Tuesday January 9, 2024
2:00 pm - 6:00 pm
Nerve Repair Skills Course
Supported by Axogen (Separate Registration Required)
Chair: Jonathan Isaacs, MD; Kyle Eberlin, MD
Faculty: Bauback Safa, MD; Harvey Chim, MD; Ian Valerio, MD; R. Glenn Gaston, MD; Mark Rekant, MD; Sonu Jain, MD; David Ruch, MD; Ines C. Lin, MD; Deana M. Mercer, MD; Joshua Gillis, MD
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:
- Explain the nerve anatomy, normal physiology, nerve injury, and principles of repair.
- Describe and demonstrate the principles of nerve repair.
- Describe and demonstrate basic techniques in nerve repair.
- Describe and demonstrate basic techniques for assessing and surgically addressing nerve repairs with gaps.
Wednesday January 10, 2024
6:30 am - 8:00 am
Continental Breakfast
6:45 am - 7:45 am
AAHS Instructional Courses
101
Carpal Instability: Scapholunate Ligament and More!
Chair: Sanj Kakar, MD, MBA
Instructors: Ryan Paul, MD; Marc J. Richard, MD; Aaron Knox, MD; Rachel M. Pigott, OT
The management of Scapholunate ligament injuries remains a challenge both to the patient as well as to hand surgeons. There remains controversy with regard to best treatment strategies for the broad spectrum of carpal and ligamentous injuries. Discussion will include diagnosis of carpal instability, management options, and the role of arthroscopy in diagnosis and treatment.
Objectives: Following this session, the participant will be able to:
- Identify carpal kinematics and instability of the wrist.
- Discuss the injury and sequela of SL tears.
- Discuss the indications, risks and benefits of using tendon versus suture repairs.
- Discuss the role arthroscopy plays in understanding and treating scapholunate ligament injuries
- Develop a treatment algorithm for management of scapholunate ligament injuries.
- Learn innovative techniques to restore management of scapholunate ligament injuries.
- Treat and manage disorders and injuries that are causally related to carpal instability.
102
Distal Radius Fractures
Chair: David Ruch, MD
Instructors: Robert Medoff, MD; Jorge I. Quintero-Perez, MD; Asif M. Ilyas, MD, FACS; Catherine Sullivan, PT/CHT
Distal radius fractures are common injuries treated by hand surgeons. 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. Beyond treatment of simple distal radius injuries, this session will discuss how we approach complex fractures and malunions. Additionally, this ICL will discuss evaluation and management of challenging distal radius fractures, the current evidence and cutting edge treatment strategies, as well as share strategies for optimizing care (operatively and nonoperatively) by incorporation of a multidisciplinary care program including NP/PAs and hand therapists.
Objectives: Following this session, the participant will be able to:
- Discuss surgical evaluation and indications in less-common situations including fragility fractures, high-energy trauma and needs for advanced imaging.
- Review traditional and new technologies used in malunion treatment.
- Discuss leading edge surgical techniques.
- Review therapy techniques to maximize function following distal radius fractures
103
Swan Neck, Boutonniere and Intrinsic Pathology
Chair: Steven C. Haase, MD, FACS
Instructors: Wyndell H. Merritt, MD; Amir Reza Kachooei, MD; Gayle K. Severance, MS, OTR/L
Tendon injuries in the hand and digits can be very difficult to treat. In this course, we will review the pathoanatomy associated with intrinsic injuries to the hand as well as 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:
- Discuss anatomy and diagnosis of Boutonniere and Swan neck injuries.
- Discuss treatment options based on acute and chronic presentation types.
- Identify therapy options for treatment. Review surgical options for repair, reconstruction and salvage of the injury.
- Discuss outcomes and expectations to explain to the patient.
104
Top Tendon and Nerve Transfers that should be in every Hand Surgeon Practice
Chair: Susan E. Mackinnon, MD
Instructors: Harvey Chim, MD; Reid Draeger, MD; Kimberly A. Masker, OTD, OTR/L, CHT
Tendon transfers and nerve transfers are both useful tools for hand surgeons caring for patients with complex upper extremity injuries/pathology, and should be in the armamentarium of practicing hand surgeons. Tendon transfers may be more predictable, but may have limitations in achieving optimal functional recovery. Nerve transfers are appealing, but are not always a panacea. Deciding between tendon and nerve transfers for a given injujry is important and this ICL will provide guidance and information about tendon and nerve transfers that have the best patient outcomes.
