuervains Tenosyovitis: Results of a Double-Blind Randomized Clinical Trial Lisa Kruse, MD; Glenn Gaston, MD; Bryan Loeffler, MD; Daniel R Lewis, MD; R Christopher Chadderdon, MD OrthoCarolina Hand Center, Charlotte, NC 11:47 am - 11:49 am HS 32. The Utility of Composite Flexor Tendon Allograft Subunits for Digital Pulley System Reconstruction Anthony J Archual, MD; Brent R DeGeorge, MD, PhD; David B. Drake, MD University of Virginia, Charlottesville, VA 11:49 am - 11:51 am HS 33. WITHDRAWN 11:51 am - 11:53 am HS 34. WITHDRAWN 11:53 am - 11:55 am HS 35. The Effect of Wrist Position on Tendon Loads Following Pulley Sectioning and Operative Reconstruction Nina Suh, MD, FRCSC1; Brett A Byers, MD FRCSC2; Mohammad Haddara, BEng3; Louis Ferreira, PhD Peng2 1Roth|MacFarlane Hand and Upper Limb Centre, University of Western Ontario; Roth|MacFarlane Hand and Upper Limb Centre, Canada, London, ON, Canada; 2St. Joseph's Health Care London, London, ON, Canada, 3Western University, London, ON, Canada 11:55 am - 11:57 am HS 36. Biomechanical Analysis of a Novel Flexor Tendon Coupler Versus Suture Repair Chetan Shawn Irwin, MD; Brent Parks, MSc; Kenneth R Means Jr, MD The Curtis National Hand Center, Baltimore, MD 11:57 am - 11:59 am HS 37. Does the Location of Incision Over A-1 Pulley Matter? Laxminarayan Bhandari, MD; Huey Y. Tien, MD Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY 11:59 am - 12:07 pm Panel Discussion Topic: Wrist Trauma 12:07 pm - 12:09 pm HS 38. What is the Optimal Location for Bone Graft Harvest in the Distal Radius? Andrew P Matson, MD; Andrew E Federer, MD; Erin M Meisel, MD; Stephen R Barchick, BS; David S Ruch, MD; Marc J. Richard, MD Duke University, Durham, NC 12:09 pm - 12:11 pm HS 39. Batting Average Assessment in Major League Baseball Players After Surgical Treatment of Hamate Hook Fractures Andrew Z Mo, MD; Daniel Polatsch, MD; Steven Beldner, MD Lenox Hill Hospital, New York, NY 12:11 pm - 12:13 pm HS 40. Volar Scaphoid Plate Fixation for Treatment of Scaphoid Nonunion Max N Seiter, MD; John Barton Williams, MD; Seth D Dodds, MD; Clark Jia Chen, BS University of Miami, Miami, FL 12:13 pm - 12:15 pm HS 41. Outcomes of Scaphoid Nonunion with Segmental Defect Treated with Plate Fixation and Autogenous Cancellous Graft: First Clinical Report Jill A Goodwin, MD1; Sean M Mitchell, MD1; Ryan M DiGiovanni, MD1; Scott G Edwards, MD2; Erin Stockwell, BS1 1University of Arizona College of Medicine Phoenix, Phoenix, AZ, 2The CORE Institute, Phoenix, AZ 12:15 pm - 12:17 pm HS 42. Suitability of Hamate Autograft for Reconstruction of Scaphoid Proximal Pole Non-Union: Morphometric Analysis in Cadavers Mary Kathyrn Thayer, MD; Benjamin Bluth, MD; Jerry I Huang, MD University of Washington, Seattle, WA 12:17 pm - 12:19 pm HS 43. Diagnosis and Management of Hook of Hamate Fractures Assaf Kadar, MD1; Marissa Suchyta, BA2; Allen T. Bishop, MD2; Steven L Moran, MD2; Diya Mohammed Sabbagh, MD2 1Tel Aviv Sourasky Medical Center Orthopaedic Division, Tel Aviv, Israel; 2Mayo Clinic, Rochester, MN 12:19 pm - 12:27 pm Panel Discussion Topic: Elbow 12:27 pm - 12:29 pm HS 44. Heterotopic Ossification after Elbow Arthroscopy: An Underreported Outcome Jessica M Intravia, MD, MHA1; Daniel P Acevedo, MD2; Joanie J Chung, MPH, MA2; Raffy Mirzayan, MD2 1University of Southern California, Los Angeles, CA; 2Kaiser Permanente, Baldwin Park, CA 12:29 pm - 12:31 pm HS 45. Quantification of the Multi-axial Stability of the Radial Head After Annular Ligament and Interosseous Membrane Sectioning During Forearm Rotation Deana Mercer, MD1; Jodie Gomez, BS1; Christina Salas, PhD1; Drew Newhoff, MD1; Tom G Pollard, BS1; Erica Gauger, MD1; Lauren A Long, BS1; Jorge Luis Orbay, MD2 1University of New Mexico, Albuquerque, NM; 2The Miami Hand and Upper Extremity Institute, Miami, FL 12:31 pm - 12:33 pm HS 46. Major Complications after Distal Biceps Tendon Repairs: a Retrospective Cohort Analysis of 925 Cases Samuel E. Ford, MD1; Jason S Andersen, MD2; David M Macknet, MD1; Patrick M. Connor, MD2; Bryan Loeffler, MD2; Glenn Gaston, MD2 1Carolinas Healthcare, Charlotte, NC; 2OrthoCarolina Hand Center, Charlotte, NC 12:33 pm - 12:35 pm HS 47. Elbow Trauma and Plasminogen Deficiency Showing Functional Deficits in an Animal Model Sandra Susanne Gebhart, MD1; Jon Schoenecker, MD, PhD1; Mihir J Desai, MD1; Stephanie N Moore, MS1; William Oelsner, BS2 1Vanderbilt University, Nashville, TN; 2 Medical University of South Carolina, Charelston, SC 12:35 pm - 12:37 pm HS 48. Open Reduction and Internal Fixation of Radial Head Fractures: Screws or Plates? Jonathan Lans, MD; Bo J.W. Notermans, MD; Quirine M.J. van der Vliet, MD; Jesse B Jupiter, MD; Neal C Chen, MD Massachusetts General Hospital, Boston, MA 12:37 pm - 12:39 pm HS 49. Objective Analysis of Capitellum Exposure for Autologous Osteochondral Reconstruction Christine Cleora Johnson, MD; Susanne M Roberts, MD; Lauren Wessel, MD; Douglas Mintz, MD; Peter D Fabricant, MD, MPH; Robert N Hotchkiss, MD; Aaron Daluiski, MD Hospital for Special Surgery, New York, NY 12:39 pm - 12:47 pm Panel Discussion Topic: Pediatrics 12:47 pm - 12:49 pm HS 50. WITHDRAWN 12:49 pm - 12:51 pm HS 51. WITHDRAWN 12:51 pm - 12:53 pm HS 52. Institutional Review of Radial Polydactyly Mollie M Walton, BS; Timothy Schaub, MD; Joseph Kelling, MD; Alex Pham, MD; Lukas Foster, BS Creighton University School of Medicine, Phoenix, AZ 12:53 pm - 12:55 pm HS 53. Timing of Nerve Surgery in Brachial Plexus Birth Palsy: Results of the Prospective Multi-center TOBI Study Andrea S. Bauer, MD1; Leslie Kalish, ScD2; Peter M. Waters, MD1; and the TOBI Study Group1,2 1Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA; 2Harvard University, Boston, MA 12:55 pm - 1:00 pm Panel Discussion
