This course is aimed at practicing surgeons who are interested in improving their wrist arthroscopy skills. Intermediate and Advanced techniques will be demonstrated by a team of experts to help the learners expand their practices involving a variety of pathologies. The course will be divided into a series of sequential didactic and hands-on lab sessions to practice instructed techniques. Two learners will share a cadaveric lab station while using the latest technology.

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

1. Dry wrist arthroscopy: why and how.
2. Evaluation and soft-tissue repair or peripheral TFCC injuries.
3. Evaluation and ligament-to-bone repair of deep TFCC injuries through DRUJ arthroscopy.
4. Wrist arthroscopy in trauma, including scaphoid fracture and perilunate injury.
5. Thermal capsulorraphy: When and how.

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.

Wrist arthroscopy has evolved into to a necessary tool for diagnosis and management of ulnar sided-wrist pain. Innovations such as dry arthroscopy, smaller arthroscopes and the use of local anaesthetic have further expanded the usefulness of wrist arthroscopy. This course will describe best practice for ulnar sided wrist pain, how to effectively treat patients and improve arthroscopic approaches.

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 the benefits and technique of dry arthroscopy
4. Discuss the use wrist arthroscopy under local anaesthesia

Maximizing recovery and minimizing adhesions is a major challenge following flexor tendon injury. This course will provide expert methods to improve outcomes following flexor tendon complications, from tenolysis to tendon transfer, and the unique challenges in dealing with the thumb.

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

1. Discuss how to identify and treat flexor tendon complications after repair
2. Discuss the use of tendon transfers in secondary flexor tendon reconstruction
3. Discuss the use of tendon grafts for reconstruction after flexor tendon complications
4. Discuss therapy following secondary flexor tendon reconstruction
5. Discuss the unique nature of thumb flexor tendon reconstruction

From acute to chronic, scapholunate ligament injury and instability continue to provide an exceptional challenge to hand surgeons and other health care providers. This course will provide broad overview of clinical evaluation including diagnosis and treatment of routine and less-common SL injuries.

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

1. Discuss the latest in the essential anatomy of the scapholunate articulation.
2. Review diagnosis of acute and chronic injuries including meaningful classifications.
3. Discuss best methods for treatment of acute injury.
4. Discuss conventional vs. cutting-edge treatments for chronic SL instability.
5. Review therapy interventions to treat chronic instability as well as post-operative treatment rehabilitation.

Beyond treatment of simple distal radius injuries, how do we approach complex fractures and malunions? In this course, we will take a step beyond the routine and look into pathologies that test our skills. From clinical evaluation to advanced surgical techniques and many things in between.

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

1. Discuss surgical evaluation and indications in less-common situations including fragility fractures, high-energy trauma and needs for advanced imaging.
2. Review traditional and new technologies used in malunion treatment.
3. Discuss leading edge surgical techniques.
4. Review therapy techniques to maximize function

Directed toward those who care for pediatric injuries, this course will provide the learner with some of the newest technologies used in trauma. Those who treat routine pediatric trauma will find information to guide their care. Specialists who handle the toughest cases will hear from experts in the field to help augment their knowledge base.

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

1. Discuss how and when to use 3D modeling.
2. Discuss what commercially available bone cutting guides can be used for malunion correction.
3. Review the latest and greatest around the elbow.
4. Discuss new technology advances in the treatment of congenital surgery

Hand ischemia secondary to chronic conditions such as scleroderma can lead to significant pain, cold intolerance and tissue loss. Options such as bypass.

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

1. Discuss the use of nonsurgical methods such as Botox therapy for hand ischemia
2. Discuss the utility of vascular grafts or bypass grafting for hand ischemia.
3. Understand the role of surgical sympathectomy in chronic hand ischemia.
4. Understand the role of venous arterialization for resolution of hand ischemia

Scaphoid nonunions can be a troubling scenario. Controversy exists surrounding vascularized versus non vascularized grafting, structural versus non-structural bone grafting, and are screws really better than K-wires? What about the crumbled proximal pole?

