This course is geared towards: Primary - Incoming, current and graduating hand fellows/residents and Fellowship Directors.

Objectives:

1. Educate the incoming, current, and graduating Hand Fellows on XTRA training and enrollment.
2. Offer incoming, current, and graduating Hand Fellows extended medical education in areas such as reconstitution, administration and peer-to-peer learning incorporating a tactile experience via the Dupuytren's Contracture (DC) Injection Simulator.
3. Expose incoming, current, and graduating Hand Fellows an empathetic experience of those patients suffering from Dupuytren's Contracture.
4. Certification and Enrollment into the XTRA program, necessary for the administration of XIAFLEX® (collagenase clostridium histolyticum).

This course is aimed at residents and fellows hoping to improve their understanding of nerve injury assessment, treatment principles, and repair techniques. The course will be divided into three parts - a didactic session to review the basic principles of nerve anatomy, physiology, nervous system response to injury, and repair strategies; small group case-based discussions to provide a "deeper dive" into the nuances of assessment, decision making, and treatment options; and finally, a hands on workshop offering an opportunity to learn and practice nerve repair techniques with some of the most accomplished experts in the field! Participants will be expected to complete the course with an enhanced understanding of nerve trauma and a greater ability to treat complex nerve injuries.

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

1. Explain the nerve anatomy, normal physiology, nerve injury, and principles of repair
2. Describe and demonstrate the principles of nerve repair.
3. Describe and demonstrate basic techniques in nerve repair.
4. Describe and demonstrate basic techniques for assessing and surgically addressing nerve repairs with gaps.

Scapholunate ligament injuries management remain a challenge both to the patient as well as to the medical community. There remains controversy with regards to best treatment strategies. This session will discuss the various treatment options of scapholunate ligament injuries

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

1. Discuss how to whether or not to treat SL ligament tears
2. Discuss the injury and sequela of SL tears
3. Discuss the indications, risks and benefits of using tendon versus suture repairs
4. Develop a treatment algorithm for management of scapholunate ligament injuries.
5. Learn innovative techniques to restore management of scapholunate ligament injuries.

Flexor tendon injuries disrupt the natural intricate balance within our fingers and wrists. Maximizing recovery and minimizes adhesions continues to challenge our hand care skills. This course will provide expert methods to minimize complications in flexor tendon surgery.

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

1. Discuss how to Identify and treat flexor tendon lacerations.
2. Discuss how to Identify and treat flexor tendon complications.
3. Discuss how to avoid potential flexor tendon complications
4. Learn innovative techniques to treat flexor tendon injuries.

Fractures in children are omnipresent. This session will discuss how best to manage and treat pediatric fractures.

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

1. Discuss how to identify treatment options for pediatric fractures of the upper extremity.
2. Discuss how to identify and manage complications associated with pediatric fractures of the upper extremity.
3. Learn innovative techniques to treat pediatric fractures of the upper extremity.
4. Discuss both surgical and non-surgical benefits of care

Dupuytren's disease continues to impair many patients from all walks of life. The disease presents with varying degrees causing varied impairments. This session will discuss palmar and digital contractures related to Dupuytren's disease.

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

1. Discuss how to prepare health care providers to treat and manage Dupuytren's disease conditions.
2. Discuss how to whether or not to treat Dupuytren's disease conditions.
3. Discuss how to identify and manage complications associated with Dupuytren's disease surgery
4. Discuss the indications, risks and benefits of non-operative management of Dupuytren's disease.
5. Develop a treatment algorithm for management of Dupuytren's disease conditions.

Ulnar wrist pain has been often referred to as the "black box" of the wrist. Often as referred to as the lower back pain equivalent in the wrist. This course will describe best practice for ulnar sided wrist pain and how to effectively treat patients.

