This course will offer guidance on treatment strategy from Chinese experts with experiences in large number of tough cases of congenital hand deformities. The topics include treatment strategy and outcome analysis from a large cohort Chinese macrodactyly cases; reconstruction of Blauth IIIb and IV hypoplastic thumb by non-vascularized or vascularized metatarsal graft; and the modified technique of pollicizaton for floating thumb. The techniques for the functional reconstruction will be discussed and the common result will be reviewed.

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

1. Update the latest stage of treatment of congenital hand deformities in China.
2. Discuss the treatment strategy for rare congenital cases.
3. Modify current surgical strategy and improve treatment outcome.

This course will discuss the various upper extremity overuse injuries that occur when children participate in certain sports activities. Discussion of prevention as well as the treatment, including conservative and operative techniques, of the injuries will occur. Details regarding the role of therapy will be highlighted.

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

1. Discuss closed and operative management of pediatric upper extremity sports related overuse injuries.
2. Identify potential complications, as well as their prevention and treatment, surrounding pediatric upper extremity sports related overuse injuries.
3. Identify therapeutic modalities, including splinting, as well as return to play programs for pediatric upper extremity sports related overuse injuries.

Distal radius fractures are common in practice. In addition many fractures are fragility fractures and represent an opportunity to evaluate and intervene for patients with osteopenia or osteoporosis, and a potential for fracture prevention. This ICL will discuss evaluation and management of challenging distal radius fractures, the current evidence and cutting edge treatment strategies, and share strategies for optimizing care (operatively and nonoperatively) by incorporation of a multidisciplinary care program including NP/PAs and hand therapy.

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

1. Describe postoperative interventions for patients with distal radius fractures.
2. Discuss concept and evaluation and treatments of fragility fractures Explore opportunities for the APP to develop bone metabolic programs.
3. Describe treatment options for especially challenging distal radius fractures

Education is a dynamic and evolving process. This instructional course will focus on current topics in educating students, residents and fellows for an upper extremity practice. The core principles of adult learning will be reviewed including fostering active learning, providing learner appropriate material and avoiding cognitive overload. Core program principles will be presented including focusing on learning not teaching, and recognizing the hidden curriculum. Surgical simulation has become an innovative method of teaching surgical skills and validating competence outside the operating theater. Strategies will be reviewed in performing this metric based evaluation. Novel and efficient methods of the evaluation of skills and knowledge will be presented. Mentoring is critical component in preparing young practitioners. The stages of mentoring and the traits of highly effective mentors will be discussed. Time will be allotted for a discussion of the barriers to effective teaching and learning.

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

1. Determine barriers to effective teaching and learning.
2. Describe teaching methods to foster active learning.
3. Define the aspects of an effective mentor 4.List metrics to improve skills evaluation.

The planning, timing and execution of secondary procedures in replanted segments permits the upgrading of functional results and are central to the indication itself of these complex cases.

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

1. Discuss early planning of secondary procedures in replantation.
2. Identify the role of this planned secondary surgery in the indication itself of the replantation.
3. Identify the role of ectopic temporary replantation.

Assessing and treating failed nerve surgery is a daunting challenge for even the most experienced surgeons. Temporal nerve and muscle degeneration further complicate the decision tree. Unsuccessful nerve regeneration following repair or neurolysis can be related to technical or physiological issues and a thorough understanding of these is essential in analyzing correctible causes. This ICL will explore the reasons for failed nerve repair, carpal tunnel release, and cubital tunnel release and offer detailed guidance in assessing and treating the different scenarios. Neuromas offer their own unique challenges and often result from failed nerve repairs or are a complication of nerve decompression surgery. Many neuromas are recalcitrant to initial treatment efforts. Advanced strategies to address persistent neuromas will be discussed as well.

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

1. Assess failed nerve repairs and define treatment options.
2. Differentiate between failed nerve decompression, recurrent nerve entrapment, and incomplete nerve release.
3. Describe treatment strategies to address recurrent nerve entrapment.
4. List treatment options for persistent neuroma pain.

As reimbursements decline and overhead costs continue to rise, physicians, especially those in private practice, are finding it more difficult to maintain an operating margin that allows them to continue to deliver quality care to patients while maintaining their desired standard of living. Many models solve this by increasing patient volume, which either means increased hours spent in office or less time spent with patients. Unfortunately, it often means both. New policies, in particular those introduced by the Centers for Medicare and Medicaid Services (CMS), often add to the burden of practice by requiring additional information gathering, strict adherence to new coding systems and meticulous documentation. These new requirements may stress the system by overwhelming patients with paperwork, slowing patient flow and sometimes leading to denied payment. If we are to continue to deliver quality care to our patients while ensuring value and satisfaction, we must find ways to eliminate waste and minimize redundancy. In short, we must learn to do more with less. This instructional course lecture is intended to provide the audience with tools to study their office processes, identify potential blocks to efficiency, discuss common issues and explore potential solutions.

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

1. Discuss trace the flow of patients through their office from booking appointments to check out.
2. Describe common impediments to efficient patient flow and learn what has worked for others.
3. Recognize and evaluate the value of various means of meeting documentation requirements, including electronic and human solutions, and learn how to choose the optimal solution for their specific practice scenario.
4. Identify other areas of increasing efficiency, such as shifting work from the point of patient contact

Joint stiffness or arthrofibrosis is one of the few unsolved problems in upper extremity surgery which severely limits the functional outcomes following upper extremity surgery and traumatic injuries. The field has notices marginal improvements over the past 3-4 decades but innovation has certainly lagged behind that of reconstructive surgery and bony fixation. We hope to introduce therapeutic modalities, operative techniques at the time of index procedures, as well as innovative approaches during subsequent interventions to optimize patient outcomes.

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

1. Describe pathophysiology and epidemiology of joint stiffness Screen for and identify at risk patients and implement early interventions.
2. Discuss principles and operative techniques during index procedures to minimize joint stiffness.
3. Describe various classic and innovative approaches to the treatment of joint stiffness.
4. Identify perioperative protocols utilized to decrease joint stiffness.
5. Describe therapeutic techniques and modalities to decrease joint stiffness.

Who is responsible for our patient outcomes? Why does excellence matter? At the end of the presentation, the audience will have a better understanding of the dynamic nature of shared leadership, the teamwork required for optimal outcomes, and why the excellence experience matters for our patients.

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

1. Describe the significance of the excellence experience.
2. Identify the elements of teamwork required to orchestrate optimal outcomes.
3. Appreciate and discuss the dynamic nature of shared leadership.

This fun-filled fifteen minutes will elucidate which audience member has the highest Hand IQ. A series of trivia questions will slowly eliminate wrong responders until only one remains to take home the prize. Will you be the last person standing?

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

1. Identify the Last Person Standing.
2. Discuss informational Q&A and boards style questions.
3. Discuss hand anatomy and pathophysiology.

Upper limb amputation is a devastating condition. While there is a standard in managing this condition in the USA, e.g. no replantation of a single (non-thumb) amputation, patients and surgeons in different parts of the world may choose to manage it differently, based on their cultures and socioeconomic backgrounds,. With the new advances in technology and techniques, more options are available for use. Our presenters from all around the world, i.e. Germany, Austria, Hong Kong and China, aims to use case based discussion to illustrate the different management protocol around the world.

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

1. Recognize the differences in management of finger amputation around the world.
2. Discuss the reconstructive procedures available after finger amputation
3. Discuss the new advances in the management after major upper limb

A panel of AAHS past presidents will discuss early beliefs and practices that changed over time as a result of wisdom gained and lessons learned. In doing so, they will highlight the importance remaining open-minded and self-reflective and will also share pearls that will be useful to the practicing hand surgeon.

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

1. Discuss the evolving nature of hand surgery
2. Identify practice recommendations from expert hand surgeons

Innovation continues to play an important feature of hand surgery and the specialty has continued to see the ingenuity and efforts of many of its members to produce surgical procedures and new technologies to help resolve clinical challenges. Yet the potential for these innovations to prove ineffective or even dangerous also represents a challenge.

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

1. Discuss characteristics can be identified in some of our noteworthy innovators.
2. Identify some of the very important innovations that have made major impacts over the past two decades.
3. Discuss challenges that exist to assure the safety of a new innovation.

For this presentation, traumatic elbow injuries are defined as fractures and/or dislocations affecting the articulations of the elbow complex. The common conditions that may occur as a result of a traumatic elbow will be addressed including joint stiffness, nerve injury, and instability. Recommendations for evidence-informed therapist's examination and treatment the will be reinforced through case examples and clinical tips.

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

1. Describe anatomy and biomechanics of the elbow/forearm complex including the course of the peripheral nerves vulnerable with traumatic elbow injuries.
2. Employ clinical examination techniques to identify peripheral nerve injuries and causes of movement dysfunction.
3. Formulate a plan of care with targeted interventions to management post-traumatic stiffness of the elbow to restore a functional arc of motion.
4. Formulate a plan of care to address other factors associated with movement dysfunction to optimize functional outcomes.

The AAHS Surgical Skills Workshop is a course designed to provide participants an opportunity to learn techniques for internal fixation and technical pearls in wrist and hand fractures from an expert faculty panel and put them into practice in a hands-on sawbone workshop.

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

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.

Teams of 4-6 will join forces with AAHS mentors for trivia questions on a range of topics, loosely related to hand surgery. Open to residents, fellows, candidate members and members in their first 3 years of practice.

Major breakthroughs have been achieved in both hand surgery and microsurgery for the last decade in china. In this course, we will review recent research and representative clinical achievements and discuss future challenges. The course will also review the relevant concepts of anatomy and pathology as well as treatment methods relating to wrist and hand surgery. The faculty are recognized experts in hand and microsurgery from china and have been selected for their knowledge, expertise and contributions relating to the subject.

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

1. Discuss different approaches for the treatment of hand and upper extremity trauma including bony and soft tissue injury.
2. Assess the related anatomy, surgical approaches and clinical outcomes relating to peripheral nerve problem for upper extremity.
3. Determine appropriate treatments for acquired, traumatic, inflammatory and degenerative disorders of the wrist joint.