11:45 am - 1:00 pm	Concurrent Scientific Abstract Session IV Moderator: Marco Rizzo, MD Panelists: Bradley Palmer, MD; John D. Lubahn, MD; Terri Wolfe, OTR/L, CHT Topic: Arthritis, Misc 11:45 am - 11:47 am HS 54. 25682 - Arthroscopic Partial Trapeziectomy and Tight-Rope Suspensionplasty in the Treatment of First Carpometacarpal Joint Eaton-Littler Stage 2-3 Arthrosis Ismail Bülent Özçelik, Ass. Prof1; Meriç Ugurlar, MD2; Abdulkadir Sari, MD3 1IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, Istanbul, Turkey; 2Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey; 3Namik Kemal University School of Medicine, Tekirdag, Turkey 11:47 am - 11:51 am HS 55. Comparison of Volar and Dorsal Approaches for PIP arthroplasty Geneva Tranchida, MD1; Lauren Erickson, MS2; Christina Ward, MD1 1University of Minnesota, Minneapolis, MN; 2HealthPartners Institute, Bloomington, MN 11:51 am - 11:53 am HS 56. Factors Associated with Reoperation after Pyrocarbon Proximal Interphalangeal (PIP) Joint Arthroplasty Jonathan Lans, MD; Bo J.W. Notermans, MD; Quirine M.J. van der Vliet, MD; Jesse B Jupiter, MD; Neal C Chen, MD Massachusetts General Hospital, Boston, MA 11:53 am - 11:55 am HS 57. Distal Biceps Repair Using a Unicortical Intramedullary Button Technique Nathan A Monaco, MD; Meghan W Richardson, MD; Alexander Duke, BS; Edward D. Wang, MD Stony Brook University Hospital, Stony Brook, NY 11:55 am - 11:57 am HS 58. The Retrospective Outcomes of the Pedicled Adipofascial Flap for Anterior Transposition of the Ulnar Nerve Fraser J. Leversedge, MD; Steven M. Koehler, MD Duke University, Durham, NC 11:57 am - 11:59 am HS 59. Feasibility and Reliability of Open Reduction and Internal Fixation in Delayed Distal Radius Fractures Jason H Ghodasra, MD, MSCI; Christopher Lee, MD; Kent T Yamaguchi, MD; Clifford T Pereira, MD; Prosper Benhaim, MD David Geffen School of Medicine at UCLA, Los Angeles, CA 11:59 am - 12:07 pm Panel Discussion Topic: Trauma 12:07 pm - 12:09 pm HS 60. Outcomes of Combined Tenolysis and Proximal Interphalangeal Joint Capsulotomy Kevin Zuo, MD; Herb von Schroeder, MD, MSc, FRCSC; Paul A. Binhammer, MD, MSc, FRCSC University of Toronto, Toronto, ON, Canada 12:09 pm - 12:11 pm HS 61. Extrinsic Wrist Ligaments Radiologic Assessment Following Complete Scapholunate Ligament Rupture Emil Stefan Vutescu, MD1, Danielle Christine Marshall, BA2; Kevin Chan, MD2; Hollis G Potter, MD2; Steve K Lee, MD2; Scott W Wolfe, MD2 1Brown University, Providence, RI; 2Hospital for Special Surgery, New York, NY 12:11 pm - 12:13 pm HS 62. Smoking Increases Post-Operative Complications after Distal Radius Fracture Fixation: a Review of 543 Patients From a Level 1 Trauma Center Daniel Edward Hess, MD; S. Evan Carstensen, MD; Spencer Moore, MD; Angelo Rashard Dacus, MD University of Virginia, Charlottesville, VA 12:13 pm - 12:15 pm HS 63. The Utility of Composite Flexor Tendon Allografts for Hand and Upper Extremity Reconstruction Anthony J. Archual, MD; Brent R DeGeorge, MD, PhD; David B. Drake, MD University of Virginia, Charlottesville, VA 12:15 pm - 12:17 pm HS 64. Hamatometacarpal Fractures in Trauma Including the Incidence of Missed Hamate Fractures on Plain Film Imaging: a Five-year Review Jonathan Bass, MD; Adnan Prsic, MD; William K Snapp, MD; Geoffrey Hogan, BS; Nicholas Nissen, BS; Reena A Bhatt, MD; Jin Bo Tang, MD; Scott Schmidt, MD Brown University & Rhode Island Hospital, Providence, RI 12:17 pm - 12:19 pm HS 65. Radiographic and Clinical Outcomes of Distraction Bridge Plate Fixation for Complex Intra-articular Distal Radius Fractures Genevieve M Rambau, MD; Peter Charles Rhee, DO, MS San Antonio Military Medical Center, Fort Sam Houston, TX 12:19 pm - 12:27 pm Panel Discussion Topic: Arthritis 12:27 pm - 12:29 pm HS 66. Long Term Outcomes of Silicone MCP Arthroplasty: A Longitudinal Analysis of 325 Cases Chelsea C Boe, MD; Eric Wagner, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 12:29 pm - 12:31 pm HS 67. Outcomes of Arthrodesis for Management of Failed Basal Thumb Arthroplasty Maureen A O'Shaughnessy, MD; Marco Rizzo, MD Mayo Clinic, Rochester, MN 12:31 pm - 12:33 pm HS 68. Early Experience with a Stabilized Saddle TM Hemiarthroplasty Jorge Luis Orbay, MD; Francisco Rubio, MD; Lauren Vernon, PhD The Miami Hand and Upper Extremity Institute, Miami, FL 12:33 pm - 12:35 pm HS 69. Factors Associated with Reoperation after Silicone Proximal Interphalangeal (PIP) Joint Arthroplasty Jonathan Lans, MD; Bo J.W. Notermans, MD; Quirine M.J. van der Vliet, MD; Jesse B Jupiter, MD; Neal C Chen, MD Massachusetts General Hospital, Boston, MA 12:35 pm - 12:37 pm HS 70. Union Rates and Complications after Thumb Metacarpophalangeal Fusion Kevin Lutsky, MD1; Jonas Matzon, MD1; David Edelman, MS1; Cory Lebowitz, DO2; Pedro Beredjiklian, MD1 1Thomas Jefferson University, Philadelphia, PA; 2Rowan University, Philadelphia, PA 12:37 pm - 12:39 pm HS 71. Factors Associated with Reoperation after Silicone Metacarpophalangeal (MCP) Joint Arthroplasty Jonathan Lans, MD; Bo J.W. Notermans, MD; Denise Arnold, MD; Quirine M.J. van der Vliet, MD; Jesse B Jupiter, MD; Neal C Chen, MD Massachusetts General Hospital, Boston, MA 12:39 pm - 12:47 pm Panel Discussion Topic: Pediatrics 12:47 pm - 12:49 pm HS 72. Variation among Surgeons When Treating Medial Epicondyle Fractures Meghan Hughes, MPH1; Karan Dua, MD2; Nathan N. O'Hara, MHA1, Joshua M. Abzug, MD1 1University of Maryland School of Medicine, Baltimore, MD; 2State University of New York, Downstate Medical Center, Brooklyn, NY 12:49 pm - 12:51 pm HS 73. Simulation Training of Orthopaedic Residents Improves Patient Outcomes in Pediatric Distal Radius Fractures Taylor J Jackson, BA; Apurva S Shah, MD MBA; J. Todd Lawrence, MD, PhD Children's Hospital of Philadelphia, Philadelphia, PA 12:51 pm - 12:53 pm HS 74. Obesity Increases the Risk of Loss of Reduction in Pediatric Both Bone Forearm Fractures Christopher J DeFrancesco, BS; Benjamin H Rogers, BA; Apurva S Shah, MD MBA Children's Hospital of Philadelphia, Philadelphia, PA 12:53 pm - 12:55 pm HS 75. Splinting Pediatric Mallet Fingers Leads to Good Outcomes James S Lin, BS1; Julie Balch Samora, MD, PhD2 1The Ohio State University College of Medicine, Columbus, OH; 2Nationwide Children's Hospital, Columbus, OH 12:55 pm - 1:00 pm Panel Discussion