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

1. Discuss and identify complex injuries and disorders in wrist pain.
2. Discuss how to prepare health care providers to treat and manage ulnar sided wrist pain both surgically and non-surgically
3. Discuss how to identify and manage complications associated with ulnar sided wrist surgical efforts.
4. Discuss the indications, risks and benefits of non-operative management of ulnar sided wrist pain.
5. Develop a treatment algorithm for management of Dupuytren's disease conditions

Scaphoid fractures are the most common carpal bone fracture. It's management and treatment remain challenging particularly it does not heal. This course will discuss how to best manage scaphoid fractures that do not heal in the common patient.

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

1. Identify proper scaphoid pathology and management options.
2. Discuss how to prepare health care providers to treat and manage scaphoid non-unions both surgically and non-surgically
3. Discuss how to identify and manage complications associated with treatment of scaphoid non-unions.
4. Discuss the indications, risks and benefits of non-operative management of scaphoid non-unions.
5. Develop a treatment algorithm for management of scaphoid non-unions.

The forearm relies heavily on the function of the interosseous ligament. This course will discuss the anatomy and function of the IOC.

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

1. Treat and manage disorders and injuries of the IOL.
2. Discuss how to prepare health care providers to treat and manage injuries of the IOL.
3. Discuss how to identify and manage complications associated with treatment of injuries of the IOL.
4. Discuss the indications, risks and benefits of non-operative management of injuries of the IOL.
5. Develop a treatment algorithm for management of injuries of the IOL.

This course will highlight and discuss commonly missed conditions within the hand. We as trained professionals in hand care can always improve and learn from past mistakes.

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

1. Identify potential conditions that can be missed or mismanaged within hand surgery.
2. Discuss how to better manage conditions that can easily be mismanaged.
3. Discuss how to better avoid easily mismanaged conditions.
4. Discuss how to better avoid easily missed conditions.
5. Develop a treatment algorithm for management of missed and mismanaged conditions.

Patient centered care has been an emphasis within healthcare for over a decade. Patient centered care aims to breakdown the paternalistic patient practitioner relationship and create a model of care that promotes a shared decision-making process between provider and patient. We will explore components of patient centered care and identify tangible strategies the hand surgery and therapy practitioner can enact to facilitate patient centeredness.

• Recognize and better understand characteristics of effective patient centered care
• Identify strategies to leverage the hand surgeon/hand therapist relationship to improve patient centered care

Studying and learning how to care for patients is paramount but understanding the landscape of medicine is also valuable. This panel will review new upcoming financial and governmental matters in hand surgery that will better enable providers to care for their patients.

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

1. Identify and manage potential future changes in reimbursement and government regulations.
2. Discuss how to better manage conditions with improved financial impact.
3. Discuss how to better understand and influence regulatory decisions.
4. Discuss how to better educate peers and administrators on financial matters

Many hand injuries and conditions will improve without surgery. In fact, many heal better non-surgically. This panel will discuss topics and conditions better managed non-operatively.

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

1. Appreciate and better understand how we can manage injury and conditions without surgery.
2. Identify potential conditions that can be mismanaged with surgical intervention.
3. Discuss how to better imploy non-surgical tools and tips.
4. Discuss how to better present non-surgical options to anxious patients.
5. Develop a treatment algorithm for management of non-operative conditions.

Three tremendously common entities that we face on a daily basis. There are many described management and treatment options. The panel will debate the care of distal radius fractures, thumb CMC arthritis and tennis elbow.

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

1. Identify treatment options for three common conditions in the upper extremity.
2. Discuss better treatment options for distal radius fractures
3. Discuss better treatment options for thumb carpometacarpal joint arthritis
4. Discuss better treatment options for lateral epicondylitis
5. Discuss the indications, risks and benefits of non-operative management of distal radius fracture, thumb arthritis and tennis elbow

Patient safety is vital. Continued discussion to improve safety is of the utmost importance. This panel will discuss additional educational to improve our patient safety measures within the field of hand surgery.

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

1. Discuss how to prevent errors and improve safety in patient care.
2. Discuss and better understand past medical misadventures.
3. Discuss how to better imploy better safety measures in the work place.
4. Discuss and appreciate areas with potential safety hazards.
5. Develop a treatment algorithm to make a safer environment.