Objectives: Following this session, the participant will be able to:
- Describe the indications for tendon and nerve transfers in the upper extremity.
- Discuss the nuances of decision making between tendon and nerve transfers.
- Learn about the most reliable, and most effective tendon and nerve transfers in the upper extremity.
105
Nerve Gap Management and Revision Nerve Surgery
Chair: Mark Rekant, MD
Instructors: John D. Lubahn, MD; Joseph F. Styron, MD, PhD; Ines C. Lin, MD; Brandon Smetana, MD; Danielle M. Zook, OTD, OTR/L, CHT
The options for management of nerve gaps in the upper extremity has changed with the inception of off the shelf products and the greater adoption of nerve transfers. This problem, along with revision nerve surgery, continue to challenge upper extremity surgeons. This ICL will discuss the management of nerve gaps in the upper extremity, as well as revision nerve surgery including failed nerve decompression and failed nerve repair.
Objectives: Following this session, the participant will be able to:
- Discuss an evidence-based approach to the management of nerve gaps in the upper extremity.
- Discuss the indications for use of nerve conduits and nerve allografts for nerve gap reconstruction.
- Review the various approaches for revision nerve surgery including decision making.
106
How To Dress your Hand Wounds
Chair: Nash H. Naam, MD
Instructors: Brittany J. Behar, MD; Miguel Pirela Cruz, MD; Nora Barrett, OTR/L, CHT; Carrie Bettlach, APP
Hand wounds are very common and occur from many different injury mechanisms. Options for care of hand wounds vary widely between surgeon and hand therapists, and there is no overall consensus on the optimal dressing or management strategy. Some wounds will heal with minimal intervention, and others will require flap coverage. This course will discuss different options to get your patients' hand wounds healed.
Objectives: Following this session, the participant will be able to:
- Describe the various types of hand wounds that occur and the anatomic location within the hand.
- Discuss different wound care strategies for hand wounds and the pros and cons of each option.
- Discuss when hand wounds require more complex surgical intervention such as flap coverage.
107
Cubital Tunnel Syndrome: When to Transpose, When to do a Nerve Transfer
Chair: Suhail Mithani, MD
Instructors: Ilvy H. Cotterell, MD; Brendan Mackay, MD; Fraser Leversedge, MD; Kimberly McVeigh, OT, CHT
Cubital tunnel syndrome and ulnar nerve pathology at the elbow comprise a heterogeneous group of conditions. There is still debate about the best surgical strategy for cubital tunnel decompression. This ICL will compare indications and techniques for for ulnar nerve compression; when and how to do it, framed in a point/counterpoint discussion.
Objectives: Following this session, the participant will be able to:
- Discuss indications for cubital tunnel decompression, including physical exam and EMG findings.
- Identify treatment options for patients with symptoms but negative EMG.
- Discuss pros and cons of operative strategies, including in situ release, subcutaneous and submuscular transposition.
- Discuss indications for reverse end to side AIN nerve transfer for severe cubital tunnel syndrome
108
Basal Joint Arthritis
Chair: Melvin P. Rosenwasser, MD
Instructors: David S. Zelouf, MD; Luis Felipe Naquira, MD; Philip E. Blazer, MD; Maureen A. O'Shaughnessy, MD; Jerome Wenninger, APP; Greg Pitts, OTD, OTR/L, CHT
CMC arthroplasty with tendon interposition is widely recognized as the gold standard for operatively managing symptomatic CMC arthritis. Many other techniques are emerging as viable alternatives. This session will discuss the role of arthroscopic debridement, implant arthroplasty and synthetic stabilization (tightrope, suture tape/swivel lock anchors), or arthrodesis play in treatment of thumb CMC arthritis
Objectives: Following this session, the participant will be able to:
- Discuss the common treatment options for basal joint arthritis of the thumb.
- Discuss emerging alternative techniques for the management of CMC arthritis.
- Recognize the limitations and complications of these newer techniques for treating CMC arthritis.
- Identify the post-operative rehab protocols following various CMC reconstructive techniques.