The masquerading of TOS by various other nerve symptoms, wrist and shoulder pain will be discussed along with awareness of it being much more common is swimmers and athletes than appreciated and then how to treat it and why it should be done by hand/upper extremity surgeons. Major breakthroughs have been achieved in both hand surgery and microsurgery for the last decade in china. In this course, we will review recent research and representative clinical achievements and discuss future challenges. The course will also review the relevant concepts of anatomy and pathology as well as treatment methods relating to wrist and hand surgery. The faculty are recognized experts in hand and microsurgery from china and have been selected for their knowledge, expertise and contributions relating to the subject.

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

1. Recognize Thoracic Outlet Syndrome.
2. Discuss how to treat TOS both conservatively and surgically.

Musculoskeletal ultrasound is becoming more widely used at the point of service by hand and upper extremity surgeons. One of the biggest barriers to increased utilization is lack of understanding of how to get started and lack of clarity on how to bill for services. This course will review the many uses for musculoskeletal ultrasound in the upper extremity and act as a primer for appropriate certification and billing practices.

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

1. Recognize the potential applications of ultrasound in an upper extremity surgeon's practice.
2. Describe the proper billing practices for the use of musculoskeletal ultrasound in an upper extremity practice.
3. Discuss the use of ultrasound for diagnosis of compression neuropathies in the upper extremity.
4. Indentify techniques learned in this course to for diagnosis of rotator cuff tears by ultrasound examination.

Vascular disorders of the hand can be mystifying. Many providers are unsure of what tests to order, and many are intimidated by the nature of the complex interventions that can be performed. This panel will outline the best way to evaluate a patient with vascular insufficiency of the hand, with a focus on which diagnostic tests are the most helpful. Interventions for vasospastic disease (Raynaud phenomenon), acute ischemia, as well as chronic "end-stage" ischemia will be reviewed in detail by surgeon-educators who are very experienced in this field. Real-world cases will be presented for commentary and discussion and Q&A.

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

1. Discuss correct diagnostic tests for the work-up of a patient with vascular disease of the hand.
2. Identify which patients may benefit from the off-label use of botulinum toxin for vasospasm.
3. Identify appropriate reconstruction for patients with acute ischemic disease and/or chronic aneurysms of the hand.
4. Describe the principles behind advanced techniques such as arterialization of the venous system of the hand.

Healthcare is changing from volume based fee for service to value based care with alternative payment models including bundled payments. Healthcare systems, physicians, and patients are being held accountable for escalating and non-sustainable healthcare costs. Deductibles and co-pays continue to increase while reimbursement is decreasing requiring stakeholders to engage in fiscally responsible decision making regarding the cost of delivering care. An increasingly popular approach to cost containment and value based care is a value analysis program which requires the engagement and collaboration of physicians, group practices, healthcare systems, hospitals, and vendors. A successful value analysis program should be standardized, transparent, and without conflict of interest. Physician expectations regarding the process have been identified and should be incorporated into the process. The purpose of this symposium is to familiarize the orthopedic surgeon with the role of the hand surgeon in delivering value, to discuss why they should be involved, and how to implement a robust and impactful program.

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

1. Discuss the role of the hand surgeon in the evolving shift to alternative (value) based payment models.
2. Recognize why a structured value analysis program that is based on patient centered care, evidence based literature, and best practice is both essential and important in your practice and healthcare system.
3. Identify the key features physicians want in a successful value analysis program

This course will briefly cover the history of PIP joint arthoplasaty while focusing on the successes and indication of PIP arthroplasty in 2020. The course will cover indications for silicone, pyrocarbon, metal implants as well as alternatives such as autograft and free joint transfer.

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

1. Disucss indications for PIP joint arthroplasty
2. Discuss benefits and indications for different types of PIP joint arthroplasty.
3. Indentify rehabilitation protocols to maximize function.
4. Describe how to handle most common complications seen.

A review of IOL anatomy with a focus on how to improve surgical outcomes through an understanding of IOL biomechanics. Understanding the IOL and its role in improving surgical outcomes and rehabilitation in the elbow, forearm and wrist. Injuries to the interosseous ligament are unusual, perplexing, and difficult to treat. Although these injuries are primarily recognized with affecting the central band, they can also involve the proximal and distal portion of this ligament complex affecting elbow and wrist function. The course intends to familiarize the surgeon and hand therapist with these problems in order for them to be recognized and adequately treated.

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

1. Identify IOL anatomy (distal oblique ligament, central band, and proximal oblique ligament) and its biomechanical implications on forearm stability
2. Discuss IOL anatomy to improve outcomes in the treatment of distal radius fractures.
3. Review new IOL anatomy to keep you out of trouble in the treatment of ulnar impaction.

This course is the basic to promote knowledge about how to use external fixator on hand.

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

1. Discuss hand anatomy before use of external fixator.
2. Identify indications to use external fixator on hand and technics.
3. Discuss cases, complications and results.

8:30 am - 8:32 am	HS 1. A Multi-factorial Analysis of the Recurrence Rate of Ganglion Cysts After Open Excision at UPMC Landon Myers Cluts, BS1; John R. Fowler, MD2 1University of Pittsburgh, Pittsburgh, PA, 2Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
8:32 am - 8:34 am	HS 2. The Differential Impact of Delay on Motor And Sensory Recovery After Upper Extremity Nerve Repair: A Systematic Review and Meta-Analysis Karim A Sarhane, MD, MSc1, Heather Shappell, PhD1, Benjamin R Slavin, BS2, Nicholas von Guionneau, MBBS2, Philip J Hanwright, MD2, Gregory H. Borschel, MD3, Ahmet Höke, MD, PhD1; Sami H. Tuffaha, MD4 1Johns Hopkins University, Baltimore, MD, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada, 4Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD
8:34 am - 8:36 am	HS 3. Evaluation of the Induced Membrane for Neurotrophic Factors Alexandria O Starks, MD1, John Owen, MS2, Satya Mallu, MD2; Jonathan Isaacs, MD3 1Virginia Commonwealth University Health System, Richmond, VA, 2Virginia Commonwealth University, Richmond, VA, 3Department of Orthopaedics, Virginia Commonwealth University Health System, Richmond, VA
8:36 am - 8:38 am	HS 4. WITHDRAWN
8:38 am - 8:40 am	HS 5. Formation of Scar Tissue Inside and Outside of a Conduit Used to Repair a Transected Sciatic Nerve in a Rabbit Model of Peripheral Nerve Injury Michael Rivlin, MD1, Jolanta Fertala, PhD2, Andrzej Fertala, PhD3, Andrzej Steplewski, PhD2, Mark Wang, MD4; Pedro K Beredjiklian, MD5 1Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Thomas Jefferson University, Philadelphia, PA, 3Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, 4Orthopaedics, Rothman Institute, Philadelphia, PA, 5Rothman Institute, Philadelphia, PA
8:40 am - 8:42 am	HS 6. Patients of Lower Socioeconomic Status Initially Present to Clinic with Carpal Tunnel Syndrome with Worse Self-Reported Function and Pain David N. Bernstein, MBA, MA1, Etka Kurucan, BA1, Kathleen Fear, PhD1, Bilal Mahmood, MD1, Constantinos Ketonis, MD, PhD1; Warren C Hammert, M.D.2 1University of Rochester Medical Center, Rochester, NY, 2Department of Orthopaedics, University of Rochester, Rochester, NY
8:42 am - 8:44 am	HS 7. Epidemiology, Patient-Related Risk Factors, And Costs Associated With Soft Tissue Hand Infections: A Nationwide Database Study John T Heineman, MD, MPH, Benjamin F Sandberg, MD; Brent R DeGeorge, MD, PhD University of Virginia, Charlottesville, VA
8:44 am - 8:46 am	HS 8. Reconstruction of Defects on the Dorsum of the Hands with Dorsal Metacarpal Artery-based Fascial Flaps Harvested through the Borders of the Defects to Avoid Scars at the Recipient Sites in 28 Cases Xuchao Luo, MD Southwestern Medical University, Luzhou, China
8:46 am - 8:54 am	Panel Discussion
8:54 am - 8:56 am	HS 9. Outcomes and Management of Peripheral Intravenous Infiltration Injuries Joseph T Gibian, BS1, Danny Zakria, BA1, Cooper March, BS1, Basil Schaheen, MD2; Brian C Drolet, MD2 1Vanderbilt University School of Medicine, NASHVILLE, TN, 2Vanderbilt University Medical Center, Nashville, TN
8:56 am - 8:58 am	HS 10. Treatment of Iatrogenic Saphenous Neuroma after Knee Arthroscopy with Excision and Muscle Implantation through a Processed Human Nerve Allograft: the “Bridge to Nowhere” Technique Mathew D Schur, MD1, Rachel Lefebvre, MD2; Milan Stevanovic, MD, PhD3 1Keck School of Medicine of the University of Southern California, Los Angeles, CA, 2Keck School of Medicine of USC, Los Angeles, CA, 3Orthopaedic Surgery, Keck School of Medicine at USC, Los Angeles, CA
8:58 am - 9:00 am	HS 11. Patient-Generated Data as a Novel Outcomes Instrument in Carpal Tunnel Syndrome Heather A McMahon, MD, John T Heineman, MD, MPH; Brent R DeGeorge, MD, PhD University of Virginia, Charlottesville, VA
9:00 am - 9:02 am	HS 12. One- Versus Two-Tendon Transfer to Improve Shoulder External Rotation During the Treatment of Brachial Plexus Birth Palsy Joshua M Abzug, MD1, Ellie Miller, MD1, Alexandria L Case, BSE1, Danielle A Hogarth, BS1, Dan A Zlotolow, MD2; Scott H Kozin, MD2 1University of Maryland School of Medicine, Baltimore, MD, 2Shriners Hospital for Children Philadelphia, Philadelphia, PA
9:02 am - 9:04 am	HS 13. Hgba1C and Infection in Diabetic Elective Hand Surgery (2012-2018) Loretta Coady-Fariborzian, MD1,2; Christy M Anstead, ARNP-BC3 1Plastic Surgery Section, Malcom Randall VA Medical Center, Gainesville, FL, 2University of Florida, Gainesville, FL, 3Malcom Randall VA Medical Center, Gainesville, FL
9:04 am - 9:06 am	HS 14. The effect of smoking on complications following hand surgery Brian H Cho, MD1, Keith T Aziz, MD1; Aviram M Giladi, MD, MS2 1Johns Hopkins University School of Medicine, Baltimore, MD, 2The Curtis National Hand Center, Baltimore, MD
9:06 am - 9:08 am	HS 15. Timing of Complications Following Hand Surgery Nitin Goyal, MD, Daniel D. Bohl, MD, MPH; Robert W. Wysocki, MD Rush University Medical Center, Chicago, IL
9:08 am - 9:15 am	Panel Discussion