1:00 pm - 2:30 pm	Industry Lunch Symposia (Not for Credit) Sign Up Here This event is neither sponsored by nor endorsed by the ASPS or AAHS. AxoGen Lunch Symposium Overcoming Challenges in Nerve Repair: The Recent Evolution of the Evidence-Based Algorithm The faculty panel will share a summary of the rapidly growing peer-reviewed literature in nerve repair, with a focus on how they have implemented new techniques and algorithms into their own practice. The audience can expect to learn practical tips that can be employed immediately, along with clinical evidence to support. Speakers: Greg Buncke, MD Ivan Ducic, MD Fraser Leversedge, MD Sign Up Here Endo Pharmaceuticals Lunch Symposium Dupuytren’s Contracture: A Clinical Review Sidney M. Jacoby, MD; Associate Professor of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania Sign Up Here
Friday January 12, 2018
6:30 am - 8:00 am	Continental Breakfast with Exhibitors
6:30 am - 8:00 am	MOC Instructional Course
118	Flexor Tendon Injuries Chair: Nicholas B. Vedder, MD Instructors: Andrew Chen, MD; Jennifer Waljee, MD, MPH, MS; Miranda M. Materi, OTD, CHT This instructional course will have an expert panel discussing the challenges associated with flexor tendon injuries, specifically focusing on complications of flexor tendon injuries and repair. Topics to be presented will include: rupture, adhesions with loss of motion, flexion contractures, and wound breakdown. It will be case based with an emphasis on tips and pearls to address these potentially devastating problems. Objectives: Following this session, the participant will be able to: Identify the most common and troublesome complications of flexor tendon repair and how to diagnose them. Integrate surgical techniques and methods to effectively treat these complications into clinical practice. Discuss literature regarding evidence for treatment and their outcomes.
7:00 am - 8:00 am	AAHS/ASPN Instructional Courses
119	Neuropathic Pain - What do you do in 2018? Chair: Catherine Curtin, MD Instructors: Ida K. Fox, MD; Laura Martini, MD; Saba Kamal, OT The patient who presents with neuropathic pain can cause much anxiety to their clinician. These patients are unhappy and the appropriate course forward can seem unclear. This one-hour course will provide the attendee an up to date guide to treatment of the patient with neuropathic pain. The diverse panel will approach this topic through presentation of various clinical cases. The discussion will focus on treatments including medications, surgery, therapy and newer technology Objectives: Following this session, the participant will be able to: Provide a medication algorithm for treatment of a patient with neuropathic pain. Review surgical decision-making considerations, including when and specific procedures used to treat a patient with neuropathic pain. Describe nonsurgical treatment modalities, such as therapy and nerve stimulation.
120	Failed Nerve Decompressions - What is Next? Chair: Scott F. Duncan, MD, MPH, MBA Instructors: Steven McCabe, MD; John D. Lubahn, MD; Pierluigi Tos, MD; Gayle K. Severance, MS, OTR/L, CHT This course will review the reasons behind failed nerve decompressions. We will discuss why a "failure" is not always a failure, and how setting patient expectations is crucial. The role of EMG/NCV studies, blood work, MRI, and ultrasound will be discussed in working up these patients for medical and surgical treatments. The operative and non-operative options for various clinical scenarios will be examined, with the understanding that not all "failure" can be surgically rectified. Nonetheless, some bailout options will be reviewed and a few clinical cases presented to connect the attendee with real world situations that can help them in their practice. Objectives: Following this session, the participant will be able to: Identify why nerve decompressions "fail", and why this may not truly be the case. Describe the workup for patients with persistent symptoms following nerve decompression. List treatment options, including when they should be pursued.
121	Dupuytren's Contracture - How to Decide Between Different Treatments Chair: Jaimie T. Shores, MD Instructors: Alexander M. Spiess, MD; Thomas B. Hughes, MD; Susan Weiss, OT, CHT Case based discussion for the management of Dupuytren's contracture. This course will emphasize clinical management using each of the presenter's treatment algorithms, as well as post-intervention hand therapy considerations. Objectives: Following this session, the participant will be able to: Describe 3 methods of treatment for MP joint and PIP joint Dupuytren's contracture management as well as post-intervention hand therapy indications Discuss the evidence available for comparison of treatments for MP and PIP joint Dupuytren's contracture. Discuss Medicare based cost of treatments for different Dupuytren's contracture treatments.
122	Carpal Instability - Diagnosis and Treatment - SL, Midcarpal Chair: Peter J.L. Jebson, MD Instructors: A. Lee Osterman, MD; R. Glenn Gaston, MD; Kimberly G. Kraft, PT, DPT Carpal instability is a common condition that may present in various stages and is surrounded by controversy regarding the best treatment. This interactive course will be a case based presentation with small group interaction and discussion. It will cover diagnosis, including the role of advanced imaging, management of acute ligament injuries, including SL and perilunate, as well as less common conditions, including LT instability and midcarpal instability. Objectives: Following this session, the participant will be able to: Identify the exam findings and imaging needed for managing conditions associated with ligamentous injuries in the wrist. Recognize the clinical manifestations of scapholunate and midcarpal instability. Discuss the various non-operative and operative treatment options in the patient with carpal instability. Describe rehabilitation protocols for treatment of ligamentous injuries in the wrist.