- Discuss surgical options surgical complication and recalcitrant pain
8:00 am - 8:10 am
President and Program Chairs Welcome (Not for Credit)
William W. Dzwierzynski, MD; AAHS President
Kyle R. Eberlin, MD; Meredith Osterman, MD; AAHS Program Chairs
8:10 am - 8:25 am
Invited ASHT President
Introduction: Stephanie Kannas, OTR/L, CHT
Knowledge Philanthropy
Aviva L Wolff, EdD, OTR, CHT
8:25 am - 8:30 am
HSE Update (Not for Credit)
Trent Gause, MD
8:30 am - 8:40 am
Vargas Award Presentation (Not for Credit)
Introduction: Gayle K. Severance, MS, OTR/L
2023 Recipient Presentation: Rebecca J. Saunders, BS, PT/CHT
2024 Recipient Announcement: Thomas Berger, DPT, CHT
8:40 am - 8:50 am
Reverse Surgery & Therapist Fellowship Programs (Not for Credit)
2020 Surgeon: Clay Siosi Lewi, MD; Department of Orthopedics, NRH, Honiara, Solomon Islands
2023 Surgeon: Papa Kwesi Sonsomir Fiifi-Yankson, MD; Komfo Anokye Teaching Hospital, Kumasi, Ghana
2023 Therapist: Robert Sowa, PT; Komfo Anokye Teaching Hospital; Kumasi, Ghana
8:50 am - 9:00 am
ABOS Update (Not for Credit)
Peter M. Murray, MD
9:00 am - 10:00 am
Concurrent Panel I: Primum Non Nocere: When to Put Down the Knife
Moderator: A. Lee Osterman, MD, FACS
Panelists:
Non-Operative Panel: Loree Kalliainen, MD; William C. Pederson, MD; Jane Fedorczyk, PhD,CHT, PT
Operative Panel: William Geissler, MD; Dean G. Sotereanos, MD; Fraser Leversedge, MD
The axiom of "First, do no harm" is paramount in hand and upper extremity surgery. There are many conditions for which there exist operative and non-operative solutions. This panel will delve into these clinical conditions and present a point-counterpoint discussion about the approach to such conditions, with an experienced panel of hand surgeons.
Objectives: Following this session, the participant will be able to:
- Discuss the clinical conditions which have both operative and non-operative approaches.
- Discuss the decision-making involved when deciding about surgical vs. non-surgical options.
- Utilize both data and experience to optimize the approach to patients with multiple options for treatment.
9:00 am - 10:00 am
Concurrent Panel II: How I Have Dealt With My Worst Complication
Moderator: Mark E. Baratz, MD
Panelists: Jesse B. Jupiter, MD; David J. Bozentka, MD; Lindley B. Wall, MD; Aviva Wolff, EdD, OT, OTR/L, MA, CHT
Despite the best intentions, detailed surgical plans, and well executed operations, complications occur in hand surgery. Dealing with complications can have a direct impact on surgeons' sense of wellbeing, confidence and capabilities. Discussion with colleagues after a challenging complication can be difficult, and there is fear of judgment. How do we get through difficult complications? This panel will address these issues.
Objectives: Following this session, the participant will be able to:
- Discuss the psychological impact of surgical complications on patients and surgeons.
- Share tools that employed by surgeons in dealing with these complications.
- Invoke conversation to promote healthy habits when dealing with surgical complications.
- Discuss examples of complications that have affected one's practice
10:00 am - 10:30 am
Coffee Break
10:30 am - 11:30 am
Panel III: DEI- Collaboration for a Better Tomorrow
Moderator: Miguel A. Pirela Cruz, MD, FAAOS, FACS; Gretchen Bachman; OTD, OTR/L, MBA, CHT
Panelists:
J. Manuel De La Rosa, MD
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Aletha Maybank, MD
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In this session, we aim to explore and understand the multifaceted aspects of delivering healthcare, particularly focusing on the problems associated with the uninsured and the barriers that hinder physicians from providing optimal care. We recognize that these issues are complex and require innovative thinking and collaborative efforts to overcome, particularly for surgical specialties such as Hand Surgery and Hand Therapy, which is lacking in many rural and inner-city communities.
Objectives: Following this session, the participant will be able to:
- Discuss programs that have shown promise in addressing these challenges while considering the limitations and resources available. By sharing successful initiatives, we aim to inspire attendees and provide them with tangible strategies that can be implemented within their communities.
- Identify goals to ensure that every patient, regardless of background or socioeconomic status, receives the best healthcare possible within available resources. We can significantly improve healthcare delivery and achieve health equity through collaboration, understanding, and creative problem-solving.