Tendon transfers have been the benchmark for restoration of upper extremity function in persons with SCI. The algorithm is well-established based on the principles of tendon transfers and the hierarchy of hand function (wrist extension, lateral pinch, grasp, release). The advent of nerve transfer surgery has expanded the options for limb reconstruction. The donor prerequisites of availability and expendability remain consistent. This lecture will compare and contrast the tendon and nerve transfers options applicable to persons with spinal cord injury.

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

1. State the most common levels of spine cord injury
2. Describe the functional deficits according to the level of cervical spinal cord injury
3. Discuss the potential tendon and nerve transfers for cervical spinal cord injury

This dynamic and interactive course will be divided into three pillars relating to equity, diversity, and inclusion (EDI): EDI as it relates to our internal sense of self; EDI as it relates to interpersonal dealings; and EDI on a broader, structural scale. The second and third pillar will be connected through a case study application in hand surgery and therapy. The participant will understand how both internal and external constructs have implications on the provision of hand care and patient outcomes. Participants will leave with tangible take-aways to create a more inclusive and equitable practice with emphasis on communication with their patients.

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

1. Evaluate how your own identity shapes your perspective and how this both assists and undermines your ability to provide equitable care
2. Discuss how interpersonal behaviors and values affect access to equitable surgical and therapy hand care as well as the capacity to sustain working conditions in the field.
3. Apply dimensions of diversity using a prepared case study
4. Identify how systems impact healthcare workers and patients, and leverage understanding to recognize structural changes that need to occur in one's organization.

This workshop will begin with discussion of different types of splints and casts for the hand and wrist, advantages and disadvantages of different materials used, and proper technique for application. Participants will then have hands-on practice applying a splint and cast with feedback and review of key concepts of application. Finally, there will be review of splint and cast removal techniques including cast saw safety.

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

1. Review advantages and disadvantages of different types of splint and cast materials.
2. Gain knowledge of splinting and casting technique that provides optimal immobilization with minimal adverse effects.
3. Hands-on practice for splinting and casting.
4. Demonstrate knowledge of appropriate type of splint based on assessment of the hand and wrist injury.
5. Discuss key concepts of safe splint removal.
6. Identify key concepts of cast saw safety for safe cast removal.

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.

This expert panel will be teaching eight micro-lectures highlighting the “WHY” in an array of upper extremity sports injury topics. The two hour session will cover various elements of the overhead athlete including the evaluation of the kinetic chain, advancements on the thrower’s ten as well as the biomechanics and treatment of elbow ulnar collateral ligament (UCL) injuries. Updates on surgical management and post-surgical management of thumb ulnar collateral ligament injuries and metacarpal fractures in athletes will also be presented. The audience will leave the session armed with advanced knowledge and numerous clinical interventions for the management of a variety of sports injuries. The unique and refreshing format focusing on accelerated return to play is a session you do not want to miss!

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

1. Discuss how to evaluate an athlete's kinematic chain for both managing injuries, and creating rehabilitation programs for efficiency in performance.
2. Discuss elbow soft tissue overloading as well as how to break down the functional role of the athlete in order to optimally guide advanced therapeutic intervention.
3. Describe the advances in surgical and post-surgical management of thumb ulnar collateral ligament tears and metacarpal fractures in athletes.

This informal session is aimed for surgeons, therapists and hand aficionados of all career stages. Burnout and depersonalization are endemic in medicine today. Yet there are strategies to combat these issues. Enjoy an informal afternoon connecting with your colleagues complete with snacks and networking. This session is designed to allow attendees share the non-technical skill sets that are so important such as communication, emotional intelligence and self-reflection, thus ensuring a long term healthy and satisfying career.

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.

Carpal instability significantly impacts the quality of a patients function and lifestyle yet remains a challenge for management. This course will discuss carpal instability not related to scapholunate ligament tears.