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

1. Discuss the use of vascularized bone donor sites and complications
2. Discuss the utility of vascular versus non vascular bone grafting
3. Discuss the utility of different fixation methods in scaphoid nonunions
4. Discuss the management of proximal pole nonunions and osteochondral reconstruction
5. Develop a treatment algorithm for scaphoid non unions

Nerve transfers are becoming increasingly popular to optimize motor and sensory recovery in both compressive and traumatic nerve injuries. Common nerve transfers will be discussed for pathology such as ulnar nerve compression to restore intrinsic hand function.

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

1. Discuss the use of nerve transfers in compressive neuropathies
2. Discuss the use of nerve transfers in high nerve injuries
3. Discuss the controversy and utility of end to side nerve transfers
4. Develop a treatment algorithm for common nerve transfers and how to implement these into your repertoire

The collaboration between hand surgeons and therapists is imperative for successful outcomes when treating patients with CMC OA of the thumb. Whether it be conservative or surgical intervention, an appreciation of the importance of CMC stability and proprioceptive awareness is key for function.

1. Identify the key concepts of static and dynamic stabilization of the thumb CMC joint and its relationship to function.
2. Demonstrate an understanding of evaluating proprioception at the CMC joint and identify three proprioceptive interventions for successful outcomes.

Time and again we hear of surgeries that at one time were popular or "gold standard". Common surgeries may have newer and better options but are still mainstream in practice. As a practicing surgeon, how can you keep current with advancing trends without adopting procedures that will come and go like a "flash in the pan"?

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

1. Hear from seasoned experts about surgeries they no longer perform.
2. Discuss the excitement and hesitancy behind new ideas.
3. Discuss how to avoid the pitfalls of being and much-too-early adopter or arriving too late to the party.
4. Know when to give up on a surgery and move on to something better

Between the demands of administration, CMS/Medicare, EMR, and complex patient care, hand surgeons have growing responsibilities and demands. The key to maximizing our surgery practice is to build a team that improves efficiency and patient care resulting in better job satisfaction and work-life balance. An advanced practice provider can be a member of that team that greatly enhances the physician's practice.

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

1. Review the history of advanced practice provider (APP) job role development.
2. Identify workflows and delegate tasks to improve efficiency in clinic setting, operating room, in-office procedure room, and management of ED/hospital consults.
3. Recognize advantages of working with interdisciplinary teams.
4. Demonstrate interpersonal and communication skills necessary within interdisciplinary team.
5. Identify individual APP strengths and equip them to pursue and explore avenues for furthering their career.
6. Advocate for engaging APPs in hand surgery sub-specialty and next level of education and involvement.

During this panel, our speakers will discuss their journeys in overcoming barriers and imperceptions while advocating for equity and inclusion. The relevance to excellence in hand care with patients will be discussed.

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

1. Discuss strategies for overcoming barriers that may impede the delivery of hand care.
2. Identify possible solutions to overcome obstacles in attracting underrepresented providers of hand surgery and hand therapy

The Covid Pandemic has had a devastating impact on efforts in medicine to minimize waste and protect the fragile state of our environment. Worse still, it has left many of us with a sense of malaise and complacency. A restored passion for conservation is the path that best serves our practices and our planet. There is no room for spectators. We have strategies that make a difference. Each of us needs to engage. Each of us needs to embrace a change.

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

1. Understand the current state of medical costs, carbon emissions and waste.
2. Learn evidence-based strategies for reducing cost, emissions and waste.
3. Identify those short and long-term strategies that will allow you to change your personal behavior to positively impact the costs affecting your practice and the environment.

This course designed for therapists and APPs will take an algorithmic approach to treatment and coverage options based on wound bed characteristics and wound presentation. Three major elements of wound characteristics will help guide the practitioner in clinical decision making based on coverage needs and care of the wound. Cases will be used to demonstrate this problem solving approach to selecting the best options for dressings and treatment. The course will include a hands-on portion with products of various categories for participants to sample and experience the qualities of dressings for wound coverage.