11:30 am - 12:15 pm
Jaiyoung Ryu Lectureship in Innovation
Introduction: William W. Dzwierzynski, MD
Psychological Adjustment Following Traumatic Hand Injury
Brad K. Grunert, PhD
Professor of Psychology, Department of Plastic Surgery, Medical College of Wisconsin
We will examine the common psychological reactions to traumatic hand injuries identifying the symptoms and issues which impact patients' return to functioning. The impact of disfigurement on the social relationships engaged in by patients will also be examined. Strategies to assist patients in adjusting to functional and appearance-related issues will be examined. A review of the presenter's research on return to work strategies will also be presented.
Objectives: Following this session, the participant will be able to:
- Identify symptoms associated with common psychological reactions to traumatic hand injuries.
- Identify some of the appearance-related consequences of traumatic hand injuries and how the surgical interventions chosen to address these impact the quality of patients' lives.
- Identify strategies for assisting patients in returning to their normal daily activities following hand trauma.
12:30 pm - 2:30 pm
Therapist Panel I: Utilizing EMG Results and Ultrasound Imaging to Optimize Hand Therapy
Chair: Miranda M. Materi, OTD, CHT
Panelists: Jeff Brault, DO; Michael Wainberg, MD
This course will focus on hand therapist using EMG results and Ultrasound imaging to guide practice and enhance clinical practice. EMG will focus on interpretation of results with compression and nerve reinnervation. Therapists will have hands on instruction in identifying anatomical structures using ultrasound. Clinical cases and scenarios will be used throughout the session to help identify when ultrasound imaging will benefit practice.
Objectives: Following this session, the participant will be able to:
- Interpret EMG documentation to help guide therapy interventions with nerve compression injuries.
- Describe how an EMG report will show nerve reinnervation.
- Identify three clinical situations that ultrasound imaging can guide clinical practice.
- Differentiate between tendon, muscle, ligament, and nerve based on the sonographic appearance.
- Compare intact anatomy structures utilizing ultrasound imaging
12:30 pm - 5:30 pm
Hands-On Surgical Skills Workshop
(Separate Registration Required) (Supported by Medartis)
Chair: John P. Dupaix, MD
Co-Chair: Nina Suh, MD
Faculty: Rohit Garg, MD; Nicole Zelenski, MD; Eric Wagner, MD; Youssra Marjoua, MD; Michael Galvez, MD; James Mullen, MD
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:
- Demonstrate on a saw bone model the application of basic principles of lag screw fixation, neutralization plate, and compression plating in hand fractures.
- Recognize fracture patterns and plan reduction of distal radius and perform volar plating n a distal radius sawbone model.
- Discuss surgical options for management of articular fractures and dislocations in the hand and perform them in sawbone model.
- Explain indications and demonstrate technique for fixation of scaphoid fractures in a sawbone model.
2:30 pm - 4:30 pm
Advanced Practice Provider Session: Future Empowerment and Development of APPs
Panelists: Micayla Zeltman, APP; Stephanie Stradley, APP; Julie West, APP; Carrie Bettlach, APP; Jerome Wenninger, APP
This session will discuss the current trend in healthcare of APP Leadership positions that contribute to the empowerment, training, onboarding and education of APPs in hand surgery.
Objectives: Following this session, the participant will be able to:
- Review the growing trend of APP Leadership in healthcare.
- Utilization of APP leadership to maximize potential of APPs in healthcare and hand surgery.
- Role that APP leadership plays in the efficient and effective utilization of APPs in hand surgery.
- Review the structured approach for APP onboarding in hand surgery.
4:00 pm - 5:30 pm
Wellness Session (Not for Credit)
Chair: David J. Bozentka, MD
Speaker: Simon Talbot, MD
Hands-On Demonstration: Bruce Hucko
DRAW YOUR HAND! Art Coach! Bruce will guide participants through a straight-forward drawing lesson, mixed with some creative play as you - guess what? - DRAW YOUR HAND!
5:30 pm - 6:30 pm
Meet the Masters: Reception and Trivia Contest (Not for Credit)
Chairs: Kyle R. Eberlin, MD & Meredith Osterman, MD
Teams 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.