8:30 am - 8:32 am	HS 16. Wide Awake Local Anesthesia Surgery with Epinepherine is Safe: A Series of 4,287 Consecutive Hand & Upper Extremity Procedures Asif Ilyas, MD1, Jonas Matzon, MD2; Ricky Mcentee, BS3 1Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 3Thomas Jefferson University, Philadelphia, PA
8:32 am - 8:34 am	HS 17. Misvaluation of Hospital-Based Upper Extremity Surgery across Payment, Relative Value Units, and Operative Time Suresh K Nayar, MD1, Keith T Aziz, MD2, Dawn M. Laporte, MD3, Ryan M. Zimmerman, MD4, Uma Srikumaran, MD5; Aviram M Giladi, MD, MS6 1Johns Hopkins University, Baltimore, MD, 2Johns Hopkins University School of Medicine, Baltimore, MD, 3Orthopaedics, Johns Hopkins Hospital, Baltimore, MD, 4Greater Chesapeake Hand Specialists, Lutherville, MD, 5Department of Orthopedic Surgery, Johns Hopkins University, Baltimore, MD, 6The Curtis National Hand Center, Baltimore, MD
8:34 am - 8:36 am	HS 18. Overall Opioid Consumption Is Not Associated With The Amount Of Opioids Administered And Prescribed On The Day Of Upper Extremity Surgery Bryan Hozack, MD Rothman Institute, Philadelphia, PA
8:36 am - 8:38 am	HS 19. Medicaid Payer Status Is Associated With Increased 90-Day Morbidity And Resource Utilization Following Primary Shoulder Arthroplasty: A Propensity-Score-Matched Analysis Kevin Xavier Farley, BS1, David Shau, MD2, Michael Brandon Gottschalk, MD1, Charles A Daly, MD1; Eric R Wagner, MD, MS2 1Emory University, Atlanta, GA, 2Emory University, Department of Orthopaedics, Atlanta, GA
8:38 am - 8:40 am	HS 20. Prospective Randomized Trial Studying The Effects Of Pre-Operative Opioid Counseling On Post-Operative Opioid Consumption After Outpatient Upper Extremity Orthopaedic Surgery Asif Ilyas, MD1; Michael Reynolds, BS2 1Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Thomas Jefferson University, Philadelphia, PA
8:40 am - 8:42 am	HS 21. Complications and Prolonged Postoperative Opioid Use in Four Corner Arthrodesis and Proximal Row Carpectomy Neill Yun Li, MD1, Alexander S Kuczmarski, BS, MS2, Andrew Hresko, BA3, Avi Goodman, MD4, Joseph Gil, MD1; Alan H Daniels, MD5 1Brown University, Providence, RI, 2Warren Alpert Medical School of Brown University, Providence, RI, 3Tufts University, Boston, MA, 4Alpert Medical School of Brown University, Providence, RI, 5Brown University, Warren Alpert Medical School, Providence, RI
8:42 am - 8:44 am	HS 22. Which PROMs do Patients Prefer? A Convergent Mixed Methods Analysis Lauren Michelle Shapiro, MD1, Sara L Eppler, MPH, CHES1, Allison K Roe, MD1, Arden Morris, MD MPH2; Robin N Kamal, MD1 1Stanford University, Redwood City, CA, 2Stanford University, Palo Alto, CA
8:44 am - 8:46 am	HS 23. Medicaid Payer Status is a Predictor of Early Post-operative Pain Following Upper Extremity Procedures Allison A. Boden, MD1, Lauren Boden, MD2, Stephanie Boden, MD3, Kevin Xavier Farley, BS4; Michael Brandon Gottschalk, MD4 1University of Miami, Miami, FL, 2University of Pennsylvania, Philadelphia, PA, 3University of Pittsburgh, Pittsburgh, PA, 4Emory University, Atlanta, GA
8:46 am - 8:54 am	Panel Discussion
8:54 am - 8:56 am	HS 24. Impacts Of Flexor Pulley Sacrifice On Motion And Work In A Fresh Cadaveric Model J. Bradford Hill, MD1, Pooyan Abbasi, MS1, Anthony F. Colon, MD1, Aviram M Giladi, MD, MS1, Kenneth R Means Jr, MD1; Ryan D Katz, MD2 1The Curtis National Hand Center, Baltimore, MD, 2Curtis Hand Center, The Curtis National Hand Center, Baltimore, MD
8:56 am - 8:58 am	HS 25. Increased Risk Of Carpal Tunnel Syndrome And Trigger Finger In Women Using Aromatase Inhibitor Medications Andrew Ardeljan, B.S.1,2, Joseph Palmer, D.O.3, Amalia Ardeljan, M.D.4, Rushabh M Vakharia, M.D.2, Michael O Madden, D.O.5; Martin W Roche, M.D.2 1NSU College of Osteopathic Medicine, Davie, FL, 2Holy Cross Orthopedic Institute, Ft. Lauderdale, FL, 3Broward General Medical Center, Ft. Lauderdale, FL, 4Holy Cross Hospital, Ft. Lauderdale, FL, 5University of Minnesota, Minneapolis, MN
8:58 am - 9:00 am	HS 26. WITHDRAWN
9:00 am - 9:02 am	HS 27. Reoperation Following Zone Ii Flexor Tendon Repair Luca Bruin, BSc1, Jonathan Lans, MD2, Frederick Wang, MD1, Kyle R Eberlin, MD3; Neal C Chen, MD4 1Massachusetts General Hospital, Boston, MA, 2Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital/Harvard Medical School, Boston, MA, 3Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Massachusetts General Hospital, Boston, MA, 4Massachusetts General Hospital/Harvard Medical School, Boston, MA
9:02 am - 9:04 am	HS 28. Wound Healing Complications In Diabetics Undergoing Carpal Tunnel And Trigger Finger Release: A Retrospective Cohort Study Benjamin K Gundlach, MD1, Jeffrey N. Lawton, MD2; John R. Lien, MD2 1University of Michigan, Ann Arbor, MI, 2Orthopaedic Surgery, University of Michigan, Ann Arbor, MI
9:04 am - 9:06 am	HS 29. Current Therapy Approaches In The Postoperative Management Of Zone Ii Flexor Tendon Repairs Materi Miranda, OTD, CHT1, Samantha Kogler, OTS2, Carly Jo Kersavage, OTS2, Kyle Turcott, OTS2, Lucas Richer, OTS2, Maggie Miller, OTS2; Cynthia Ivy, OTD, OTR/L, M.Ed., CHT2 1Northern Arizona University, gilbert, AZ, 2Northern Arizona University, Phoenix, AZ
9:06 am - 9:08 am	HS 30. Biomechanical Comparison Of Tendon-To-Tendon Attachment Constructs For Tendon Reconstructions And Transfers Christian Athens, DO1, Joshua A Gillis, MD, BSc2, Aaron Paul, MD1, Peter Rhee, DO, MS3; Steven L Moran, MD1 1Mayo Clinic, Rochester, MN, 2Division of Plastic Surgery, Dalhousie University, Halifax, NS, Canada, 3Orthopaedic Surgery, Mayo Clinic, Rochester, MN
9:08 am - 9:15 am	Panel Discussion

Dr. Chang is the founder of the Pediatric Cardiac Intensive Care Society (PCICS) that launched the multi-disciplinary focus on cardiac intensive care for children. He is also the founder of the Asia-Pacific Pediatric Cardiac Society (APPCS), which united pediatric cardiologists and cardiac surgeons from 24 Asian countries and launched a biennial meeting in Asia that now draws over 1,000 attendees.

The best cases submitted for consideration will be presented and critiqued by an expert panel of judges. The audience will then decide which exhibited the most heroic efforts, surgical prowess, and "brute force" to conquer a formidable challenge and which employed the most clever, cunning, and innovative solution to crack a difficult case.