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

1. Interpret wound characteristics to determine dressing selection and treatment.
2. Categorize dressing types and differentiate features of each for wound coverage.
3. Identify signs of local and systemic infection

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 workshop will begin with a discussion of emergency hand evaluation, focusing on commonly missed diagnoses and fractures that may benefit from an immediate reduction. Participants will then have the opportunity to work with hands-on models to identify nerve injuries, reduce common fractures, and support injuries with appropriate immobilization.

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

1. Identify commonly missed emergency hand conditions.
2. Provide a "next step" plan for the management of these commonly missed conditions.
3. Identify fractures that would benefit from an immediate reduction.
4. Identify challenges to and develop techniques to improve fracture reduction.
5. Identify and place splints following immobilization

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 with snacks and networking. This session is designed to allow attendees to share their success stories using the essential non-technical skill sets, such as communication, emotional intelligence, and self-reflection, thus ensuring a long-term healthy and satisfying career.

Scaphoid fractures are the most common carpal bone fracture. Non-displaced fractures remain a controversy as to whether they should be fixed early or watched conservatively. If we don't operate - how do we immobilize? New methods of fixation using volar plates, two compression screws and arthroscopic assisted methods are available - do they improve outcomes?

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

1. Discuss the utility of early fixation versus casting of nondisplaced scaphoid fractures
2. Understand the use of advanced imaging in deciding on operative versus non-operative treatment of acute scaphoid fractures
3. Discuss the utility of bone grafting for acute scaphoid fractures
4. Discuss the type of fracture stabilization for scaphoid fractures
5. Discuss the utility of arthroscopic assisted scaphoid fixation

Once you start down the path of instability and arthritis of the Distal Radioulnar Joint, a single bad step can take you down a troublesome rabbit hole! In this course, we will discuss the intricacies of the DRUJ including how to manage instability and arthrosis.

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

1. Discuss the complex anatomy of the TFCC and DRUJ.
2. Review non-surgical treatment and therapy options to enhance surgical outcomes.
3. Discuss what to do with the distal ulna when treating arthritis.
4. Discuss TFCC repair and reconstruction

Looking for some fun that many surgeons are hesitant to join? Look no further than complex elbow trauma. Complex and dangerous anatomy meets difficult techniques and challenging complications when restoring form and function to the elbow. This course will take you through elbow injuries the might involve more than a simple plate.

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

1. Discuss anatomy pertinent to elbow stability and what is most important to restore after injury.
2. Discuss what to do with the radial head?
3. Discuss ligament repair; sometimes more than just a collateral.
4. Review extra helps when you can't get the joint stable.
5. Discuss how therapy can be paramount in restoring motion while protecting surgical interventions.

Increasing pressures on the availability of main operating room and COVID-related shut-downs has caused providers to look towards hand surgery under local anaesthetic only. We will discuss ways to set-up an outpatient practice under wide awake local anaesthesia and techniques for success. Common hand surgery procedures will be demonstrated and ways to reduce complications will be discussed.

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

1. Discuss the use of WALANT for common hand procedures and the effect on cost/payments
2. Understand ways to start an outpatient-based hand surgery practice under local anesthetic
3. Discuss the utility of WALANT to reduce complications in tendon surgery
4. Discuss the use of field sterility versus full draping to perform these procedures

Proximal Interphalangeal Joint injuries are often extremely challenging to manage in both the acute and chronic settings. Loss of reduction, limited fixation options, joint stiffness and post-traumatic arthrosis are problems we all encounter. This course will take you through the treatment options for these injuries including acute treatment and reconstruction for chronic injury.

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

1. Discuss pertinent anatomy, diagnostic considerations and treatment planning based on patient factors.
2. Review surgical options and literature support of common acute treatments.
3. Discuss therapy options for non-surgical and post-surgical patients.
4. Discuss reliable reconstruction options including outcomes and expectations of treatment.

Long bone fracture treatment is a staple or orthopaedic and upper extremity surgery. This course will review treatment options for fractures of tubular bones. Differences based on special considerations will be explored, and a variety of techniques will be taught.