123	Surgical Technique for Partial Joint Denervation Chair: A. Lee Dellon, MD Instructors: Sami Tuffaha, MD; Eric H. Williams, MD
124	Innovations in Management of Children with Birth-Related Brachial Plexus Injuries Chair: Raymond Tse, MD Instructors: Howard M. Clarke, MD; Martijn J.A. Malessy, MD; Jaret Olson, MD Nerve grafting, proximal root transfers, and distal nerve transfers each has a role in reconstruction of brachial plexus palsies. This course will describe these strategies using photos and videos and will discuss the results, indications, and contraindications for each. Innovative and novel approaches will be emphasized along with a discussion of the principles and nuances involved in reconstruction. Objectives: Following this session, the participant will be able to: Describe the principles of nerve graft reconstruction of the brachial plexus. Discuss direct proximal nerve root to nerve root transfers for brachial plexus reconstruction. Identify distal nerve transfers for brachial plexus reconstruction. Describe indications and contraindications for nerve grafting, proximal nerve. root transfers, and distal nerve transfers, and combinations of each for brachial plexus reconstruction.
125	Management of TOS Chair: Robert R. Hagan, MD Instructors: Scott Werden, MD; Kyle R. Eberlin; MD; Giogio Pietramaggori, MD This course will be focusing on the fact that 95% of all Thoracic Outlet Syndrome (TOS) is the neurogenic type (nTOS). We will review relevant anatomy of the brachial plexus, scalene triangle, costo-clavicular space and shoulder/pectoralis minor muscle. The composite of symptoms and the pathologies associated to them, the importance of developing a radiologic evaluation/protocol, non-surgical and current surgical treatment options will all be reviewed. Last, we will propose to you the diagnosis of Scalene triangle Syndrome (STS) which is inclusive of nTOS within its composite of symptoms/pathology. Objectives: Following this session, the participant will be able to: Define the different types of Thoracic Outlet Syndrome (TOS) and their overlapping symptoms. Define Scalene Triangle Syndrome (STS). Review the anatomy of the scalene triangle and the associated structures. Outline the composite of symptoms and pathologies associated with Neurogenic Thoracic Outlet Syndrome (nTOS) and their diagnostic work-up. Review the radiologic studies useful for the diagnosis of TOS. Review the surgical and nonsurgical treatment options for treatment of nTOS.
126	Improving Results Of Nerve Surgery With Appropriate Patient Selection Chair: Susan E. Mackinnon, MD Instructors: Megan Patterson, MD; Lorna Canavan Kahn, PT, CHT This case based IC will focus on the pre-operative decision making process for determining who is an appropriate patient for nerve surgery. Learn the critical points of the algorithms for correct patient selection to maximize functional outcomes. This course will emphasize the decision-making process including the key points of patient examination and the interpretation of electrodiagnostics necessary for surgical success. Objectives: Following this session, the participant will be able to: Determine when and for whom nerve surgery is and is not appropriate. Highlight critical aspects of patient history and clinical exam. Review key points of electrodiagnotic interpretation as they relate to various nerve injuries
8:15 am - 9:00 am	Annual Business Meeting (Not for Credit)
9:00 am - 9:15 am	Awards & Announcements (Not for Credit)
9:15 am - 10:00 am	Danyo Lecture On the Shoulders of Mortals David P. Green, MD
10:00 am - 10:30 am	Coffee Break with Exhibitors
10:30 am - 11:30 am	Concurrent AAHS Scientific Abstract Session V Moderator: Glenn Gaston, MD Panelists: Jeffrey N. Lawton, MD; Thomas B. Hughes, MD; Jane Fedorczyk, PT, PhD, CHT Topic: Tendon, Misc 10:30 am - 10:32 am HS 76. Effectiveness of Astym® Treatment vs Traditional Therapy to Treat Lateral Epicondylitis: A retrospective comparative study Eitan Melamed, MD1; April O'Connell, OTR/L, CHT, ACSM2; Matthew Gonzalez, MD2; Ricardo J. Bello, MD, MPH3; Anthony Sapienza, MD1 1NYU Hospital for Joint Diseases, New York, NY; 2New York University Langone Medical Center, New York, NY, 3Johns Hopkins University, Baltimore, MD 10:32 am - 10:34 am HS 77. Treatment of De Quervain's Tenosynovitis: A Prospective Trial Comparing Non-Surgical Options Joseph A Ippolito, MD; Spencer Hauser, MD; Irfan Ahmed, MD Rutgers New Jersey Medical School, Newark, NJ 10:34 am - 10:36 am HS 78. The Function And The Strength Of The Thumb Is Not Affected When The Extensor Pollicis Longus Tendon Is Left Out Of Extensor Retinaculum Fatih Kabakas, MD1; Meriç Ugurlar, MD2; Baris Çaypinar, MD3; Abdulkadir Sari, MD4; Berkan Mersa, Ass. Prof1; Ismail Bülent Özçelik, Ass. Prof1 1IST-EL Hand Surgery, Microsurgery and Rehabilitation Group, Istanbul, Turkey ; 2Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey ; 3Lütfiye Nuri Burat Public Hospital, Istanbul, Turkey ; 4Namik Kemal University School of Medicine, TekirdaG, Turkey 10:36 am - 10:38 am HS 79. Combining Nerve Transfers and Tendon Transfers in Tetraplegia: Proposal of a New Surgical Strategy Bruno Battiston, MD, PhD1; Paolo Titolo, MD2; Alessandro Crosio, MD3; Chiara Arrigoni, MD3 1UO di Microshirurgia Ricostruttiva, Hand Surg., Microsurg. Unit, Torino, Italy; 2Hand Surg. - Microsurg. Unit, Torino, Italy; 3Hand Surg., Microsurg. Unit - C.T.O. Hospital, Torino, Italy 10:38 am - 10:40 am HS 80. Building an Empiric Antibiotic Algorithm as a Function of Patient and Infection Factors: A Prospective, High-Powered Analysis of the Pathogenic Microbiology of Surgical Hand and Forearm Infections Ketan Sharma, MD, MPH1, Aaron Mull, MD1, James Friedman, MD2, Deng Pan, BS1, Jennifer Yu, MD1 and Moore M Amy, MD1 1Washington University in St Louis, St Louis, MO; 2University of