11:45 am - 11:47 am	HS 31. Evaluation Of Antegrade Intramedullary Compression Screw Fixation Of Metacarpal Shaft Fractures In A Cadaver Model Don Hoang, MD, MHS1, Catphuong L Vu, MD, MPH1; Jerry I Huang, MD2 1University of Washington, Seattle, WA, 2Department of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, WA
11:47 am - 11:49 am	HS 32. Radiographic Incidence And Functional Outcomes Of Scapho-Lunate Ligament Injuries Undergoing Volar Plate Fixation Of Distal Radius Fractures: A Prospective Analysis Asif Ilyas, MD1; William Wang, MD2 1Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Thomas Jefferson University, Philadelphia, PA
11:49 am - 11:51 am	HS 33. The Effects Of Upper Extremity Elevation On Intra-Cast Pressure And Digital Perfusion In A Fiberglass Short Arm Cast Model Asif Ilyas, MD1; Brianna Fram, MD2 1Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Thomas Jefferson University, Philadelphia, PA
11:51 am - 11:53 am	HS 34. Evaluating The Relationship Between The Second Metacarpal Cortical Percentage And Loss Of Reduction In Non-Operative Distal Radius Fracture Treatment Jason Ghodasra, MD, MSCI1, Imran S. Yousaf, DO1, Tamara D. Rozental, MD2, Kenneth R. Means, Jr., MD1; Aviram M Giladi, MD, MS1 1The Curtis National Hand Center, Baltimore, MD, 2Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
11:53 am - 11:55 am	HS 35. Lidocaine With Epinephrine And The Acute Traumatic Hand In The Emergency Room - (Leather Study) Angela T Prescott, MD1, Benjamin K Schilling, MS2; Jignesh Unadkat, MD3 1University of Pittsburgh Medical Center, Pittsburgh, PA, 2University of Pittsburgh, Pittsburgh, PA, 3Plastic Surgery, University of Pittsburgh, Pittsburgh, PA
11:55 am - 11:57 am	HS 36. AIN Palsy in Both Bone Forearm Fracture: A Case Based and Cadaveric Evaluation Nicholas Munaretto, MD1, Chelsea C Boe, MD1, Nicholas Pulos, M.D.1; Marco Rizzo, MD2 1Mayo Clinic, Rochester, MN, 2Orthopedics, Mayo Clinic, Rochester, MN
11:57 am - 11:59 am	HS 37. Increases in Fireworks-Related Upper Extremity Injuries Correspond to Increasing Fireworks Sales: An Analysis of 41,195 Injuries Across 10 Years Patrick J. Morrissey, B.S., Marc El Beaino, M.D., M.Sc, William Harris, B.S., Neil V. Shah, M.D., M.S., Barrett B Torre, B.A., Daniel R. Woolfenden, N/A, Karan Dua, M.D., Charles Ekstein, M.D.; Steven M. Koehler, M.D. State University of New York (SUNY), Downstate Medical Center, Brooklyn, NY
11:59 am - 12:07 pm	Panel Discussion
12:07 pm - 12:09 pm	HS 38. Hospital Volume Thresholds In Reverse Shoulder Arthroplasty: A Nationwide Analysis Kevin Xavier Farley, BS1, Andrew Schwartz, MD2, Charles A Daly, MD1, Michael Brandon Gottschalk, MD1; Eric R Wagner, MD, MS2 1Emory University, Atlanta, GA, 2Emory University, Department of Orthopaedics, Atlanta, GA
12:09 pm - 12:11 pm	HS 39. Metacarpal Position And Lunate Facet Screw Fixation In Dorsal Wrist Spanning Bridge Plates For Intraarticular Distal Radius Fractures: A Biomechanical Analysis Evan Guerrero, MD1, Alexander Lauder, MD2, Andrew E Federer, MD3, Richard Glisson, BS4, Marc J. Richard, MD4; David S. Ruch, MD4 1Duke University, Durham, NC, 2CHI Franciscan St Joseph Medical Center, Tacoma, WA, 3Duke University Health System, Durham, NC, 4Duke University Medical Center, Durham, NC
12:11 pm - 12:13 pm	HS 40. Post-Operative Methylprednisolone Taper Course For Distal Radius Fractures: Early Results Of A Randomized Control Trial Campbell C Collier, BS1, Kevin Xavier Farley, BS2, Charles A Daly, MD2, Eric R Wagner, MD, MS1; Michael Brandon Gottschalk, MD2 1Emory University, Department of Orthopaedics, Atlanta, GA, 2Emory University, Atlanta, GA
12:13 pm - 12:15 pm	HS 41. Volar Scapholunate Ligament Capsulodesis Joshua A Gillis, MD, BSc1, Joseph S Khouri, MD, BSc1, Sean R Cantwell, MD1; Steven L. Moran, MD2 1Mayo Clinic, Rochester, MN, 2Department of Surgery, Division of Plastic Surgery, Mayo Clinic, Rochester, MN
12:15 pm - 12:17 pm	HS 42. Arthroscopic Assisted Combined Dorsal and Volar Scapholunate Ligament Reconstruction with Tendon Graft for Chronic SL Instability Pak-cheong Ho, Clara Wing-yee Wong, Wing-lim Tse Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong SAR
12:17 pm - 12:19 pm	HS 43. The Scapholunate Interval In The Pediatric Population Decreases In Size As Age Increases T Brandon Shaver, BS, Alexandria L Case, BSE, Danielle A Hogarth, BS; Joshua M Abzug, MD University of Maryland School of Medicine, Baltimore, MD
12:19 pm - 12:27 pm	Panel Discussion
12:27 pm - 12:29 pm	HS 44. Medial Epicondylitis: Patient Demographics, Comorbidities, Setting Of Diagnosis, And Reported Diagnosis And Surgical Trends Within A Large Insurance Database Andrew Ardeljan, B.S.1,2, Joseph Palmer, D.O.3, Rushabh M Vakharia, M.D.1, Michael O Madden, D.O.4; Martin W Roche, M.D.1 1Holy Cross Orthopedic Institute, Ft. Lauderdale, FL, 2NSU College of Osteopathic Medicine, Davie, FL, 3Broward General Medical Center, Ft. Lauderdale, FL, 4University of Minnesota, Minneapolis, MN
12:29 pm - 12:31 pm	HS 45. Risk Of Reoperation Associated With Total Elbow Arthroplasty Versus Open Reduction And Internal Fixation For Distal Humerus Fractures In Elderly Patients Nitin Goyal, MD1, Daniel D. Bohl, MD, MPH1, Kevin L. Ong, PhD2, Edmund Lau, MS2, Gregory P. Nicholson, MD1; Robert W. Wysocki, MD1 1Rush University Medical Center, Chicago, IL, 2Exponent, Inc, Philadelphia, PA
12:31 pm - 12:33 pm	HS 46. Evaluation Of The Role Of Dynamic Elbow Stabilizers On Radiocapitellar Joint Alignment Austin J Roebke, MD1, Richard Samade, MD, PhD1, Kanu S Goyal, MD2, Sonu Jain, MD, FACS3, Jesse Richards, MD1; Amy Speeckaert, MD1 1The Ohio State University Wexner Medical Center, Columbus, OH, 2The Ohio State University, Columbus, OH, 3Departments of Plastic Surgery and Orthopaedic Surgery, The Ohio State University, Columbus, OH
12:33 pm - 12:35 pm	HS 47. Tobacco Use Increases Risk Of Medial Epicondylitis And Subsequent Surgical Intervention Andrew Ardeljan, B.S.1,2, Joseph Palmer, D.O.3, Rushabh M Vakharia, M.D.1, Michael O Madden, D.O.4; Martin W Roche, M.D.1 1Holy Cross Orthopedic Institute, Ft. Lauderdale, FL, 2NSU College of Osteopathic Medicine, Davie, FL, 3Broward General Medical Center, Ft. Lauderdale, FL, 4University of Minnesota, Minneapolis, MN
12:35 pm - 12:37 pm	HS 48. Smoking And Primary Total Shoulder Arthroplasty: An Important And Modifiable Risk Factor Kevin Xavier Farley, BS1, Susanne Boden, BA2, Andrew Schwartz, MD2, Charles A Daly, MD1, Michael Brandon Gottschalk, MD1; Eric R Wagner, MD, MS2 1Emory University, Atlanta, GA, 2Emory University, Department of Orthopaedics, Atlanta, GA
12:37 pm - 12:39 pm	HS 49. Total Elbow Replacement: Hong Kong Experience Hin-Keung Wong, MD Princes Margaret Hospital, Hong Kong, Hong Kong
12:39 pm - 12:47 pm	Panel Discussion
12:47 pm - 12:49 pm	HS 50. Relationship Of The Radial Head Safe Zone To The Bicipital Tuberosity Damian Fountain, BS1, Nathan Hoekzema, MD2, Allicia Imada, MD1, Robert Gray, MD3, Jorge Orbay, MD4, Francisco Rubio, MD4, Deana Mercer, MD1 1University of New Mexico Department of Orthopaedics and Rehabilitation, Albuquerque, NM, 2University of California Fresno, Fresno, CA, 3NorthShore University HealthSystem, Glenview, IL, 4Miami Hand and Upper Extremity Institute, Miami, FL
12:49 pm - 12:51 pm	HS 51. Analysis of 30-Day Postoperative Outcomes in Octogenarians Undergoing Open Reduction Internal Fixation for Distal Radius Fractures Anna J Skochdopole, MS1, Sami P Tarabishy, MD1,2, Steven Hermiz, MD1,2, Brian A Mailey, MD3; Fernando Herrera, MD1,2 1Medical University of South Carolina, Charleston, SC, 2Ralph H Johnson Veterans Administration Medical Center, Charleston, SC, 3Southern Illinois University School of Medicine, Springfield, IL
12:51 pm - 12:53 pm	HS 52. Biomechanical Testing of a Novel Locking Pin Cap to Create a Fixed Angle K-wire Plate Construct David M Brogan, MD, MSc1, Simon Tang, Ph.D.2, Kaitlyn Broz, BS2; Christopher Dy, MD MPH FACS1 1Washington University School of Medicine, St. Louis, MO, 2Washington University in St. Louis, St. Louis, MO
12:53 pm - 12:55 pm	HS 53. Dynamic Traction With Open Reduction Internal Fixation For Treatment Of Fracture-Dislocations Of The Proximal Interphalangeal Joint Kun Liu, MD Hand Surgery Department, Beijing Jishuitan Hospital, Beijing, China
12:55 pm - 1:00 pm	Panel Discussion