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

1. Identify carpal kinetics and instability of the wrist.
2. Treat and manage disorders and injuries that are causally related to carpal instability..
3. Discuss how to prepare health care providers to treat and manage ligamentous injuries of the carpus.
4. Discuss how to identify and manage complications associated with treatment of ligamentous injuries of the carpus.
5. Discuss the indications, risks and benefits of non-operative management of ligamentous injuries of the carpus.
6. Develop a treatment algorithm for management of carpal instability not related to scapholunate ligament tears.

Distal radial fractures are commonplace. These fractures are seen daily with nearly a quarter of a million repaired surgically each year in the United States. This course will provide insight into current treatment management and options for distal radius fractures.

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

1. Discuss and better understand the anatomy associated with distal radius fractures.
2. Discuss how to better approach distal radius fracture care.
3. Discuss how to prepare health care providers to treat and manage distal radius fractures.
4. Discuss how to identify and manage complications associated with treatment of distal radius fractures.
5. Discuss the indications, risks and benefits of non-operative management of distal radius fractures.
6. Develop a treatment algorithm for management of distal radius fractures.

Elbow injuries, particularly communited fractures remain a challenge for care. We have assembled the world's best to better educate us on this demanding and problematic injury. This course will focus on improved management of highly comminuted elbow fractures.

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

1. Discuss and better understand the anatomy associated with comminuted elbow fractures.
2. Discuss how to prepare health care providers to treat and manage comminuted elbow fractures.
3. Discuss how to identify and manage complications associated with treatment of comminuted elbow fractures.
4. Discuss how maximize return of motion and function post operatively.
5. Develop a treatment algorithm for management of comminuted elbow fractures.

The distal radioulnar joint is vital to elbow and wrist function. Any change to the joint's stability creates significant mobility to our patient population. This course will provide instruction on the care of instability and injuries to the DRUJ.

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

1. Discuss the anatomy associated with instability of the DRUJ.
2. Discuss how to prepare health care providers to treat and manage instability and injuries to the DRUJ.
3. Discuss how to identify and manage complications associated with treatment of instability and injuries to the DRUJ.
4. Discuss the indications, risks and benefits of non-operative management of instability and injuries to the DRUJ.
5. Develop a treatment algorithm for management of instability and injuries to the DRUJ

Scaphoid fractures are the most common carpal bone fracture. It's management and treatment remain challenging despite decades of diagnostics and hand care. This course will complement earlier courses and discuss how to best manage scaphoid fractures.

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

1. Identify anatomy and mechanism of injury associated with scaphoid fractures.
2. Discuss how to prepare health care providers to treat and manage scaphoid fractures both surgically and non-surgically
3. Discuss how to identify and manage complications associated with treatment of scaphoid fractures.
4. Discuss the indications, risks and benefits of non-operative management of scaphoid fractures.
5. Develop a treatment algorithm for management of scaphoid fractures.

Hand fractures are ubiquitous. Nobody wishes a fracture but nonetheless many will experience a disabling hand fracture. This course will discuss and teach care for fractures of the hand from an illustrious panel.

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

1. Identify anatomy and mechanism of injury associated with all hand fractures.
2. Discuss how to prepare health care providers to treat and manage metacarpal and phalanx fractures both surgically and non-surgically
3. Discuss how to identify and manage complications associated with treatment of metacarpal and phalanx fractures.
4. Discuss the indications, risks and benefits of non-operative management of metacarpal and phalanx fractures.
5. Develop a treatment algorithm for management of metacarpal and phalanx fractures.

Of course, no one wishes injury nor wants to deal with the recovery, but it is important to appreciate and better understand the nature of hand and upper extremity injuries from the patient's perspective. This course will highlight and discuss how patients feel when injured and recovering.

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

1. Discuss and better understand the mindset of our injured patients.
2. Discuss issues involving social and emotional problems associated with being injured.
3. Discuss how to prepare health care providers to better appreciate the headaches, trials and tribulations involved with limited hand usage while injured.
4. Discuss how to minimize the morbidities associated with hand injury
5. Discuss and better understand the economic impact of hand and upper extremity injuries.