Pennsylvania, Philadelphia, PA 10:40 am - 10:42 am HS 81. Results of Unusual Indicatication in Upper Limb Replantation Pierluigi Tos, MD, PhD1; Bruno Battiston, MD, PhD2 1Hand Surgery and Reconstructive Microsurgery Unit, Milan, Italy; 2UOC Hand Surgery, Turin, Italy 10:42 am - 10:50 am Panel Discussion Topic: Wrist Arthritis 10:50 am - 10:52 am HS 82. Radial Styloidectomy for Scaphoid Nonunion Advanced Collapse (SNAC) - Relevance of Nonunion Location Emil Stefan Vutescu, MD1; Darryl B Sneag, MD2; Scott W Wolfe, MD2; Steve K Lee, MD2 1Brown University, Providence, RI; 2Hospital for Special Surgery, New York, NY 10:52 am - 10:54 am HS 83. Outcomes Following Standard Proximal Row Carpectomy versus Proximal Row Carpectomy with Dorsal Capsular Interposition for Treatment of Late-Stage Wrist Arthropathy Michael P. Gaspar, MD; Patrick M. Kane, MD; Peter P. Pham, MS; Sidney M. Jacoby, MD; Eon K. Shin, MD; A. Lee Osterman, MD Thomas Jefferson University, Philadelphia, PA 10:54 am - 10:56 am HS 84. Four-Corner Fusion in SLAC & SNAC Wrist: Does Fixation Method Really Make A Difference? Logan A McGinn, MD, BScN1,2; Ruby Grewal, MD, MSc, FRCSC2 1University of Western Ontario, London, ON, Canada; 2Roth|MacFarlane Hand and Upper Limb Centre, University of Western Ontario, London, ON, Canada 10:56 am - 10:58 am HS 85. Midterm Performance of Distal Radial Ulnar Joint Arthroplasty Nicholas E Crosby, MD1; Charles Maloy, MD2 1Indiana Hand to Shoulder Center, Indianapolis, IN; 2Indiana University Health, Indianapolis, IN 10:58 am - 11:00 am HS 86. Magnetic Resonance Imaging Findings Correlate with Operative Findings in Patients with SLAC/SNAC Osteoarthritis Danielle Christine Marshall, BA; Schneider K Rancy, BA; Alissa J Burge, MD; Hollis G Potter, MD; Scott W Wolfe, MD; Steve K Lee, MD Hospital for Special Surgery, New York, NY 11:00 am - 11:02 am HS 87. Wrist Arthrodesis with Use of Bone Mill for Bone Graft Preparation Cara M Lorentzen, MD; Adam J. Mirarchi, MD Oregon Health and Science University, Portland, OR 11:02 am - 11:10 am Panel Discussion Topic: Soft Tissue 11:10 am - 11:12 am HS 88. Tendon with Z Lengthening (TWZL) Technique: Anatomic Considerations Megan S Crosmer, MD; Paul Nielson, MD; Jeffrey A. Greenberg, MD, MS Indiana Hand to Shoulder Center, Indianapolis, IN 11:12 am - 11:14 am HS 89. The Use of Fibrin Sealant for Securing Skin Grafts to the Hand and Upper Extremity: A Comparison of Functional Outcomes Tyler Evans, MD; Sarah E. Sasor, MD; Brett C Hartman, DO; Adkinson M Joshua, MD; Rajiv Sood, MD Indiana University, Indianapolis, IN 11:14 am - 11:16 am HS 90. The Therapeutic Potential for Using Relaxin to Treat Dupuyten's Contracture John D. Lubahn, MD1; Charles Eaton, MD2; Timothy Cooney, MS1 1UPMC Hamot, Erie, PA; 2Dupuytren Foundation, West Palm Beach, FL 11:16 am - 11:18 am HS 91. Actions of Pirfenidone on TGFbeta1- stimulated Non-Smad Signaling Pathways in Dupuytren's-derived fibroblasts Chaoming Zhou, MD1; Yael Zeldin, BS1; Mark E. Baratz, MD2; Sandeep Kathju, MD, PhD1; Latha Satish, MSc, PhD1,3 1University of Pittsburgh, Pittsburgh, PA; 2Hand and Upper Extremity Surgery, Orthopaedic Specialists at University of Pittsburgh Medical Center, Washington, PA; 3Shriners Hospitals for Children, Cincinnati, OH 11:18 am - 11:20 am HS 92. Examining the Frequency and Size of Skin Tears Following Collagenase Injection for Dupuytren's Contracture Related to Pre-Manipulation Contracture Size and Time to Manipulation Anil Akoon, MD; Joel C. Klena, MD; Kirsten A Sumner, MD Geisinger Medical Center, Danville, PA 11:20 am - 11:22 am HS 93. Long-Term Effects of Radiation Therapy for Benign Conditions of the Hand Kalila Steen, MD1; Victoria Hayward, MD1; Christine B Novak, PT, PhD2; Dimitri J Anastakis, MD1; Steve McCabe, MD, MSc3 1University of Toronto, Toronto, ON, Canada; 2Toronto Western Hospital Hand Program, University Health Network, Toronto, ON, Canada 11:22 am - 11:30 am Panel Discussion
10:30 am - 11:30 am	Concurrent AAHS/ASPN Scientific Abstract Session VI Moderator: Christina M. Ward, MD Panelists: Jaimie T. Shores, MD; Andrew Chen, MD; Christine Novak, PT, PhD Topic: Microvascular 10:30 am - 10:32 am HS 94. Derotational Pronation-Producing Osteotomy of the Radius and Biceps Tendon Rerouting for Supination Contractures Casey M. DeDeugd, MD; William J. Shaughnessy, MD; Alexander Y. Shin, MD Mayo Clinic, Rochester, MN 10:32 am - 10:34 am HS 95. Microsurgery Blood Flow Modeling Kate Elzinga, MD1, Breana Siljander, MD1; George Karniadakis, MS PhD2; Jessica Billig, MD1; Jeffrey N. Lawton, MD1 1University of Michigan, Ann Arbor, MD; 2 Brown University, Providence, RI 10:34 am - 10:36 am HS 96. Investigating Patient Attitudes towards Microvascular Free Toe Flap Reconstructions: A Guide for Surgeons during Informed Consent Johnny Ionut Efanov, MD; Christopher Wong, MD; Clarence Guilbault, MD; Ali Izadpanah, MD; Michel A Danino, MD PhD University of Montreal's Hospital Centre (CHUM), Montreal, QC, Canada 10:36 am - 10:38 am HS 97. The Turkey Digit: a New Training Model for Digit Replantation Mohamed Morsy, MD1,2; Si-Gyun Roh, MD2,3; M. Diya Sabbagh, MD2; Yinxian Yu, MD2; Alyssa Vrieze, BA2; Thomas R Meier, DVM, MBA2; Brian T. Carlsen, MD2; Peter C. Amadio, MD2; Steven L Moran, MD2; Chunfeng Zhao, MD2 1Assiut University, Assiut, Egypt; 2Mayo Clinic, Rochester, MN; 3Chonbuk National University Hospital, Jeonju, Korea, Republic of South 10:38 am - 10:40 am HS 98. The Nerve of Henle. An Anatomic and Sympathetic Study of the Ulnar Artery Innervation Eduardo Pablo Zancolli, MD1; Diego Piazza, MD2; Christina Kaufman, PhD2; Luis R. Scheker, MD2; Eduardo Alfredo Zancolli, MD3 1Fundacion Favaloro, Buenos Aires, Argentina; 2Christine M. Kleinert Institute, Louisville, KY; 3Hospital naval Pedro Mallo, Buenos Aires, Argentina 10:40 am - 10:45 am Panel Discussion 10:45 am - 10:47 