11:45 am - 11:47 am	HS 54. Wrist Joint Kinematics Is Affected By Forearm Position During Active Flexion And Extension Clare Padmore, MEng1, Andrea HW Chan, MD, MA, FRCSC1, G Daniel Langohr, PhD2, Nina Suh, MD, FRCSC1; Jim A Johnson, PhD2 1Roth McFarlane Hand & Upper Limb Centre, London, ON, Canada, 2Western University, London, ON, Canada
11:47 am - 11:51 am	HS 55. WITHDRAWN
11:51 am - 11:53 am	HS 56. Development Of A Patient-Derived Expectations Survey For Degenerative Wrist Arthritis Surgery Aviva Wolff, EdD, OTR, CHT1, Carol A. Mancuso, MD, FACP2, Esther Zusstone, BS1; Scott W Wolfe, MD3 1Hospital for Special Surgery, New York, NY, 2Department of Medicines, Hospital for Special Surgery, New York, NY, 3Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY
11:53 am - 11:55 am	HS 57. Outcomes After Resection of the Radial Column Bones of the Wrist Loukia K. Papatheodorou, MD, Travis W. Littleton, MD; Dean G. Sotereanos, MD Orthopaedic Specialists - UPMC, University of Pittsburgh, Pittsburgh, PA
11:55 am - 11:57 am	HS 58. Anatomy of the Dorsal ScaphoLunoTriquetral Ligament Complex Lauren Elisabeth Wessel, MD1, Kyle Morse, MD1, Francois Loisel, MD1, Jinseong Kim, BS1, Ubaldo Gamboa, MD2; Scott W Wolfe, MD3 1Hospital for Special Surgery, Main Campus, New York, NY, 2ABC Santa Fe Medical Center, Mexico City, DF, Mexico, 3Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY
11:57 am - 11:59 am	HS 59. Disappearing In Size And Relevance Over Time: The Scaphometacarpal Space Kevin T Rezzadeh, BA1, David Daar, MD2, Megan Donnelly, BS3, Louis W Catalano, MD4, Steven Z Glickel, MD1; Jacques Hacquebord, MD5 1New York University School of Medicine, New York, NY, 2New York University Langone Health, New York, NY, 3NYU School of Medicine, New York, NY, 4New York University Hospital for Joint Diseasses, New York, NY, 5NYU Langone Medical Center, New York, NY
11:59 am - 12:07 pm	Panel Discussion
12:07 pm - 12:09 pm	HS 60. Cost Analysis Of Radiofrequency Identification Instrument Tracking For Surgical Tray Optimization In Carpometacarpal Arthroplasty Elliot Le, B.S.1, Joshua Helmkamp, BA1, Ian Hill, MS2, Rachel E Hein, MD3, Aman Bali, BA1, Philip Koury, HS4, Suhail Kamrudin K. Mithani, MD5, Patrick Codd, MD1; Marc J. Richard, MD3 1Duke University School of Medicine, Durham, NC, 2Duke University Pratt School of Engineering, Durham, NC, 3Duke University Medical Center, Durham, NC, 4Duke University, Durham, NC, 5Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC
12:09 pm - 12:11 pm	HS 61. Recovery After Operative Treatment Of Thumb Carpometacarpal Arthritis Derek T. Schloemann, MD, MPHS1, Serena E. B. Liu, MD, MSc1, Joshua R. Atkinson, BSc1, David N. Bernstein, MBA, MA1, Ryan P. Calfee, MD MSc2; Warren C. Hammert, MD3 1University of Rochester Medical Center, Rochester, NY, 2Washington University in St. Louis School of Medicine, St. Louis, MO, 3Department of Orthopaedics, University of Rochester, Rochester, NY
12:11 pm - 12:13 pm	HS 62. Evaluation Of The Seesaw Test As New Diagnostic Test For Thumb Cmc Osteoarthritis Denise MJ Arnold, MD, Rachel Gottlieb, BSc, Suzanne C Wilkens, MD, Rohit Garg, MD, Adam Nazzal, MD, Neal C Chen, MD; Sang-Gil Lee, MD Massachusetts General Hospital/Harvard Medical School, Boston, MA
12:13 pm - 12:15 pm	HS 63. Thumb Basal Joint Arthroplasty Outcomes And Metacarpal Subsidence: A Prospective Cohort Analysis Of Trapeziectomy With Suture Button Suspensionplasty Versus Ligament Reconstruction With Tendon Interposition Asif Ilyas, MD1; Owolabi Shonuga, MD2 1Orthopaedics, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Rothman Institute at Thomas Jefferson University, Philadelphia, PA
12:15 pm - 12:17 pm	HS 64. Autologous Fat Transfer Decreases The Expression Of Il-1b In An In Vitro Model Of Basal Joint Osteoarthritis Christopher G Larsen, MD, Brandon Alba, BA, Travis A Doering, MD, Yen Chen, MD, Daniel Grande, PhD, Armen K Kasabian, MD, Kate Nellans, MD, MPH; Lewis B Lane, MD Northwell Health, New Hyde Park, NY
12:17 pm - 12:19 pm	HS 65. The Efficacy Of Dynamic Stabilization Of The First Cmc: A Prospective Randomized Study Kimberly McVeigh, OTR/CHT1, Stephanie Nicole Kannas, OTR/L, CHT2, Cindy Clare Ivy, MEd, BS, OT3, Carolyn Barnes, OT, CHT4, Garner Hillary, MD1, Michael Heckman, MS1, Brushaber Danielle, BS5; Peter M. Murray, MD6 1Mayo Clinic, Jacksonville, FL, 2Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, 3Hand Therapy, Mayo Clinic, Phoenix, AZ, 4Mayo Clinic, Scottsdale, AZ, 5Mayo Clinic, Rochester, MN, 6Department of Orthopedic Surgery/Division of Hand Surgery, Mayo Clinic, Jacksonville, FL
12:19 pm - 12:27 pm	Panel Discussion
12:27 pm - 12:29 pm	HS 66. The Impact Of Etiology On Periarterial Sympathectomy: A Long-Term Assessment Megan Rudolph, MD1, Katherine Butler, MD2, Shamit Prabhu, BS1, Zhongyu Li, MD, PhD3; Donald Tracey Browne, MD4 1Wake Forest Baptist Medical Center, winston salem, NC, 2Wake Forest Baptist Medical Center, winston-salem, NC, 3Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, 4Wake Forest Medical Center, winston-salem, NC
12:29 pm - 12:31 pm	HS 67. Osteoplastic Thumb Reconstruction In The Immediate Setting Yusha Liu, MD, PhD1, Erin A. Miller, MD1, Adnan Prsic, MD2; Dennis S. Kao, MD1 1University of Washington, Seattle, WA, 2Yale School of Medicine, New Haven, CT
12:31 pm - 12:33 pm	HS 68. Chronic Neuropathic Pain Following Hand Burns: Etiology, Treatment, And Long-Term Outcomes Kevin M. Klifto, PharmD1, Pooja S. Yesantharao, MS1, A. Lee Dellon, M.D., Ph.D.2, Charles Scott Hultman, MD, MBA1; Scott D. Lifchez, MD, FACS3 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Dellon Institute for Peripheral Nerve Surgery, Towson, MD, 3Hand Surgery Service, Johns Hopkins Bayview Medical Center, Baltimore, MD
12:33 pm - 12:35 pm	HS 69. Utilizing The Vascularized Semi-Third-Metacarpal Graft For Reconstruction Of The Segmental Bone Defects Of Proximal Phalanges In 21 Fingers Xu Zhang, MD1, Yadong Yu, MD2, Xinzhong Shao, MD1, Guisheng Zhang, md2; Xuchao Luo, md3 1Hand Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, China, 2Third Hospital of Hebei Medical University, Shijiazhuang, China, 3Second Affiliated Hospital of Southwest Medical University, Luzhou, China
12:35 pm - 12:37 pm	HS 70. Growth In The World’s First Pediatric Bilateral Hand Transplant: A 4-Year Follow-Up Said C Azoury, MD1, Rotem Kimia, BA1, Christine McAndrew, PA-C1, David J. Bozentka, MD2, David Steinberg, MD1, Ines Lin, MD1, Stephen J Kovach III, MD1, Robert Carrigan, MD1, L. Scott Levin, MD1; Benjamin Chang, MD1 1University of Pennsylvania, Philadelphia, PA, 2Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA
12:37 pm - 12:39 pm	HS 71. Thirty-Day Outcomes Of Upper Extremity Replantation And Revascularization Procedures: An Analysis Of The National Surgical Quality Improvement Program Database Olachi O. Oleru, B.S.1, Marc El Beaino, M.D.1, Bradley C. Wham, M.D.1, Karan Dua, M.D.1, Gregory S. Penny, M.D.1, Alexander Rompala, B.A.1, Neil V. Shah, M.D., M.S.1, Suhail Kamrudin K. Mithani, MD2, Charles Ekstein, M.D.1; Steven M. Koehler, M.D.1 1State University of New York (SUNY), Downstate Medical Center, Brooklyn, NY, 2Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC
12:39 pm - 12:47 pm	Panel Discussion
12:47 pm - 12:49 pm	HS 72. Robot-Assisted of Volar Percutaneous Scaphoid Screw Placement: Initial Clinical Experience Yang Guo, MD FRCS HKCOS Jishuitan Hospital, Beijing, China
12:49 pm - 12:51 pm	HS 73. Appropriateness Of Transfer To A Tertiary Care Center For Operative Upper Extremity Trauma And Infection Christopher J Goodenough, MD1, Eric J Maiorino, MD2, Paul J Deramo, MD1, Joseph K Moffitt, BS1, Zachary Tallackson, BS3; Erik S Marques, MD4 1University of Texas Health Sciences Center at Houston, Houston, TX, 2University of Texas Health Science Center Houston, Houston, TX, 3University of Texas Health Science Center- Houston / McGovern Medical School, Houston, TX, 4Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center- Houston / McGovern Medical School, Houston, TX
12:51 pm - 12:53 pm	HS 74. Global disparities in fingertip reconstruction: are complex reconstructions a regional fad? Kareem Hassan, MD1, Leonardo Kozian, BS1, Jill Froimson, MD1, Nicole Capdarest-Arest, MA(LIS), AHIP2; Patrick Reavey, MD, MS1 1University of Chicago, Chicago, IL, 2University of California Davis, Davis, CA
12:53 pm - 12:55 pm	HS 75. What Factors Influence Chemotherapy Treatment Rate in Patients with Upper Limb Osteosarcoma? David Jose Restrepo, MD1, Gabriela Cinotto, MD2, Maria T Huayllani, MD2, Daniel Boczar, MD2, Aaron C Spaulding, PhD1, Oscar J Manrique, MD3; Antonio Jorge Forte, MD2 1Mayo Clinic, Jacksonville, FL, 2Mayo Clinic Florida, Jacksonville, FL, 3Mayo Clinic, Rochester, MN
12:55 pm - 1:00 pm	Panel Discussion

This will be a course of the most clinically useful evidence based material combined with the instructors’ best tips and tricks to successfully manage metacarpal fractures in the most patient friendly way possible.

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

1. Improve their successful management of some metacarpal fractures non operatively in a very patient friendly manner.
2. Adopt new strategies to make surgical management of metacarpal fractures more successful in their practice
3. Apply the science of the most clinically useful best evidence available in a practical way to provide better safer care.

Upper extremity lymphedema is a dreaded and not uncommon complication from the treatment of breast cancer. Professional hand surgeons with microsurgical skills must be one of the major groups of future lymph surgeons for upper extremity lymphedema. Anatomical and theoretical advances in treating upper extremity lymphedema make it possible to cure upper extremity lymphedema by surgical approaches. In this course, participants understand current surgical approaches for upper extremity lymphedema. After the course, participants have motivations to be future leaders of lymph surgeons with their new insights.

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

1. Discuss how to detect lymphatic vessels in upper extremity.
2. Identify how to perform lymphaticovenular anastomosis for upper extremity lymphedema.
3. Discuss how to perform local and free lymph node transfer for upper extremity lymphedema

An injury to the upper motor neuron results in impaired regulation of motor activity that can manifest as hyper-reflexia or spasticity. This can lead to an imbalance of forces across the joint and result in static or dynamic deformities in the upper extremities. In severe cases, these deformities can result in hygiene issues and markedly decrease quality of life. The goals of surgical reconstruction are to reduce pain, improve hygiene, enhance functionality, and to correct unaesthetic contractures. This course will review the evaluation and management of this unique and underserved patient population. A case-based format will be utilized to illustrate the approach to managing common spastic deformities in the upper extremity based on the functionality of the extremity. Participants will be able to incorporate the techniques discussed into their practice towards the treatment of mild to severe spastic deformities in the upper extremities.