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

1. Discuss anatomy, diagnosis and indications for surgery.
2. Discuss specific treatment options for special fractures.
3. Reviewed therapy involvement in non-surgical treatment as well as post-surgical rehabilitation.
4. Discuss new treatment options to consider

Tendon imbalance injuries can be very difficult to treat. In this course, we will review the pathoanatomy associated with Boutonniere and Swan neck deformities. Instructors will provide information on classification that guides treatment as well as treatment options

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

1. Discuss anatomy and diagnosis of Boutonniere and Swan neck injuries.
2. Discuss treatment options based on acute and chronic presentation types.
3. Identify therapy options for treatment. Review surgical options for repair, reconstruction and salvage of the injury.
4. Discuss outcomes and expectations to explain to the patient.

Kienböck disease is a "rare" disease encountered at some point in a hand surgeon's practice. Both radiographic and arthroscopic information can help us stage the disease and decide on the appropriate surgical intervention. Recent work suggests that any procedure on the wrist may be beneficial. How do we decide the right one? Also, what do we do when the lunate is non-salvagable?

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

1. Discuss the pathoanatomy of Kienböck disease and risk factors
2. Discuss the operative versus non-operative approach to Kienböck
3. Understand an algorithmic approach based on radiographic and arthroscopic staging of Kienböck
4. Understand the importance of revascularization versus joint leveling procedures.
5. Discuss salvage procedures for the lunate that's too far gone, including lunate

After a catastrophic table saw accident the sculptor John Powers was left without a thumb or ring finger, and badly damaged index and middle fingers on his non-dominant hand. Because Powers was adamant that he did not want a toe/hand transfer or any other typical thumb reconstruction options Dr Jacques Hacquebord began a discussion of corrective surgeries, physical therapy and most importantly, prosthetics. The two have worked in partnership to glean as much dexterity and strength from the damaged "Paw" (Powers term). During this session the two will discuss their partnership, utilitarian and aesthetic decisions, as well as humor and play.

Why agree on things, when a good debate is so much fun! Listen to experts as they stand toe to toe and debate against each other to see who will come out victorious in the eyes of the judge (and our audience).

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

1. Discuss evidence-based support of contradictory treatment options for common hand surgery problems.
2. Review the newest literature supporting varied treatment options.
3. Discuss how to consider these and other common hand problems from a variety of viewpoints.

Unusual cases can be intriguing but also taxing on the mental and physical energy of patients and providers. The optimal approach to unusual cases is through a multidisciplinary team consisting of various medical, surgical, and rehabilitative specialists. Effective, integrated teams can yield better patient care and outcomes and reduce health care costs. This session will share cases demonstrating successful collaborations for managing the mind boggling and mysterious.

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

1. Review case scenarios of unusual cases and the advantages of an interdisciplinary team.
2. Identify workflows and review task delegation to improve efficiency.
3. Demonstrate interpersonal and communication skills necessary within an interdisciplinary team.

Join us for an Endo Orthopedic-sponsored program on the administration of XIAFLEX® for Dupuytren's contracture. This program will include:

1. An overview of Dupuytren's contracture and the clinical efficacy and safety data of XIAFLEX® for adults with Dupuytren's contracture with a palpable cord.
2. The opportunity to review case studies with distinguished faculty.
3. A tactile training experience with the Dupuytren's Contracture Injection Simulator

By participating in this training program, you will receive the necessary training required to begin administering XIAFLEX®.

Spinal cord injury patients present a challenge to identify when to offer surgery and what type of surgery to offer. Nerve transfers have become increasingly popular, but are they better than the traditional tendon transfer options? We will also discuss patient engagement and the patient experience surrounding upper extremity reconstruction.

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

1. Discuss how to identify SCI patients who would benefit from surgery
2. Identify how electrodiagnostic studies can help to plan the best surgery and maximize outcome
3. Discuss the use of nerve and tendon transfers to reconstruct upper extremity function in patients with SCI
4. Discuss how to increase patient engagement through social media and the patient experience surrounding reconstruction

Failure after nerve releases for compression neuropathy can be for many reasons - possibly from an incomplete release, a wrong diagnosis, a new injury or recurrent compression. We will discuss strategies for revision nerve surgery after common nerve releases in carpal and cubital tunnel syndrome and expected outcomes of these procedures.