6:30 pm - 8:00 pm
Welcome Reception in Exhibit Hall
Thursday January 11, 2024
6:30 am - 8:00 am
Continental Breakfast
6:45 am - 7:45 am
AAHS Instructional Courses
109
Athlete's Elbow - UCL, OCD, Distal Biceps/Triceps
Chair: Mark E. Baratz, MD
Instructors: Christopher Kifto, MD; Michael R. Hausman, MD Alberto Rojas Vargas, MD; Joey Pipicelli, MScOT, PhD; Haley Jacobs, APP
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 that occur in the weekend warrior and professional athlete of all ages.
Objectives: Following this session, the participant will be able to:
- Discuss anatomy pertinent to elbow stability and what is most important to restore after injury.
- Discuss what to do with tendon injuries about the elbow
- Discuss ligament repair.
- Discuss how therapy can be paramount in restoring motion while protecting surgical interventions.
- Discuss the role of arthroscopy in managing elbow injuries.
110
DRUJ/IO Membrane
Chair: Dean G. Sotereanos, MD
Instructors: Deana M. Mercer, MD; Jorge L. Orbay, MD; Abhi Bashyam, MD; Melissa Thurlow, CHT
Instability of the DRUJ can develop acutely after injury or may develop insidiously after bony misalignment or soft tissue laxity. The diagnosis and treatment of this problem can be controversial, and will be discussed in this session. The course will focus on anatomy of the DRUJ and its clinical implications in open and arthroscopic treatment. Additionally, 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:
- To clinically examine the patient's injuries properly and create a decision-tree to its diagnosis.
- Treat and manage disorders and injuries, both acute and chronic, of the DRUJ and IOL.
- Discuss how to identify and manage complications associated with treatment of injuries of the DRUJ and IOL.
- Discuss the indications, risks and benefits of non-operative management of injuries of the IOL.
- Develop a treatment algorithm for management of injuries of the IOL.
111
Advanced Arthroscopy For The Wrist And Hand
Chair: Jeffrey Yao, MD
Instructors: Chase Kluemper, MD; Steve Moran, MD; Fabio Suarez, MD
This course will demonstrate the latest techniques in arthroscopy of the wrist and hand. Comprehensive in nature the course lecture will address topics including treatment of TFCC, Fractures and instability as well as indications for small joint arthroscopy.
Objectives: Following this session, the participant will be able to:
- Recognize appropriate cases for arthroscopic management of wrist and hand pathology.
- Discuss arthroscopic skills for improved patient outcomes with wrist and hand arthroscopic procedures.
- Identify proficiency in wrist and hand arthroscopy though learned technical tips.
112
Pediatric Hand Surgery 2024
Chair: Kevin J. Little, MD
Instructors: Lindley B. Wall, MD; Daniel A. Zlotolow, MD; Andrea S. Bauer, MD; Hannah Gift, CHT; Lauren Perry, APP
Pediatric injuries and congenital anomalies present unique issues because of the developing brain, open physes, and potential for remodeling. As a result, timing of surgery as well as type of procedure performed are many times dependent on the age and other aspects of the pediatric patient. The objective of this course is to discuss these issues from the perspective of experienced pediatric hand surgeons
Objectives: Following this session, the participant will be able to:
- Discuss issues associated with treating the developing pediatric patient.
- Identify how the age of the patient alters the treatment in terms of non-operative as well as operative approaches.
- Identify the effect of anesthesia on the developing brain.
113
Tips And Tricks To Optimize Your Flexor Tendon Surgery
Chair: Donald H. Lalonde, MD
Instructors: Bradley Palmer, MD; Nash H. Naam, MD; Thomas Gillon, MD; Alexandra MacKenzie, CHT
Flexor tendon injuries have long been recognized as a challenging area for hand surgeons to achieve excellent outcomes, particularly in zone II. Over the past decade, advances have been made to help the hand surgeon and his/her patients achieve recovery. This ICL will discuss pearls of flexor tendon surgery, including repair technique, pulley venting, WALANT surgery, and post-operative rehabilitation
Objectives: Following this session, the participant will be able to:
- Discuss the challenges, as well as patient and surgeons expectations following flexor tendon repair.
- Describe the different repair techniques and their advantages and disadvantages.
- Describe the utility of WALANT surgery in the intra- and post-operative recovery process.
- Discuss post-operative rehab protocols and how this is decided for surgeon and patient.