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

1. Explain the impact of upper extremity spasticity on function and quality of life
2. Describe the indications and goals for upper extremity surgery in patients with upper motor neuron syndrome.
3. Recognize the surgical approach to decrease spasticity in the functional and non-functional upper extremity.

The management of scaphoid fractures can be confusing. Which approach should I use, should I use a vascularized none graft? With the ever increasing use of wrist arthroscopy, we will discuss minimally invasive techniques that will Change The Way You Think. Join us for this case based discussion where the faculty will share on decision making pearls and technical tips and tricks in the management of scaphoid fractures and nonunions.

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

1. Describe the general approach in managing scaphoid fractures.
2. Discuss arthroscopic treatment for scaphoid fractures
3. Recognize arthroscopic management for scaphoid fracture sequalae

The faculty will teach the audience different surgical techniques employed when performing a thumb reconstruction with either a toe transplantation or a toe wrap, providing them a better idea of the intraoperative steps, as well as tips and tricks to optimize surgical outcomes.

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

1. Discuss the principles of thumb reconstruction using microsurgery Learn the steps employed in a toe to thumb transplantation
2. Discuss the steps involved in a toe wrap thumb reconstruction
3. Discuss the additional procedures necessary to improve function after the above mentioned procedures

This course will discuss the mechanism of injury and clinical presentation of common hand and wrist injuries in the pediatric patient population. It will include recommendations for early diagnosis and stabilization of these conditions, timing for appropriate treatment in this patient group, and surgical and non-operative management of these injuries. Post-injury and post-operative hand therapy techniques utilized in the pediatric patient population will also be reviewed.

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

1. Identify common pediatric hand and wrist injuries.
2. Learn how to triage and appropriately stabilize these conditions in the acute injury period.
3. Develop operative and non-operative treatment plans for common pediatric hand and wrist injuries, including incorporation of occupational therapy techniques to improve functional outcomes

Compression neuropathy can lead to pain and extremity dysfunction. This course will address aspects of nerve compression syndromes that are challenging with regards to diagnosis and treatment. This group of experts will highlight innovations and opportunities to improve outcomes including diagnostic pearls, supercharge nerve transfers and electrical stimulation.

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

1. Summarize challenges of nerve compression syndromes, including recurrent conditions.
2. Develop a treatment algorithm for patients with compression neuropathies.
3. Learn perioperative strategies, i.e. diagnostic pearls, supercharge nerve transfers, electrical stimulation, to enhance recovery in patients with nerve compression syndromes

High nerve injuries pose a difficult reconstructive challenge. The use of nerve transfers to restore function have become more popular in upper extremity nerve reconstruction; however, the reliability of tendon transfers is still profound. The experts in this course will debate the indications, use and feasibility of these two reconstructive options to maximize outcomes.

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

1. Discuss the indications, risks and benefits of using tendon transfers versus nerve transfers to restoring function after high nerve injury.
2. Develop a treatment algorithm for high nerve injuries.
3. Learn innovative techniques to restore high nerve injuries.

In this lecture, Dr. James Chang will discuss an exhibit at the Cantor Arts Center based on Auguste Rodin's sculptures. This multi-media art exhibit was a unique collaboration between Stanford Hand Surgery, Anatomy, and Art History.
While training in surgery, Dr. Chang saw correlations between the Rodin hand sculptures and actual hand and microsurgery patients he was treating. This concept became the basis for a Stanford undergraduate course where students dissect human limbs and learn reconstructive techniques in order to diagnose and treat Rodin's hands. The Rodin hands have now been scanned, and computer graphics have been used to allow a look inside Rodin's hands. Dr. Chang's lecture will discuss how he uses Rodin's hands for teaching anatomy and surgery. He will make clinical correlations to a specific hand conditions and hand operations.

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

1. Discuss the historical significance of Auguste Rodin's hand sculptures.
2. Identify clinical correlations between Rodin's hands and common hand disorders.
3. Discuss optimal techniques in hand and microvascular surgery

10:30 am - 10:32 am	HS 76. Double Crush Syndrome Of The Cervical Spine And Carpal Tunnel: National Analysis Of Prevalence, Surgical Management, And Complications Neill Yun Li, MD1, Daniel Yang, BS1, Shashank Dwivedi, BS1, Kalpit N Shah, MD1, Joseph Gil, MD1; Alan H Daniels, MD2 1Brown University, Providence, RI, 2Brown University, Warren Alpert Medical School, Providence, RI
10:32 am - 10:34 am	HS 77. The Flexible Care Pathway: Simplified And Safe Post- Operative Care After Carpal And Cubital Tunnel Release Lyly Nguyen, MD1, Sydney L Payne, BS2, Ashkan Afshari, MD1; Brian C Drolet, MD1 1Vanderbilt University Medical Center, Nashville, TN, 2Vanderbilt University, Nashvile, TN
10:34 am - 10:36 am	HS 78. Nerve Surface Texture Analysis Following Excision Of Nerve Ends Using Various Instruments Ryan Adam Rose, MD1, Ryan Bliss, MD2, Timothy Bromage, PhD3, Bin Hu, MD3; Eitan Melamed, MD3 1UTHSCSA, San Antonio, TX, 2Baton Rouge Orthopaedic Clinic, Baton Rouge, LA, 3New York University, New York, NY
10:36 am - 10:38 am	HS 79. Prescription Opioids And Patient Satisfaction After Carpal Tunnel Release Surgery Pragna N. Shetty, MPH, Madhuli Y Thakkar, MPH, Imran S. Yousaf, DO; Aviram M Giladi, MD, MS The Curtis National Hand Center, Baltimore, MD
10:38 am - 10:40 am	HS 80. An Anatomical Study Of The Innervation Patterns Of The Palmaris Longus Muscle And Clinical Results Of Its Utilization In Targeted Muscle Reinnervation Matthew R. Delarosa, MD1, R. Glenn Glenn Gaston, MD1, Bryan J. Loeffler, MD1, Dane N. Daley, MD1, Eitan Melamed, MD2; Neil Vranis, MD3 1OrthoCarolina, Charlotte, NC, 2Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY, 3NYU Langone Health, New York, NY
10:40 am - 10:42 am	HS 81. Return To Activities After Simultaneous Bilateral Endoscopic Carpal Tunnel Release Rachel E Hein, MD1, Amanda N Fletcher, M.D.1, Andrew W Hollins, M.D.1, David S Ruch, MD1, Marc J. Richard, MD1; Suhail Kamrudin K. Mithani, MD2 1Duke University Medical Center, Durham, NC, 2Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC
10:42 am - 10:50 am	Panel Discussion
10:50 am - 10:52 am	HS 82. Examining The Impact Of Insurance Type On Self-Reported Symptom Severity At The Preoperative Visit For Carpal Tunnel Release David N. Bernstein, MBA, MA1, Etka Kurucan, BA1, Kathleen Fear, PhD1, Bilal Mahmood, MD1, Constantinos Ketonis, MD, PhD1; Warren C Hammert, M.D.2 1University of Rochester Medical Center, Rochester, NY, 2Department of Orthopaedics, University of Rochester, Rochester, NY
10:52 am - 10:54 am	HS 83. Evaluating the Ability of Congenital Upper Extremity Amputees to Control a Multi-Degree of Freedom Myoelectric Prosthesis Michael S. Gart, MD1, Brian Kaluf, CP, FAAOP2, Bryan J. Loeffler, MD1; R. Glenn Glenn Gaston, MD1 1OrthoCarolina, Charlotte, NC, 2Ability Prosthetics & Orthotics, Charlotte, NC
10:54 am - 10:56 am	HS 84. Magnetic Resonance Imaging To Investigate The Clinical Applicability Of The Medial Femoral Trochlea Osteochondral Flap Within The Wrist Jimmy H Daruwalla, MD1, Jan Skrok, MD1, Aviram M Giladi, MD, MS2; James P Higgins, MD3 1MedStar Union Memorial Hospital, Baltimore, MD, 2The Curtis National Hand Center, Baltimore, MD, 3The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD
10:56 am - 10:58 am	HS 85. Total wrist type „remotion - sbi“ in orthopedic trauma-patients. Follow-up of 14 years in 67 cases with a less invasive approach Dietmar Hager, MD1; Stefan M Froschauer, MD2 1Common Hospital, Linz, Austria, 2Kepler University Clinic, Linz, Austria
10:58 am - 11:00 am	HS 86. Intraoperative Assessment of Scapho-Trapezoid Arthritis during Thumb Carpometacarpal Arthroplasty: A Cadaveric Study Michael Rivlin, MD1, Bryan Hozack, MD2, Brianna Fram, MD3, Christopher Jones, MD4; Asif M Ilyas, M.D.5 1Rothman Institute at Thomas Jefferson University, Philadelphia, PA, 2Rothman Institute, Philadelphia, PA, 3Thomas Jefferson University, Philadelphia, PA, 4Orthopaedics, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA, 5The Rothman Institute, Philadelphia, PA
11:00 am - 11:02 am	HS 87. The Incidence Of Shoulder Arthroplasty: Rise And Future Projections Compared To Hip And Knee Arthroplasty Kevin Xavier Farley, BS1, Jacob M Wilson, MD2, Charles A Daly, MD1, Michael Brandon Gottschalk, MD1; Eric R Wagner, MD, MS2 1Emory University, Atlanta, GA, 2Emory University, Department of Orthopaedics, Atlanta, GA
11:02 am - 11:10 am	Panel Discussion
11:10 am - 11:12 am	HS 88. Treatment of Wassel IV Polydactyly of Thumb PT Chan, MD Tuen Mun Hospital, Hong Kong, Hong Kong
11:12 am - 11:14 am	HS 89. Carpal Kinematics in Madelung Deformity Abbas Peymani, MD MS1, Johannes G.G. Dobbe, PhD2, Geert J. Streekstra, PhD2, H. Relton McCarroll, MD3; Simon D. Strackee, MD PhD2 1Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, 2Amsterdam Medical Center, University of Amsterdam, Amsterdam, Netherlands, 3Department of Orthopaedic Surgery, Shriners Hospital for Children Northern California, Sacramento, CA
11:14 am - 11:16 am	HS 90. Pediatric Hand Trauma: A Cohort Study Comparing Operative To Non-Operative Cases Brodie Parent, MD, MS1, Erin Anstadt, MD2, Chelsey A Johnson, MD1, James Fisher, MS2, Jennifer Fantuzzo, MS1, John R. Fowler, MD3; Alexander Joseph Davit III, MD4 1University of Pittsburgh Medical Center, Pittsburgh, PA, 2University of Pittsburgh, Pittsburgh, PA, 3Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 4Department of Plastic Surgery, University of Pittsburgh Medical Center / Children's Hospital of Pittsburgh, Pittsburgh, PA
11:16 am - 11:18 am	HS 91. Displaced open physeal fractures of the distal phalanx (seymour fracture): does delay in diagnosis and treatment result in worse outcomes? Alfred Lee, BA1,2, Jason Wink, MD3, Benjamin Chang, MD4; Ines C Lin, MD, FACS1 1University of Pennsylvania, Philadelphia, PA, 2University of California, Riverside, Riverside, CA, 3Plastic Surgery, University of Pennsylvania, Philadelphia, PA, 4Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA
11:18 am - 11:20 am	HS 92. Combined Treatment Of Basal Thumb Arthritis And Scapholunate Advanced Collapse Wrist Grzegorz Kwiecien, MD1, Mark Hendrickson, MD2, William H Seitz Jr, MD3, Peter J. Evans, MD, PhD3, Antonio Rampazzo, MD, PhD4; Bahar Bassiri Gharb, MD, PhD5 1Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, 2Department of Plastic Surgery, The Cleveland Clinic Foundation, Cleveland, OH, 3Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, 4Plastic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 5Plastic Surgery, Cleveland Clinic, Cleveland, OH
11:20 am - 11:22 am	HS 93. Chondrosarcoma Of The Upper Extremities: Trending Of Tumor Characteristics And Surgical Management Maria T Huayllani, MD1, Daniel Boczar, MD1, Gabriela Cinotto, MD1, Oscar J Manrique, MD2; Antonio Jorge Forte, MD1 1Mayo Clinic Florida, Jacksonville, FL, 2Mayo Clinic, Rochester, MN
11:22 am - 11:30 am	Panel Discussion