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

1. Discuss the etiology of failed nerve release and how to diagnose the underlying problem
2. Identify how electrodiagnostic studies and other imaging modalities can help to plan the best surgery and maximize outcome
3. Discuss the use of autologous flaps/wraps, alloplastic materials and nerve transfers to improve outcomes in revision nerve surgery
4. Develop an algorithmic approach to revision nerve release of the upper extremity

As our understanding of carpal instability continues to expand, we realize we are still on the edge of new discovery and reasoning. Carpal anatomy and kinematics demonstrate significant importance in multiple planes and dimensions. This course will review what we know about carpal instability, our understanding of treatment, and what the future holds for further learning.

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

1. Discuss carpal anatomy, kinematics and related pathology.
2. Discuss minimally invasive and arthroscopic options for treatment.
3. Discuss options for reconstruction and salvage.
4. Review therapy options as an alternative to surgery

Gunshot wounds to the upper extremity can affect multiple organ systems which require careful assessment and planning for successful treatment of the extremity and patient. This course will address each organ system individually and then use case discussions to combine the principles for a fluid surgical plan.

Evaluate both simple and complex ballistic injuries of the upper extremity and the affected patient.

Recognize the specific organ systems involved in gunshot wounds to the upper extremity.

Discuss management of defects of the bone, articular surfaces, and nerves.

Apply strategies of acute and definitive management of GSW injuries to the upper extremity, including complex injuries involving multiple organ systems.

From simple to complex, hand anomalies are seen in almost all practices. This course will provide an overview of the more common congenital conditions and includes practical information for treatment and referral.

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

1. Discuss some of the more common congenital pediatric hand and upper extremity anomaliesde.
2. Review what a specialized hand therapist can provide for pediatric patients.
3. Discuss which pathologies can be treated by the standard hand surgeon.
4. Discuss which anomalies might be best treated by specialized hand surgeons who commonly treat them.

This panel will present complicated nerve cases from their practice. As we learn most from our complications, in this session complications from the “masters” will be presented.

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

1. Learn solutions for complicated cases.
2. Identify potential complications in nerve cases and how to avoid them.
3. Discuss how to approach them complications when they arise.

Value based health care (VBHC) is becoming more and more important in medicine and also in peripheral nerve surgery. The “Porter model” describes VBHC: Patient value is defined as patient-relevant outcomes, divided by the costs per patient across the full cycle of care to achieve these outcomes. Ideally, all patients should be able to give their take on results of their treatment. Creating a broad consent will facilitate to do so.

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

1. Discuss the value of VBHC.
2. Identify available PROM’s and PREM’s for nerve surgery and their pros/cons.
3. Discuss the challenges to pursue broad informed consent to be able to roll out VBHC in their practices.

Hand surgeons are generally very aware of surgical techniques to replace or reconstruct joints, but they are usually not aware of alternative options like denervation procedures.

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

1. Identify the anatomy of joint innervation.
2. Discuss options for surgical denervation of joints in the hand, wrist, elbow and shoulder.

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

1. Discuss the current state of hand fellow education.
2. Discuss the historical perspective on hand fellow education.
3. Identify the influences that lead a person into hand surgery.
4. Identify some precepts for young hand surgeons.

Partial hand amputations make up the majority of extremity amputations in North America. Large partial hand defects traditionally would be reconstructed using free tissue transfer, however, recent advances in prosthetics have produced commercially available externally powered partial-hand prosthetics. This panel will debate the time-tested toe to hand transfer versus myoelectric or more traditional prosthetics to restore function to those with partial hand amputations.

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

1. Identify the indication for toe to hand transfers for partial hand amputees.
2. Discuss ways to improve outcomes following toe to hand transfers.
3. Discuss the use of myoelectric prosthetics for partial hand amputees.
4. Discuss the use of more traditional prosthetics for partial hand amputees.