114
Hand Flaps 101
Chair: Matthew L. Iorio, MD
Instructors: Lydia Helliwell, MD; Krystle R. Tuano, MD; Sonu A. Jain, MD; Thomas G. Berger, DPT, CHT
This course will illustrate options for soft tissue reconstruction in the hand with attention to common hand flaps which all hand surgeons should know. Techniques to avoid complications will be discussed, as well as post-operative protocols and decision making for flap choice
Objectives: Following this session, the participant will be able to:
- Discuss indications for flap coverage in the hand and wrist.
- Identify the options for local and regional flap coverage.
- Outline operative pearls for flap dissection and technical details.
115
Dupuytrens
Chair: Prosper Benhaim, MD
Instructors: Sidney M. Jacoby, MD; Nicholas Crosby, MD; Gary M. Pess, MD; Chelsea Barker, MScOT
This course will provide a concentrated review of the basic science, anatomy, clinical features, therapeutic options, outcome studies, and potential complications of Dupuytren's disease. Treatment options will be covered, including the indications and relative advantages/disadvantages of newer treatments, such as needle aponeurotomy and collagenase injection. The attendee will be better able to evaluate treatment options that are individualized to the patient, with a clear understanding of the relative advantages and disadvantages of each treatment modality, both acutely and long term. Technical aspects of conventional surgery, needle aponeurotomy, and collagenase injection will be discussed to maximize efficacy and patient safety
Objectives: Following this session, the participant will be able to:
- Discuss the genetics and basic science of Dupuytren's disease.
- Review the detailed anatomy pertinent to Dupuytren's disease.
- Identify the common and uncommon clinical features of Dupuytren's disease, and their implications for the patient.
- Review the numerous treatment options, including specific indications, alternatives, complications, and limitations of each approach.
- Critically analyze the advantages and disadvantages of each treatment approach, selecting an approach that fits each individual patient.
- Develop an approach that balances the relative morbidity and recurrence rate of each approach
116
My Scaphoid Fracture Failed…Now What?
Chair: James P. Higgins, MD
Instructors: Ruby Grewal, MD, FRSCS; Andrew J. Miller, MD; Thomas Wright MD; Danielle Sparks, CHT
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? What about fractures that go onto nonunion and malunion - what role does vascularized grafting play in revision surgery?
Objectives: Following this session, the participant will be able to:
- Discuss the utility of early fixation versus casting of nondisplaced scaphoid fractures.
- Discuss the use of advanced imaging in deciding on operative versus non-operative treatment of acute scaphoid fractures.
- Discuss the utility of bone grafting for acute scaphoid fractures.
- Discuss the type of fracture stabilization for scaphoid fractures.
- Discuss the utility of arthroscopic assisted scaphoid fixation.
8:00 am - 8:05 am
Presidential & Program Chairs Welcome (Not for Credit)
William W. Dzwierzynski, MD; AAHS President
Kyle R. Eberlin, MD & Meredith Osterman, MD; AAHS Program Chairs
Gayle K. Severance, MS, OTR/L, CHT; AAHS Therapist Co-Chair
Stephanie Kannas, OTR/L, CHT; AAHS Therapist Co-Chair
Jerome J. Wenninger Jr., PA-C, AAHS Advance Practice Provider Chair
8:05 am - 8:10 am
Columbian Society of Surgery of the Hand President Welcome (Not for Credit)
Carlos Torres, MD
8:10 am - 8:15 am
ASSH President Welcome (Not for Credit)
Steven L. Moran, MD
8:15 am - 9:00 am
Presidential Address (Not for Credit)
Introduction: David Ruch, MD
Inclusion: Where we began. Where are we now?
William W. Dzwierzynski, MD
9:00 am - 9:45 am
Invited Guest Speaker (Not for Credit)
Introduction: William W. Dzwierzynski, MD
Art and the Hand: Subject, Tool, Metaphor
Bruce Hucko
Utah art educator Bruce Hucko will deliver a visually rich power-point presentation revealing ways the hand figures in art - as object, as subject, as tool, as metaphor, as creative muse. This presentation will feature his 40+ year work with Navajo, Pueblo and the current children of HMK Elementary in Moab, UT., as well as historic hand images and art. Hucko will also address his concerns towards children, creativity and art as observed in his classroom.