10:30 am - 10:33 am	HSPN 1. Supercharge End-to-Side Anterior Interosseous-to-Ulnar Motor Nerve Transfer Restores Intrinsic Function in Cubital Tunnel Syndrome Jana Dengler, MD1,2, Utku Dolen, MD3, J. Megan M. Patterson, MD4, Kristen M Davidge, MD, MSc, FRCS(C)5, Lorna C. Kahn, PT, CHT6, Andrew Yee, BS7; Susan E Mackinnon, MD8 1Washington University School of Medicine, St Louis, MO, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 3Washington University, St Louis, MO, 4Department of Orthopaedics, University of North Carolina, Chapel Hill, NC, 5The Hospital for Sick Children, Toronto, ON, Canada, 6Milliken Hand Rehabilitation Center, The Rehabilitation Institute of St Louis, Saint Louis, MO, 7Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, Saint Louis, MO, 8Washington University School of Medicine, Saint Louis, MO
10:33 am - 10:36 am	HSPN 2. Sonographic Grading Of Carpal Tunnel Syndrome Jesse D Kaplan, MD1; John Fowler, MD2 1University of California, Irvine, Orange, CA, 2Orthopaedic Surgery and Sports Medicine, University of Pittsburgh, Pittsburgh, PA
10:36 am - 10:39 am	HSON 3. Medial Triceps As A Preferential Nerve Donor In Axillary Motor Nerve Transfer For Isolated And Brachial Plexus-Associated Axillary Nerve Palsy Emily Krauss, BSc MSc MD1, Elspeth J R Hill, MD PhD MRes2, Shelley S. Noland, MD3, Nirbhay S Jain, MD4, Lorna C Kahn, BSPT CHT5; Susan E Mackinnon, MD6 1University of British Columbia, Victoria, BC, Canada, 2Washington University School of Medicine, St Louis, MO, 3Mayo Clinic, Phoenix, AZ, 4University of California, Los Angeles, Los Angeles, CA, 5Washington University, St. Louis, MO, 6Washington University School of Medicine, Saint Louis, MO
10:39 am - 10:42 am	HSPN 4. Anterior Interosseous Nerve Syndrome Redefined Scott W Wolfe, MD1, Darryl B Sneag, MD2, Ogonna K. Nwawka, MD2, Zsuzsanna Aranyi, MD, Ph.D.3, Esther Zusstone, BS2, Steve K Lee, MD4; Joseph H Feinberg, MD2 1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery, New York, NY, 3Semmelweis Egyptem, Budapest, Hungary, 4Orthopedic Surgery, Hospital for Special Surgery, New York, NY
10:42 am - 10:45 am	HSPN 5. Long-Term Outcome Of Isolated Bypass Grafting Into Suprascapular Nerve For Upper Brachial Plexus Birth Injury Aaron J Berger, MD, PhD1, Leslie Grossman, BA2, Andrew Price, MD2,3, Herbert Valencia, RNFA2; John A.I. Grossman, MD2 1Division of Plastic and Reconstructive Surgery, Nicklaus Children's Hospital, Miami, FL, 2Nicklaus Children's Hospital, Miami, FL, 3NYU Hospital for Joint Diseases, New York, NY
10:45 am - 10:50 am	Discussion AAHS/ASPN
10:50 am - 10:53 am	HSPN 6. A Comparative Study Using Electromyography to Assess Hand Exercises For Rehabilitation After Ulnar Nerve Decompression Colton G Boudreau, MSc, Joseph Corkum, MD, Ian Grant, MD; David Tang, MD Dalhousie University, Halifax, NS, Canada
10:53 am - 10:56 am	HSPN 7. Surgical Management Of Upper Extremity Nerve Injuries Presenting With Painful Neuroma: Reconstructive Options With Processed Nerve Allograft Sonu Jain, MD1, Ian Valerio, MD2, Fraser J. Leversedge, MD3, John Ingari, MD4, Bauback Safa, MD, FACS5, Timothy Niacaris, MD, PhD6, Renata Weber, MD7, Jozef Zoldos, MD8, Mihir J. Desai, MD9, Wesley P. Thayer, MD, PhD10; Gregory M Buncke, MD5 1Department of Plastic Surgery, Ohio State University, Columbus, OH, 2The Ohio State University, Columbus, OH, 3Department of Orthopaedic Surgery, DUKE UNIVERSITY, Durham, NC, 4Johns Hopkins Hospital, Baltimore, MD, 5The Buncke Clinic, California Pacific Medical Center, San Francisco, CA, 6Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, TX, 7Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ, 8Arizona Center for Hand Surgery, Phoenix, AZ, 9Vanderbilt Orthopaedics, Nashville, TN, 10Department of Plastic Surgery, Vanderbilt University, Nashville, TN
10:56 am - 10:59 am	HSPN 8. Anterior Interosseous-to-Ulnar Motor Nerve Transfer in Chronic Ulnar Neuropathy Graham J McLeod, BSc. MD, PGY-51, Tanis Quaife, BSc. MD, PGY-21, Tod A. Clark, MD, FRCSC2; Jennifer Lindsay Giuffre, MD, FRSCS3 1University of Manitoba, Winnipeg, MB, Canada, 2Department of Orthopedics, University of Manitoba, Pan Am Clinic, Winnipeg, MB, Canada, 3Section of Plastic Surgery, University of Manitoba, Pan Am Clinic, Winnipeg, MB, Canada
10:59 am - 11:02 am	HSPN 9. The Role of Micro-neurolysis for Hourglass Constrictions in Neuralgic Amyotrophy Scott W Wolfe, MD1, Karthik Kirshnan, BS2, Steve K Lee, MD3, Joseph H Feinberg, MD4, Ogonna K. Nwawka, MD4; Darryl B Sneag, MD4 1Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY, 2Weill Medical College of Cornell University, New York, NY, 3Orthopedic Surgery, Hospital for Special Surgery, New York, NY, 4Hospital for Special Surgery, New York, NY
11:02 am - 11:05 am	HSPN 10. Restoration of Proprioceptive and Cutaneous Sensation Using Regenerative Peripheral Nerve Interfaces (RPNIs) in Humans with Upper-Limb Amputations Philip P Vu, PhD1, Charles Lu, MSE1, Alex Vaskov, MSE1, Deanna Gates, PhD1, Richard B. Gillespie, PhD2, Theodore A Kung, MD3, Paul S. Cederna, MD4, Cynthia Chestek, Ph.D.1; Stephen WP Kemp, PhD1 1University of Michigan, Ann Arbor, MI, 2Mechanical Engineering, University of Michigan, Ann Arbor, MI, 3Section of Plastic & Reconstructive Surgery, University of Michigan, Ann Arbor, MI, 4Department of Surgery, Section of Plastic Surgery, University of Michigan, Ann Arbor, MI
11:05 am - 11:10 am	Discussion ASPN/AAHS
11:10 am - 11:13 am	HSPN 11. Impact of Body Mass Index and Patient Comorbidities on Outcomes in Upper Extremity Nerve Transfers Linden K Head, MD, HBA, BSc, BPHE1, Maria C Médor, BHSc2, Aneesh Karir, BHSc2, Gerald Wolff, BSc, MD, FRCSC3; Kirsty U Boyd, BHSc, MD, FRCSC4 1Division of Plastic and Reconstructive Surgery, University of Ottawa, Ottawa, ON, Canada, 2University of Ottawa, Ottawa, ON, Canada, 3Division of Physical Medicine and Rehabilitation, University of Ottawa, Ottawa, ON, Canada, 4Division of Plastic and Reconstructive Surgery, Ottawa, ON, Canada
11:13 am - 11:16 am	HSPN 12. Enhanced Recovery After Surgery (ERAS) Reduces Length of Stay and Postoperative Opioid Use in Elective Peripheral Nerve Surgery Patients Disha S Joshi, BS1, Svetlana Kvint, MD1, Marie Kerr, CCRP1, Rachel Pessoa, MSN, CRNP1, Michael Kallan, MS1, Eric L Zager, MD2; Zarina S Ali, MD, MS1 1University of Pennsylvania, Philadelphia, PA, 2Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA
11:16 am - 11:19 am	HSPN 13. Range of Independence with Feeding, Bladder Management and Transfers by Motor Level in Cervical-Level Spinal Cord Injury Jana Dengler, MD1,2, Amanda Miller, MD3, Armin Curt, MD4, Munish Mehra, PhD5, Catherine Curtin, MD6, Doug Ota, MD7, Katherine C Stenson, MD8, Carie Kennedy, BS9, Christine B Novak, PT, PhD10, John D Steeves, PhD11; Ida K. Fox, MD12 1Washington University School of Medicine, St Louis, MO, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 3Washington University, St Louis, MO, 4Spinal Cord Injury Center, Zurich, Switzerland, 5Tigermed-BDM Inc., Gaithersburg, MD, 6Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA, 7Palo Alto Veterans Healthcare System, Palo Alto, CA, 8VA St. Louis Healthcare System, St Louis, MO, 9Washington University in St. Louis, St Louis, MO, 10Toronto Western Hospital Hand Program, University of Toronto, Toronto, ON, Canada, 11ICORD, Vancouver, BC, Canada, 12Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO
11:19 am - 11:22 am	HSPN 14. Influence of Knowledge and Expectations on the Patient Experience during Recovery from Traumatic Brachial Plexus Injury Christopher Dy, MD MPH FACS1, David M Brogan, MD, MSc1, Liz Rolf, BS1, Wilson Z Ray, MD1, Anna Van Voorhis, OT, CHT1, Sarah Buday, PhD2, Scott W Wolfe, MD3; Aimee S James, PhD MPH1 1Washington University School of Medicine, St. Louis, MO, 2Washington University, St. Louis, MO, 3Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY
11:22 am - 11:30 am	Discussion AAHS/ASPN