Much time and effort and study has gone into perfecting the physics of a work station. Categories of faults have been identified (trunk flexion, neck extension, point loading, shoulder elevation…). The marketplace is replete with "ergonomic devices". Handouts have been perfected with comprehensive bullet point lists and artists' renderings of perfect posture at a desk. I propose that there is a missing piece, though. The person sitting at the desk is an office athlete. Solving their musculoskeletal aches and pains with equipment and patient education alone may not be enough. They deserve a careful, focused evaluation of their upper extremity movement system: the length, strength and performance of the muscles of the upper quarter. They deserve a targeted home exercise program to address imbalances and prepare the participant for the very real physical challenges of a desk job. Drawing heavily on the work of Shirley Sahrmann, PT, PhD, FAPTA. This session will apply a Movement System Impairment (MSI) Syndromes approach to the evaluation and treatment of an office athlete.

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

1. Describe a common, desk work-related upper quarter muscle imbalance to a colleague.
2. Discuss a targeted 3 exercises home exercise program for a muscle imbalance presentation involving downwardly rotated scapulae.
3. Feel confident finding further information on the topic of Movement System Impairment Syndromes.
4. Discuss components of a standard work station.

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.

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. 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.

Ultrasound is increasing used in both the peripheral nerve and microsurgeon's practice. This course will discuss how ultrasound can be used to improve diagnosis and prognosis of nerve pathology, including injury and compression neuropathy. It will also touch on the role of point-of-care ultrasound to optimize patient care in the clinic and emergency setting. In addition, it will describe the use of ultrasound for pre-operative flap planning and perforator dissection to allow rapid dissection and thin flap harvest.

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. Discuss the role of ultrasound in pre-operative perforator identification and flap planning
3. Identify the benefits and limitations of current imaging techniques for nerve surgery and flap planning
4. Discuss the role of point-of-care ultrasound in the clinic and emergency setting

Soft tissue defects of the hand from trauma, malignancy or infection can be approached in a variety of ways. Oftentimes soft tissue reconstruction can be successful using a variety of local or regional flaps. This course will discuss non-microsurgical reconstruction of the hand, including composite reconstruction for bone and tendon reconstruction and sensory fingertip reconstruction.

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

1. Discuss the role of local and regional flaps to reconstruct soft tissue defects of the hand.
2. Discuss the use of local and regional flaps to reconstitute sensory reconstruction to the fingertips.
3. Identify options for composite defect reconstruction of the hand

Sensory neurotization procedures are increasingly being employed to address sensory deficits arising from nerve injury and to optimize functional outcomes from reconstructive procedures. The goals of sensory neurotization vary widely, ranging from restoration protective sensation to weight bearing areas to providing erogenous sensation in breast and genital reconstruction. This course will provide a comprehensive overview of the contemporary sensory neurotization procedures being used for a variety of clinical scenarios.

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

1. Understand the pros and cons of the various donor nerves available for phalloplasty neurotization
2. Understand the indications and techniques used for sensory neurotization of fasciocutaneous flaps in lower extremity reconstruction
3. Learn the emerging options being used for breast and nipple neurotization.

Finger replantation success and enthusiasm increased dramatically after the first successful replanted digit. However, finger amputations are not all equal and enthusiasm is waning across North America, with reducing rates of attempted replantation. This course will discuss the utility of replantation and techniques to improve success.

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

1. Discuss the current trends in finger replantation.
2. Compare the functional outcomes of replantation versus revision amputation
3. Discuss ways to increase success and improve replantation outcomes

This course will provide an update for diagnosis, patient selection, timing of intervention, and surgical techniques in the management of chronic headaches, neuralgia, and migraines. Invited faculty will highlight pearls and pitfalls in the management of this challenging patient population.

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

1. Indentify the role nerve surgery for individuals with chronic headaches, neuralgia, and migraines.
2. Identify how to select and diagnose patients who could be could be candidates for surgery .
3. Discuss standard and novel surgical techniques in headache management.
4. Learn about potential complications, and the management of refractory cases

Mr. Siebel is the founder and chief executive officer of C3 AI, the Enterprise AI software company. C3 AI delivers a family of fully integrated products including the C3 AI Application Platform, an end-to-end platform for developing, deploying, and operating enterprise AI applications and C3 AI Applications, a portfolio of industry-specific SaaS enterprise AI applications that enable the digital transformation of organizations globally.