am HS 99. Perforasomes of the Nerves of the Upper Extremity Suhail Mithani, MD; Steven M. Koehler, MD Duke University, Durham, NC 10:47 am - 10:49 am HS 100. Meidan Nerve Conduction Velocity after Distal Radius Fracture Fixation with a Volar Locked Plate Stephen Y. Liu, MD1; Gabriella DiBernardo, BS1; Kia M. Washington, MD2; Robert J. Goitz, MD1; John R. Fowler, MD1 1University of Pittsburgh, Pittsburgh, PA; 2McGowan Institute for Regenerative Medicine, Pittsburgh, PA 10:49 am - 10:51 am HS 101. Improving Nerve End Preparation for Neurorrhaphy through Use of a Circumferentially Constraining Surgical Device Brandon Smetana, MD1; Konrad Wolfmeyer, BS2; Archana Lovett, PhD3; Brian Romot, MS4; Michael Orrico, MS4; Jeffrey A Greenberg, MD1 1Indiana Hand to Shoulder Center, Indianapolis, IN; 2Purdue University, West Lafayette, IN; 3University of Florida, Gainesville, FL; 4AxoGen, Alachua, FL, 10:51 am - 10:53 am HS 102. A Stepwise Surgical Algorithm Using Nerve Transfers for the Treatment of Upper Extremity Acute Flaccid Myelitis Erin L Weber, MD, PhD; Mitchel Seruya, MD University of Southern California, Los Angeles, CA 10:53 am - 10:55 am HS 103. Application of a Porcine SIS Nerve Cap for Prevention of Neuromas and Associated Pain Shahryar Tork, MD1; Jennifer Faleris, BS2; Anne Engemann, PhD2; Erick DeVinney, BS2; Ian L. Valerio, MD, MS, MBA1 1The Ohio State University, Wexner Medical Center, Columbus, OH; 2AxoGen, Alachua, FL 10:55 am - 11:00 am Panel Discussion ASPN Moderators: Amy M. Moore, MD; Ayato Hayashi, MD; PhD 11:00 am - 11:05 am PN 103. WITHDRAWN 11:05 am - 11:10 am PN 104. Cross-Cross Sensory Nerve Grafts to Enhance Sensory Recovery in Complex Ulnar Neuropathy John M Felder, MD; Hollie Power, MD; Elspeth Hill, MD; Jessica Hasak, RN; Susan E. Mackinnon, MD Washington University, St Louis, MO 11:10 am - 11:15 am PN 105. The Prevalence and Practice Patterns of Human Acellular Nerve Allograft Use in Digital Nerve Gaps: a Survey of Hand Surgeons Heather Lucas, PA-C; Solomon Azouz, MD; Raman C. Mahabir, MD, MSc; Shelley S. Noland, MD Mayo Clinic, Phoenix, AZ 11:15 am - 11:20 am PN 106. Quantifying Pain Following Amputation: A Large Scale Outcomes Analysis From 768 Survey Respondents Lauren M Mioton, MD1; Jason M. Souza, MD2; Mickey S Cho, MD3; Benjamin K Potter, MD4; Scott M Tintle, MD4; Reuben Bueno, MD5; George P. Nanos, MD4, Ian Valerio, MD5; Jason H Ko, MD1; Gregory A Dumanian, MD1 1Northwestern Feinberg School of Medicine, Chicago, IL; 2Walter Reed National Medical Center, Chicago, IL; 3South Texas Orthopedic Specialty Group, San Antonio, TX; 4Walter Reed National Military Medical Center, Bethesda, MD; 5Vanderbilt University, Nashville, TN; 5The Ohio State University, Columbus, OH 11:20 am - 11:25 am PN 107. Osseointegrated Neural Interface (ONI): Evaluating the Capacity to Interface Peripheral Nerves Transposed to Bone Following Amputation for Advanced Prostheses Aaron M. Dingle, PhD; Joseph R. Novello, MS; Jared P Ness, MS; Jacqueline S. Israel, MD; Lisa Krugner-Higby, DVM, PhD; Brett Nemke, BS; Yan Lu, MD; Weifeng Zeng, MD; Sarah K. Brodnick, BS; Mark D Markel, DVM; Justin C. Williams, PhD; Samuel O. Poore, MD, PhD University of Wisconsin, Madison, WI 11:25 am - 11:30 am PN 108. Poor Patient Understanding of Expectations in Peripheral Nerve Surgery is Ameliorated by Written Surgical Educational Media Brandon W Smith, MD, MS; Shawn Brown, CMA; Kate Wan-Chu Chang, MA, MS; Lynda Yang, MD, PhD University of Michigan, Ann Arbor, MI
11:30 am - 12:30 pm	AAHS/ASPN Joint Panel: Nerve Injuries in 2018 - How to Manage a Nerve Gap and Provide the Best Outcomes Moderator: Rajiv Midha, MD Panelists: Jonathan Isaacs, MD; William C. Pederson, MD; Christine Novak, PT, PhD; Robert Schmidhammer, MD This panel will focus on the current management of nerve gap repair to achieve best outcomes. The format will consist of focused talks by panelist members to present key considerations regarding nerve gap repair using various surgical techniques and adjuncts, as well as optimizing outcome of nerve repair with goal-directed and focused physiotherapy. The moderator will present a few cases at the end to the panelist to generate discussion. Objectives: Following this session, the participant will be able to: Recognize patients and conditions that require the repair of a nerve gap Describe general principles of managing a nerve gap surgically Identify different options and their pros and cons, indications and contraindications for nerve gap reconstruction Describe outcomes associated with different techniques for nerve gap repair
12:30 pm - 1:30 pm	Lunch with Exhibitors
1:30 pm - 3:30 pm	Therapist Panel: Hands-on Evidenced Based Therapeutic Taping Chair: Tambra Marik, OTR/L, OTD, CHT Lets make it stick! This course is designed for participants to learn, practice and share. Participants will learn how the theoretical benefits of elastic taping align with the literature. There will be emphasis to hands-on practice and application of evidence-based therapeutic elastic taping techniques. Finally, therapists and the instructor will have the opportunity to share clinical pearls for taping techniques for optimal patient outcomes. This is an ideal course to combine evidence with clinical application. Objectives: Following this session, the participant will be able to: Integrate the evidence with the theoretical concepts of elastic taping while performing hands-on tape application for common upper extremity conditions. Demonstrate taping techniques that are supported in the literature for common upper extremity conditions. Propose elastic taping techniques for common diagnosis encountered by hand therapists to decrease pain, muscle inhibition/facilitation, neuromuscular re-education and/or joint support. Identify the contraindications and precautions of elastic tape application.