The management of brachial plexus injuries has continued to evolve over the last few decades. This panel of nerve experts will provide a comprehensive update on the management of patients (pediatric and adult) with brachial plexus injuries. This will include the use of nerve transfers in adults and birth related plexus injuries, contralateral C7 transfers, timing of intervention and advances in neuroimaging.

Injuries to the extensor tendons of the hand are common. Each zone of injury has specific therapeutic requirements due the unique anatomy. This course will review the current literature on therapeutic management of the extensor tendons at Zones I-VI. Demonstrations of specific orthoses and therapeutic exercises will be included.

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

1. Identify the specific digit extensor tendon anatomy at zones I-VI.
2. Select the appropriate orthosis for therapeutic postoperative management of extensor tendon injuries depending on the zone of injury.
3. Describe how the yoke or relative motion orthosis can be used for management of specific extensor tendon injuries.

Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam.

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

1. Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist.
2. Identify treatment options available for disorders of the hand and upper extremity.
3. 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.
4. Compare different treatment methods to avoid complications and improve patient outcomes.

1:30 pm - 1:35 pm	Introduction Chair: Jonathan L. Tueting, MD and Marc J. Richard, MD
1:35 pm - 1:55 pm	Distal Radius Fractures Marc J. Richard, MD
1:55 pm - 2:15 pm	Scaphoid Fractures/ Nonunions and SL Injuries Warren C. Hammert, MD
2:15 pm - 2:35 pm	Functional Free Muscle Transfers Jeffrey B. Friedrich, MD
2:35 pm - 2:55 pm	Congenital Hand Steven L. Moran, MD
2:55 pm - 3:15 pm	Inflammatory Arthropathies Eitan Melamed, MD
3:15 pm - 3:35 pm	Bone Tumors Jonathan L. Tueting, MD
3:35 pm - 3:50 pm	BREAK
3:50 pm - 4:10 pm	Soft Tissue Tumors Jonathan L. Tueting, MD
4:10 pm - 4:30 pm	Dupuytren's Jack Ingari, MD
4:30 pm - 4:50 pm	Nerve Injury and Repair/Reconstruction Jonathan Isaacs, MD
4:50 pm - 5:10 pm	Soft Tissue Coverage Jamie T. Shores, MD

Registration for this course is limited to young surgeons that have/will complete their hand surgery fellowship in years 2018, 2019, 2020 and 2021 and are interested in preparing hand surgery cases for their upcoming oral boards examination. Registrants are asked to submit a case in which they have participated as surgeon or assistant. The case submission should include a 1-2 paragraph vignette with x-ray images if needed. The course directors will select the most instructive cases for the course oral boards-style presentation. If selected, the registrant will present the case for oral board examination presentation, questions by the experienced faculty “Board examiners” and questions from the audience. The faculty “board examiners will provide an evidence-based review of each controversial topic for rapid digestion of important Board examination points. In order to best prepare for the oral boards, all attendees, whether presenting or observing, will be able to participate in this small group format.

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

1. Discuss non-operative and operative treatment for various commonly encountered disorders of the hand and wrist.
2. Identify topics and controversies that could be discussed in oral board examinations.
3. Better prepare their case presentations and examination responses for the oral boards.
4. Discuss evidence-based management of hand surgery cases discussed.

Recent advances in technology and surgical techniques is revolutionizing the world of prosthetics. This panel of experts will discuss the science behind the technology and describe avenues to improving function and minimizing complications in patients with limb amputations.

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

1. Learn the scientific basis for neural interfaces and their impact on advancing the field.
2. Develop a treatment algorithm for the patient with an amputation.
3. Understand the surgical options and limitations of prosthetics in 2020.

End to side nerve transfers, both traditional and supercharge, are gaining popularity among nerve surgeons. This panel will discuss the scientific basis for this nerve transfer technique and how best to apply to patients with nerve injuries. From facial palsy to ulnar neuropathy, the panelists will use a case-based format to highlight opportunities of use.

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

1. Discuss the scientific basis for the end to side and reverse end to side coaptations.
2. Learn surgical techniquest to maximize effectiveness with these nerve transfers.
3. Develop an algorithm for the use of end to side nerve transfers to restore function.

We will present the most current approaches to improving prosthetic rehabilitation following limb loss including RPNI and TMR. These discussion will address the indications, surgical approaches, and outcomes following these surgical procedures. In addition, we will discuss the optimal approaches to treat phantom pain, neuroma pain, and CRPS following devastating injuries of the extremities. The goal of the course will be to shed light on all of the approaches available to enhance functional restoration following limb loss.

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

1. Discuss how RPNIs and TMR can be used to prevent and treat painful neuromas and phantom pain.
2. Identify how RPNIs and TMR can be used for prosthetic control.
3. Develop the optimal ways to diagnose a neuroma and how to differentiate it form other pain conditions like CRPS.

Duchenne muscular dystrophy (DMD) is a severe, progressive muscle disease caused by mutations in the Dystrophin gene, which encodes a large intracellular protein that maintains integrity of muscle cell membranes. More than 4,000 DMD mutations have been identified in humans. The majority of mutations are deletions that cluster in hot spots, such that skipping of out-of-frame exons can potentially restore the reading frame of the Dystrophin protein. We have used CRISPR/Cas9 to generate new mouse models of DMD lacking the most prominently deleted Dystrophin exons in humans. To permanently correct DMD by skipping mutant dystrophin exons in postnatal muscle tissue in vivo, we have used adeno-associated virus-9 (AAV9) to deliver CRISPR/Cas9 gene editing components to dystrophic mice, a method we refer to as Myoediting. We have also optimized Myoediting of many types of DMD mutations in muscle cells derived from iPS cells generated from blood samples of DMD patients. In a path toward clinical translation of gene editing for DMD, we have recently restored dystrophin expression of dogs with DMD following systemic administration of gene editing components with AAV9. Opportunities and challenges in the path toward permanent correction of disease-causing mutations responsible for DMD and other monogenic disorders by genomic editing will be discussed.

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

1. Discuss principles of gene editing.
2. Identify the application of this technology to the correction of DMD.

11:00 am - 11:05 am	AAHS 1. Use Of Vascularized And Non-Vascularized Bone Grafting In Scaphoid Non-Union: A Prospective Randomized Control Trial Nina Suh, MD, FRCSC1, Stacy Fan, MD2, Ruby Grewal, MD, MSc3; Joy Macdermid, BSc, BScPT, MSc, PhD4 1Roth McFarlane Hand & Upper Limb Centre, London, ON, Canada, 2Western University, London, ON, Canada, 3Hand and Upper Limb Center, University of Western Ontario, London, ON, Canada, 4University of Western Ontario, Roth|MacFarlane Hand and Upper Limb Centre, Canada, London, ON, Canada
11:05 am - 11:10 am	AAHS 2. A Cost-Effectiveness Analysis Of Corticosteroid Injections And Open Surgical Release For Trigger Finger Thompson Zhuang, BA, Sandy Wong, BA, Rhonda Aoki, BA, Edric Zeng, BS, Seul Ku, MS; Robin N Kamal, MD Stanford University, Redwood City, CA
11:20 am - 11:25 am	ASPN 1. A Nationwide Cohort Study on Treatment and Survival in Patients with Malignant Peripheral Nerve Sheath Tumors. Enrico Martin, MD1, J. Henk Coert, MD, PhD1, Uta E. Flucke, MD PhD1, Willem-Bart M. Slooff, MD1, Thijs van Dalen, MD, PhD1, Michiel A.J. van de Sande, MD, PhD2, Winan J. van Houdt, MD, PhD3, Dirk-Jan Grunhagen, MD, PhD4; Cornelis Verhoef, MD, PhD4 1University Medical Center Utrecht, Utrecht, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands, 3Netherlands Cancer Institute, Amsterdam, Netherlands, 4Erasmus Medical Center, Rotterdam, Netherlands
11:25 am - 11:30 am	ASPN 2. A Nerve Wrap for Localized FK506 Delivery to Enhance Peripheral Nerve Regeneration Katelyn Chan, B.Eng BioSci1,2, Marina Manoraj1, Jenny Cheung1, Jennifer J Zhang, MD, PhD1, Konstantin Feinberg, PhD3, Tessa Gordon, PhD1; Gregory H. Borschel, MD, FAAP, FACS1,2,4 1Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, ON, Canada, 2Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada, 3Hospital for Sick Children, Toronto, ON, Canada, 4Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada
11:30 am - 11:40 am	Discussion
11:40 am - 11:45 am	ASRM 1. Lymphatic Microsurgical Preventive Healing Approach (LYMPHA) for the Primary Prevention of Lymphedema: A 3-Year Follow-up Matched Cohort Study Adam Levy Weill Cornell Medical College
11:45 am - 11:50 am	ASRM 2. Sensory Recovery after 1 Year from a Multi-Center Propective Outcomes Registry Arash Momeni Stanford University Medical Center
11:50 am - 12:00 pm	Discussion