9:45 am - 10:15 am
Coffee Break with Exhibitors
HS 1. Post-Operative Outcomes of Metacarpal Neck Fractures Treated with Intramedullary Screw Fixation or Percutaneous Pinning
Tiffany N Bridges, DO
1; Stephanie A. Kwan, DO
1; Johnlevi Lazaro, DO
1; Christopher Jones, MD
2; Jonas Matzon, MD
3; Michael Rivlin, MD
4
1Jefferson Health - New Jersey, Stratford, NJ; 2Orthopaedics, Rothman Orthopaedic Institute, Philadelphia, PA; 3Rothman Orthopaedics, Sewell, NJ; 4Rothman Orthopaedic Institute, Philadelphia, PA
HS 2. Primary Surgical Treatment of Displaced Intraarticular Pediatric Radial Head Fractures Improves Outcomes and Decreases the Need for Salvage Surgery
Andrea HW Chan, MD, MA, FRCSC
1; Julianna Lee, BA
2; Jennifer Marks, MS
3; Charles J Nesralla, MD
4; Roger Cornwall, MD
5; Andrea S Bauer, MD
6; Apurva S Shah, MD MBA
2; Kevin J. Little, MD
7
1University of Toronto, Toronto, ON, Canada; 2The Children's Hospital of Philadelphia, Philadelphia, PA; 3Cincinnati Children's Hospital Medical Center, Ciincinnatii, OH; 4Harvard University Combined Orthopaedic Residency, Boston, MA; 5Department of Orthopaedic Surgery, Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH; 6Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA; 7Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
HS 5. Characterization of Upper and Lower Extremity Firearm Injuries in the Pediatric Population: A Single Institutional Experience Update
Jeremiah M Taylor, BS
1; Rebecca Lynn DeSanti, MD
2; Abra Shen, MD
2; Thais Calderon, MD
3; Yusha Liu, MD
2; Christopher S. Crowe, MD
4; Kari A Keys, MD
3
1David Geffen School of Medicine at UCLA, Los Angeles, CA; 2University of Washington, Harborview Medical Center, Seattle, WA; 3University of Washington, Seattle, WA; 4Mayo Clinic, Rochester, MN
HS 6. SNAPU: A Randomized Controlled Trial Comparing Low-Intensity Pulsed Ultrasound to Sham in the Treatment of Operatively Managed Scaphoid Non-Unions
Neil J White, MD, FRCS(C)
1; Gurpreet S Dhaliwal, MD, FRCS(C)
1; Ethan D Patterson, Medical Student
2; Kevin A Hildebrand, MD, FRCS(C)
1
1University of Calgary, Calgary, AB, Canada; 2Queens University, Kingston, ON, Canada
10:29 am - 10:35 am
Panel Discussion
HS 8. Gunshot-Related Upper Extremity Nerve Injury: A Systematic Review and Meta-Analysis
Helene Retrouvey, MD PhD
1; Cecile Harmange, MD
2; Moaath Saggaf, MD
3; Fraser J Leversedge, MD
1; Alexander Lauder, MD
4
1University of Colorado, Aurora, CO; 2University of Colorado School of Medicine, Aurora, CO; 3University of Toronto, Toronto, ON, Canada; 4Denver Health Medical Center, Denver, CO
HS 9. Clinical Outcomes of Revision Carpal Tunnel Release Treated with Adipofascial Flap and Nerve Wrapping.