As we all know, 2020 was a challenging and difficult year in more ways than I can count. This course will discuss perplexing changes in hand surgery related to Covid-19 then and now.

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

1. Discuss experiences and changes that took place related to the COVID-19 pandemic.
2. Discuss and better understand the mindset of both patients and healthcare providers throughout the pandemic.
3. Discuss issues involving social and emotional problems associated with the COVID-19 pandemic.
4. Discuss and better understand the economic impact associated with COVID-19 pandemic as it pertains hand and upper extremity injuries.

As the world emerges from underneath the dark oppressive cloud of Covid-19 pandemic, we all sigh a sigh of relief, and we are filled with an overflow of a beautiful and sweeping feeling of Gratitude. Cicero said gratitude is the "mother of all other remaining virtues". Gratitude is a two-step process: first recognizing that one has obtained a positive outcome and second realizing that there is an external source for this positive outcome.

Research suggests that gratitude is associated with many benefits for individuals, including better physical and psychological health, increased happiness and life satisfaction, increase wellbeing and less depression. It encourages the development of other virtues such as patience, humility and wisdom.

We, as members of this vibrant organization, the American Association for Hand Surgery, have a lot to be thankful for. We are grateful for our profession taking care of this amazing organ, the hand. We are grateful for our mentors who paved the way for us to follow, our colleagues and friends and our students who keep us sharp and humble. But more importantly, we are grateful for our patients who entrust us with their most precious hands.

We are especially very grateful for our AAHS which distinguishes itself by its unique ability to challenge us to be better hand care professionals, while giving us the opportunity to develop an unusually high level of camaraderie and friendship. And last but not least we are grateful to our families who give us their unlimited love, support and encouragement. We would not be where we are without you!

Technology is changing at an ever-faster rate. Exponential technologies such as artificial intelligence, robotics, biotechnology, clean energy, and space access have the potential to substantially increase the quality of human life and our physical abundance. At the same time, the pace of change brings tremendous disruptions to existing businesses, workers, and even societies. How can we best adapt to and take advantage of these rapidly changing technologies?

Nerve injuries are devastating, particularly when the nerve injury does not fully recover leaving one permanently weaken. The best course of treatment for these devastating conditions are debatable. Our excellent panel will discuss and debate management of nerve dysfunction treatment options.

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

1. Discuss how to prepare health care providers to treat and manage irreparable nerve injury conditions.
2. Discuss and better understand the advantages and disadvantages of nerve transfers.
3. Discuss and better understand the advantages and disadvantages of tendon transfer surgical options.
4. Discuss how to handle potential complications associated with both nerve and tendon transfer strategies.

Hand care providers evaluation nerve conditions as part of our scope of practice. Managing nerve disorders is a niche that can separate hand care providers from others in the orthopaedic and plastic surgical fields. This course will explain the merits and how to better differentiate oneself in the world of nerve disorders. The panel will discuss ideas to improve and expand a nerve practice.

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

1. Educate members interested in expanding a nerve practice
2. Discuss how to prepare health care providers to treat and manage nerve conditions to set them apart in their community.
3. Discuss and better understand the advantages and disadvantages of nerve focused practice.
4. Discuss how a nerve focused practice benefits not only patients but also the providers.
5. Discuss the scope and parameters of what a nerve practitioner should manage and why.

Neuromas are commonly detected after nerve trauma or lacerations. Neuromas often cause significant disability and unremitting pain. This course will discuss and highlight management ideas for chronic pain related to neuromas.

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

1. Identify treatment options for chronic pain.
2. Educate members how and why neuromas hinder and restrict patients.
3. Discuss how to prepare health care providers to treat and manage neuroma conditions.
4. Discuss and better understand the advantages and disadvantages of neuroma resection
5. Discuss how to handle potential complications associated with neuroma management strategies.
6. Discuss and better learn how to manage chronic pain.

Surgical management of compressive neuropathies such as carpal and cubital tunnel syndrome is common and almost a daily occurrence. What do we do with patients that experience continued symptoms despite prior surgical intervention? This course will highlight management ideas for chronic nerve related pain.