1:30 pm - 5:30 pm	Comprehensive Hand Surgery Review Course Chair: Brian T. Carlsen, MD Co-Chair: Dan A. Zlotolow, MD Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam. Objectives: Following this session, the participant will be able to: Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist. Identify treatment options available for disorders of the hand and upper extremity. Recognize various uncommon and/or unusual clinical conditions of the hand and wrist including carpal and DRUJ conditions, peripheral nerve, tendon and other common problems. Compare different treatment methods to avoid complications and improve patient outcomes. 1:30 pm - 1:35 pm Introduction Dan Zlotolow, MD & Brian T. Carlsen, MD 1:35 pm - 1:55 pm Distal Radius Fractures Karim Bakri, MD 1:55 pm - 2:15 pm Scaphoid Fractures/ Nonunions and SL Injuries Sanjeev Kakar, MD 2:15 pm - 2:35 pm Soft Tissue Tumors Douglas Sammer, MD 2:35 pm - 2:55 pm Bone Tumors Jonathan Tueting, MD 2:55 pm - 3:15 pm Functional Free Muscle Transfers L. Scott Levin, MD 3:15 pm - 3:35 pm Soft Tissue Coverage Jeffrey B. Friedrich, MD 3:35 pm - 3:50 pm BREAK 3:50 pm - 4:10 pm Dupuytren's Jaimie T. Shores, MD 4:10 pm- 4:30 pm Pediatric Injuries Joshua Abzug, MD 4:30 pm - 4:50 pm Congenital Hand Kevin Little, MD 4:50 pm - 5:10 pm Inflammatory Arthropathies Sidney Jacoby, MD 5:10 pm- 5:30 pm Nerve Injury and Repair/Reconstruction Amy M. Moore, MD
7:00 pm - 10:00 pm	Annual Meeting Dinner Dance
Saturday January 13, 2018
6:30 am - 8:00 am	Continental Breakfast with Exhibitors
7:00 am - 8:00 am	AAHS/ASPN/ASRM Instructional Courses
201	Advanced Upper Extremity Soft Tissue Reconstruction - Coverage and functional Muscle Transfers Chair: Milan Stevanovic, MD Instructors: Gunter Germann, MD; Mario Cherubino, MD; Gary S. Solomon, MS, OTR/L, CHT The authors will present advanced microsurgical techniques for treatment of soft issue defects and functional muscle deficits in the upper extremity. There will be an emphasis on surgical decision-making, operative techniques, and expected outcomes following reconstruction. Free tissue transfer with innervated functional muscle flaps and management of complex wounds will be reviewed. Objectives: Following this session, the participant will be able to: Demonstrate the surgical decision making algorithms for treating patients with complex soft tissue injuries to the upper extremity. Describe surgical techniques for treating patients with simultaneous soft tissue reconstruction and functional muscle transfer in the upper extremity. Discuss the anticipated outcomes following simultaneous soft tissue reconstruction and functional muscle transfer in the upper extremity.
202	Soft Tissue Coverage of the Hand - Flaps Every Hand Surgeon Should Know Chair: Bauback Safa, MD Instructors: Roberto Adani, MD; Edward M. Reece, MD; Mark Henry, MD; Stephanie N. Kannas, OTR/L, CHT Soft tissue defects in the hand can present a challenge for the physician caring for these injuries. This instructional course will cover basic principles of management of hand and user extremity wounds and soft tissue defects, reviewing workhorse flaps every hand surgeon should have in the armamentarium. Objectives: Following this session, the participant will be able to: Describe basic principles of wound management. Discuss indications for local flaps and when secondary healing is appropriate. Demonstrate local flaps for coverage of finger and thumb defects. Describe anatomy and principles for dorsal hand and first web space coverage with regional flaps. Demonstrate flaps for soft tissue coverage of the elbow.
203	Chronic Ischemia in the Upper Extremity - Managemant of Vascspastic and Occlusive Disease Chair: James P. Higgins, MD Instructors: Wyndell Merritt, MD, Ryan Katz, MD, Cynthia C. Ivy, OTR/L, CHT This course will focus on normal and abnormal angiogram interpretation, diagnosis and measurement of vascular compromise, adjuvant treatment and surgical intervention. Particular subsets of patients will be discussed including renal failure patients with AV fistula related ischemia, collagen vascular disease patients, vasospastic disease and post-traumatic ischemia. Objectives: Following this session, the participant will be able to: Describe common vascular anomalies seen on upper extremity angiograms. Discuss the clinical considerations of surgical and non-surgical management in different clinical scenarios of ischemic disease. Discuss the advantages of various techniques for vascular reconstruction.
204	Novel Surgical Approaches for Headache Management Chair: Ivica Ducic, MD, PhD Instructors: Robert R. Hagan, MD; Ziv M. Peled, MD Invited faculty will outline most common form of medically resistant chronic headaches, neuralgia and migraines, requiring additional treatments. With respect to nerve surgery, specific effort will be made to clarify: Anatomical Considerations, Indications & Diagnostic tools, Timing and the Type of available surgical treatments and Alternative treatments & controversies. Objectives: Following this session, the participant will be able to: Discuss common forms of medically resistant chronic headaches, neuralgia, and migraines. Describe Anatomical Considerations and diagnostic tests. Describe timing and the type of surgical treatment. Discuss the role of medical care and alternative treatments.
205	Nerve Transfers Following Spinal Cord Injury Chair: Kristen Davidge, MD Instructors: Ida K. Fox, MD; Catherine Curtin, MD; Wilson Z. Ray, MD Cervical spinal cord injury can result in devastating, often bilateral, loss of hand and arm function. Distal nerve transfers offer a novel method to augment upper extremity function in patients with this condition. However, there are many important and unique considerations in performing nerve transfers in patients with spinal cord injury to minimize risks and optimize functional outcomes. Our panel of experts will discuss current techniques and controversies in nerve transfers for spinal cord injury and foster discussion with the audience. Objectives: Following this session, the participant will be able to: Discuss the unique considerations in patient selection, perioperative care, and rehabilitation of patients with spinal cord injury undergoing distal nerve transfers. Identify different nerve transfer procedures to restore upper extremity function in cervical spinal cord injury. Recognize the limitations and pitfalls of nerve transfers for spinal cord injury. Examine current literature on outcomes following nerve transfers in spinal cord injury relation to timing of intervention.
206	Sense and Sensibility: Sensory Reinnervation of the Breast Chair: Aldona J. Spiegel, MD Instructors: Risal S. Djohan, MD; Stefania Tuinder, MD, PhD A panel of invited faculty will review the most current data on restoration of breast sensation in autologous reconstruction. This is an important topic which has become an important consideration to many patients, now seeking this additional benefit of autologous reconstruction. There will be discussion of latest functional MRI studies on how sensation in the breast is represented at the cortical level, as well as specific anatomical consideration, methods, technique tips and tricks on how to incorporate neurotization routinely in autologous breast reconstruction. Objectives: Following this session, the participant will be able to: Examine current literature as to sensation in breast reconstruction. Discuss latest functional MRI cortical mapping of breast sensation. Review detailed anatomy of breast sensation. Describe methods of routine DIEP flap neurotization.
207	Soft Tissue Coverage for Upper and Lower Extremity Trauma Chair: Gregory M. Buncke, MD Instructors: Guenter Germann, MD; William C. Pederson, MD; Pedro C. Cavadas, MD, PhD A panel of leading authorities in the field of post traumatic reconstruction of upper and lower extremities will discuss their experience in soft tissue reconstruction including time from injury to coverage, ideal recipient vessel choices, pre-operative concerns and flap choice including fasciocutaneous vs muscle/STSG. Case presentation and audience participation is welcome. Objectives: Following this session, the participant will be able to: Understand the timing of coverage of post traumatic wounds. Understand the differences and proper utilization of faciocutaneous vs fascial/STSG vs muscle/STSG. Understand the most efficient and effective way to monitor flaps.
208	Innovations in Microsurgery Chair: Jesse C. Selber, MD, MPH Instructors: Paul Cederna, MD, FACS; Ian L. Valerio, MD; Tom Van Mulken, MD Surgical Innovation is necessary to move the specialty of microsurgery forward. In this panel, we will explore concepts around surgical innovation including some specific examples in robotics, device development and targeted neural integration. Topics for discussion will include how to conduct innovation safely, how to manage regulatory hurdles and what the future holds for innovation in microsurgery. Following this session, the participant will be able to: Objectives: Following this session, the participant will be able to: Understand the principles of surgical innovation. Be familiar with the role of technology in surgical innovation. Understand robotic innovations in microsurgery. Be familiar with technological advanced in extremity reconstruction.