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

1. Identify appreciate care and treatment options for chronic pain.
2. Educate members how and ways that nerve related pain is bothersome for our patients.
3. Discuss how to prepare health care providers to treat and manage persistent nerve related pain.
4. Discuss and better understand why certain surgical procedures are unsuccessful.

Stroke and spinal cord injuries remain debilitating and upsetting conditions. Nonetheless, as we can specifically avoid the injuries from occurring, we need to better educate ourselves on best practice management pathways. This course will discuss stroke and spinal cord injuries and how it affects hand surgery.

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

1. Identify appreciate treatment options for spinal cord injuries.
2. Identify appreciate treatment options for stroke related dysfunction of the hand and upper extremity.
3. Discuss and better understand how to incorporate the team of health care providers interested and involved in the care of this patient population.
4. Discuss how to prepare health care providers to treat and manage complications associated with stroke and spinal cord injuries.
5. Discuss how to prepare health care providers to treat and manage psychological and socioeconomical issues associated with stroke and spinal cord injuries.

This course will focus on the current management of peripheral nerve tumors. Experts in the field will share updates on clinical assessment and decision-making, surgical techniques, and treatment of benign and malignant peripheral nerve sheath tumors, as well as other mass lesions involving peripheral nerves.

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

1. Identify how to best investigate a patient with a peripheral nerve mass, including advances in imaging techniques.
2. Discuss indications and options for surgical intervention of nerve tumors.
3. Review current controversies and outcomes in the management of peripheral nerve tumors.

Refinements in technology continue to advance the state-of-the-art in nerve imaging. This course will discuss how modern nerve imaging techniques can improve diagnosis and prognosis of nerve injury and compression neuropathy in diverse anatomical areas. It will also touch on the role of the nerve surgeon in performing point-of-care ultrasound to optimize patient care in the clinic and emergency setting.

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

1. Discuss the current modalities available to the nerve surgeon to image peripheral nerves.
2. Identify the benefits and limitations of current imaging techniques.
3. Discuss what technologies are on the horizon to improve our ability to diagnose and prognosticate nerve injuries and compression neuropathies.
4. Discuss the role of the nerve surgeon in performing point-of-care ultrasound in the clinic and emergency setting

Alternative nerve coaptations, such as the supercharge end-to-side nerve transfer and cross sensory grafts, are gaining in popularity as a means to optimize outcomes following various types of nerve injury. However, there remains ongoing controversy about the clinical applications of these transfers. This exciting panel will review the most up-to-date techniques of alternative nerve coaptations and the current evidence supporting their use.

Objectives: Following this session, the participant will be able to: Review different types of nerve coaptations and their indications for use

1. Discuss the surgical techniques involved in performing these coaptations.
2. Discuss current outcome data to support the utilization of these techniques in different clinical scenarios.
3. Discuss ongoing controversies surrounding alternative nerve coaptations

This panel will discuss treatment options for amputees and how to achieve the best results.

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

1. Discuss treatment options for amputation management.

Complex regional pain syndrome (CRPS) presents with a broad spectrum of progressive neurophysiological and physical symptoms. These include continuous pain which is often accompanied by sensory, motor, vasomotor, sudomotor, and trophic disturbances affecting functioning of the upper extremity. If left untreated, it can have a significant impact on the quality of life of patients. Various diagnostic criteria of CRPS have been introduced. These criteria are based on the clinical presentation of patient’s neuro-physiological and physical symptoms. The pathophysiology of CRPS is progressive and is divided in three stages. The successful management of CRPS is based on addressing the sensory and physical symptoms to maximize mobility of the joint and upper extremity function. The (CRPS) panel members will address various pharmacological and therapeutic interventions used for the management of this condition.