8:00 am - 8:15 am	AAHS/ASPN/ASRM President's Welcome (Not for Credit) William C. Pederson, MD; AAHS President Tessa Gordon, PhD; ASPN President David Chang, MD; ASRM President Paul S. Cederna, MD PSF; Immediate Past President
8:15 am - 9:30 am	AAHS/ASPN/ASRM Combined Panel: Targeted Muscle Reinnervation Moderator: Paul S. Cederna, MD Panelists: R. Glenn Gaston, MD; Gregory A. Dumanian, MD; Oskar C. Aszmann, MD The focus of this panel 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 panel 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: Describe the indications for targeted reinnervation, eligibility criteria, and operative approaches for targeted reinnervation inpatients sustaining upper extremity amputations. Discuss use of targeted reinnervation for recording efferent motor action potentials for prosthetic control. Discuss the use of targeted reinnervation for stimulating afferent sensory action potentials for sensory feedback. Describe the challenges for restoration of function following limb loss and the role of targeted reinnervation to enhance that function. Describe the importance of sensory feedback to optimize functional recovery while using a prosthetic limb.
9:30 am - 10:00 am	Coffee Break with Exhibitors
10:00 am - 11:00 am	Joint Presidential Keynote Lecture: Towards Accelerated Biomedical Innovation Jeff Karp B.Eng. PhD Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA Scientists have something in common with professionals in business, government and beyond. We all need to solve problems, but we're tempted to get comfortable with a limited "toolbox" of techniques and approaches. No matter our field, it can be difficult to break out of our old limitations and achieve something new and different. In this talk, Prof. Karp reveals two of the most powerful "tools" used by his bio-research lab to solve problems in innovative ways, on a continuing basis. The first tool is bioinspiration - the art and discipline of adapting proven-effective techniques, materials, designs and concepts from nature to provide the foundation for a bold new human-designed solution. For example, creatures like slugs and snails have provided inspiration for a next generation surgical adhesive. The second tool is radical simplicity -- the art and discipline of reducing a problem to its essence. Dr. Karp has harnessed this tool to develop prophylaxis technologies for contact dermatitis that were rapidly advanced to the market and are being used in multiple countries and therapeutic strategies to combat inflammatory bowel disease that are advancing to clinical studies. Jeff explains how his team has employed these tools and how they can succeed in any field. This talk opens exciting new paths to the continual innovation that is so important in today's fast-changing world.
11:00 am - 12:00 pm	AAHS/ASPN/ASRM Joint Outstanding Paper Session Moderators: Warren C. Hammert, MD; Alison Snyder-Warwick, MD; Gregory H. Borschel, MD; Julie E. Park, MD 11:00 am - 11:05 am HS 201. Fighting the "Opioid Epidemic": A Prospective Randomized Controlled Double-Blinded Trial Comparing Acetaminophen, Ibuprofen, and Oxycodone after Hand Surgery Asif Ilyas, MD; Andrew Miller, MD; Dennis Martin, BS; Jonas Matzon, MD Rothman Institute at Thomas Jefferson University, Philadelphia, PA 11:05 am - 11:10 am HS 202. Outcomes and Cost Analysis of Needle Aponeurotomy, Collagenase Injection, and Fasciectomy in the Treatment of Dupuytren's Contracture Nels Leafblad, MD; Eric Wagner, MD; Nathan R Wanderman, MD; Marco Rizzo, MD; Sue Visscher, PhD Mayo Clinic, Rochester, MN 11:10 am - 11:20 am Discussion 11:20 am - 11:25 am PN 203. SIRT1 Inhibition Improves Age-related Shift in Wallerian Degeneration Zhongyu Li, MD, PhD1;Tiefu Liu, PhD2; Jiaozhong Cai, BS2; Thomas L. Smith, PhD2 1Wake Forest Baptist Medical Center, Winston-Salem, NC; 2Wake Forest School of Medicine, Winston-Salem, NC 11:25 am - 11:30 am PN 204. Extracting Regenerative Peripheral Nerve Interface Signals from Human Subjects for Neuroprosthetic control Carrie A Kubiak, MD; Philip Vu, MSE; Zachary T Irwin, PhD; Chrono Nu, BSc; Troy Henning, MD; Deanna Gates, PhD; RB Gillespie, PhD; Theodore A. Kung, MD; Paul S. Cederna, MD; Cynthia Chestek, PhD; Stephen W. P. Kemp, PhD, MSc University of Michigan, Ann Arbor, MI 11:30 am - 11:40 am Discussion 11:40 am - 11:45 am RM 205. A Clinically Relevant Protocol Induces Tolerance to a Vascularized Composite Allograft Across Major Histocompatibility Barriers In A Large Animal Model University of Colorado, Aurora Presenter: David Woodbridge Mathes, MD Bruce Swearingen, MD1; Scott Graves, PhD2; Rainer Storb, MD3; David Woodbridge Mathes, MD4 1University of Colorado, Aurora, CO; 2Transplantation Biology Program, Fred Hutchinson Cancer Research Center, Seattle, WA; 3Fred Hutch Cancer Research Center, Seattle, WA; 4Plastic Surgery, University of Colorado, Aurora, CO 11:45 am - 11:50 am RM 206. Two Veins Reduce Muscle Free Flap Complications in Lower Extremity Reconstruction Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York Presenter: John T. Stranix, MD John T Stranix, MD1; Z-Hye Lee, MD1; Lavinia Anzai, MD1; Adam Jacoby, MD1; Josh Mirrer, MD1; Tomer Avraham, MD2; Pierre B. Saadeh, MD1; Jamie P. Levine, MD1; Vishal D Thanik, MD1 1NYU Langone Medical Center, New York, NY; 2Yale School of Medicine, New Haven, CT 11:50 am - 12:00 pm Discussion
12:15 pm - 1:15 pm	Checkpoint Surgical Lunch Symposium This event is neither sponsored by nor endorsed by the ASPS or AAHS. Sign Up Here Enhanced Decision Making: Applications of Intraoperative Nerve & Muscle Assessment This Lab with provide an interactive forum, highlighting use of the Checkpoint Nerve Stimulator/Locator in a variety of procedures including: nerve transfer, free muscle transfer, targeted muscle re innervation, nerve release, neurolysis, and facial re-animation. Surgeons will review videos from example cases. Moderator: Justin M. Brown, MD Director, Reconstructive Neurosurgery Massachusetts General Hospital Milan Stevanovic, MD Professor of Orthopaedics and Surgery, Keck School of Medicine of USC. Ian Valerio, MD Professor of Clinical Plastic Surgery and Chief of the Division of Burn, Wound, and Trauma at the OSU Department of Plastic Surgery Joseph Dayan, MD Plastic Surgery, Memorial Sloan Kettering Cancer Center
12:00 pm	Adjourn
7:00 pm - 8:30 pm	ASPN/ASRM Welcome Reception AAHS meeting registrants may purchase tickets to this event.