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

1. Discuss the current evidence on theories of CRPS pathogenesis.
2. Identify evaluations that align with the Valencia diagnostic criteria.
3. Discuss physiology of normal joint and pathological changes as these occur in CRPS.
4. Recognize the role of central and peripheral sensitization and somatosensory retraining in CRPS.
5. Discuss various pharmacological therapeutic interventions and techniques to maximize upper extremity function.

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 physician assistants, 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 hand and wrist fractures.
2. Discuss diagnosis and treatment options for various commonly encountered 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: Marc J. Richard, MD; Jerry I. Huang, MD
1:35 pm - 1:55 pm	Distal Radius Fractures Marc J. Richard. MD
1:55 pm - 2:15 pm	Scaphoid and Other Carpal Fractures/Nonunions Warren C. Hammert, MD
2:15 pm - 2:35 pm	Carpal Instability Robin Kamal, MD
2:35 pm - 2:55 pm	Metacarpal and Phalangeal Fractures Lauren Shapiro, MD
2:55 pm - 3:15 pm	Soft Tissue Coverage and Local Hand Flaps Jeffrey B. Friedrich, MD
3:15 pm - 3:35 pm	Functional Free Muscle Transfers Erin Miller, MD
3:35 pm - 3:50 pm	BREAK
3:50 pm - 4:10 pm	Flexor and Extensor Tendon Injuries Jerry I. Huang, MD
4:10 pm - 4:30 pm	Bone and Soft Tissue Tumors Jonathan L. Tueting, MD
4:30 pm - 4:50 pm	Congenital Hand Erin Meisel, MD
4:50 pm - 5:10 pm	Inflammatory Arthropathies Eitan Melamed, MD
5:10 pm - 5:30 pm	Nerve Injury and Repair/Reconstruction Amy M. Moore, MD

Registration for this course is limited to young surgeons that have/will complete their hand surgery fellowship in years, 2020, 2021, 2022 and 2023 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 (template will be provided).

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 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.

Dr. Scott Parazynski is a highly decorated physician, astronaut, and tech CEO, recently inducted into the US Astronaut Hall of Fame. Dr. Parazynski has lived and traveled all over the world, spending many of his grade school years in places such as Senegal, Lebanon, Iran and Greece. A graduate of Stanford University and Medical School, he went on to train at Harvard and in Denver for a career in emergency medicine and trauma. We look forward to having Dr. Parazynski share his experiences in extraordinary environments and how opportunities to make things better are all around us, and that we need to continuously ask ourselves is there a better/faster/safer/cheaper/less painful way to do things in the future?

Nerve reconstruction in the head and neck is key to improving critical functions, such as vision, facial expression, and sensation. This field continues to advance as we harness the power of nerve transfers and grafts to optimize patient outcomes. This course will review the state-of-the-art in nerve reconstruction in the head and neck

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

1. Discuss current reconstructive techniques for corneal reinnervation, facial reanimation, sensory restoration, among other head & neck functions.
2. Discuss current evidence supporting these techniques.
3. Discuss ongoing limitations and research in reconstruction of sensory and motor functions in the head & neck.

This course will provide education and insight into rare nerve compressions.

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

1. Identify diagnosis unusual nerve compression syndromes.

The intrinsic muscles are critical to hand function yet are also some of the most challenging to reconstruct following nerve injury or direct trauma. Recent advances in peripheral nerve and microsurgical techniques have expanded the options for reinnervating or reconstructing the intrinsics. This panel will share current advances in the reconstruction of median- and ulnar-innervated intrinsic functions of the hand.

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

1. Discuss options for reinnervating the intrinsics following nerve injury, including the latest techniques in nerve transfers.
2. Discuss options for microneurovascular reconstruction of the intrinsics following direct muscle injury.
3. Discuss the outcomes of these newer techniques relative to standard techniques, such as tendon transfers.

This course will discuss outreach opportunities and its benefits.

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

1. Educate and highlight outreach opportunities and lessons learned

Hand injuries of any kind are disruptive to our lives, but mutilating injuries take this disruption to a new level. The care involved typically involves several surgeries and extensive hand therapy.

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

1. Discuss diagnosis and management of mutilating injuries.