Sneha R Rao, MD
1; Steven L Zeng, BA
1; Alexandra Krez, BS
1; David S Ruch, MD
1; Christopher S Klifto, MD
2; Suhail K. Mithani, MD
3
1Duke University, Durham, NC; 2Duke Univeristy Hospital, Durham, NC; 3Plastics and Reconstructive Surgery, Duke University Medical Center, Durham, NC
HS 11. Percutaneous internal fixation for mallet finger injuries. Cross-sectional study
Luis Felipe Na?quira-Escobar
1, Juan Guillermo Rami?rez
1, Mateo Patin ?o-Aristiza?bal
2, Mariana Pe?rez-Jaramillo
2, Victoria Eugenia Restrepo-Noriega
3, Mario-Andre?s Arcila-Lotero
4
1Ortopedista - Traumato?logo, Cirujano de mano Instituto Colombiano del Dolor, 2Interno Facultad de Medicina, Universidad CES, Medelli?n, Colombia, 3Me?dica-Cirujana U.R, Residente de Epidemiologi?a UNAB, Ayudante Quiru?rgica Ortopedia y Traumatologi?a Cli?nica el Rosario Sede Centro, Medelli?n, Colombia, 4Anestesio?logo Instituto Colombiano del Dolor y Neurome?dica, Epidemio?logo Universidad CES, Medelli?n, Colombia
HS 12. Time from Injury to Surgery Influences Surgical Technique and Complication Rate in Distal Biceps Tendon Repair
Laura Morrison, MD, MSc
1; Bayan A Ghalimah, MBSS
2; Chloe L. Elliott, Bachelor of Science Student
3; Eric C. Sayre, PhD
4; Neil J White, MD, FRCS(C)
1
1University of Calgary, Calgary, AB, Canada; 2University of Calgary, Caglary, AB, Canada; 3Lindenwood University, St. Charles, MO; 4British Columbia Centre on Substance Use, Vancouver, BC, Canada
HS 13. Which Serum Biomarkers Predicts Patient-Reported Outcomes Following Treatment for Carpometacarpal Arthritis? A Biomarker Study Using a Machine Learning Approach
Mauro Maniglio, MD
1; Moaath Saggaf, MD
2; Mohit Kapoor, MD
2; Anusha Ratneswaran, MD
2; Nupur Purohit, MD
2; Daniel Antflek, BSc
3; Heather L Baltzer, MSc, MD, FRCSC
3
1Toronto Western Hospital, Toronto, ON, Switzerland; 2Toronto Western Hospital, Toronto, ON, Canada; 3University of Toronto, Toronto Western Hospital, Toronto, ON, Canada
HS 14. Dorsal approach for Fractures on the Base of the First Metacarpal: Anatomical Study
Na?quira Luis Felipe
1, Rami?rez Juan Guillermo
1, Arcila Mario
2, Go?mez Miguel
1, Villegas-Gonza?lez Mauricio
1, Restrepo-Noriega Victoria Eugenia
3
1Orthopedist and Traumatologist, Medelli?n, Colombia, 2Anesthesiologist and Algesiologist, Medelli?n, Colombia, 3Medicine and Surgery UR, Epidemiologist UNAB, Medelli?n, Colombia
10:49 am - 10:55 am
Panel Discussion
HS 16. Preoperative Axonal Loss on Electrodiagnostics as a Prognostic Factor for Favorable Patient-Reported Improvement Following Carpal Tunnel Release
Nicholas Livingston, BA
1; Eric X Jiang, MD
2; Alisha Williams, BS
1; Logan Hansen, MD
3; Mitchell Wu, MS
1; Charles S Day, MD, MBA
2
1Wayne State University School of Medicine, Detroit, MI; 2Henry Ford Health System, Detroit, MI; 3Henry Ford Hospital, Detroit, MI
HS 17. Increased Provider Surgical Volume Decreases Procedural Costs in the Repair of Distal Radius Fractures
Kevin G Hu, BA
1; Alexander J Kammien, BS
1; Mica CG Williams, B.S.
2; Fortunay Diatta, MD, MBE
2; K Lynn Zhao, MD
1; Brogan Evans, MD
1; David L Colen, MD
2
1Yale School of Medicine, New Haven, CT; 2Yale University School of Medicine, New Haven, CT
HS 18. Biopsy of the Posterior Interosseous Nerve Indicates Neuropathy in Surgically Treated Patients with Ulnar Nerve Entrapment - Preliminary Observations
Erika Nyman, MD; Seyedamin Razavizadeh, MD; Antonia Papadopoulou, MD
2; Simin Mohseni, MD; Niels Thomsen, MD; Lars B. Dahlin, MD, PhD
3
1Department of Surgical Sciences, Plastic and Reconstructive surgery, Uppsala University Hospital, Uppsala, Sweden; 2Hand Surgery, Department of Clinical Sciences Malmö, Malmö, Sweden
HS 21. Phalangeal Fractures in Pediatric Hand Trauma: An Analysis of Epidemiology and Risk Factors
Meeti Mehta, BS
1; Anne E Glenney, BA
2; Alexander J Davit III, MD
3
1University of Pittsburgh School of Medicine, Pittsburgh, PA; 2University of Pittsburgh Medical Center, Pittsburgh, PA; 3Department of Plastic Surgery, University of Pittsburgh Medical Center / Children's Hospital of Pittsburgh, Pittsburgh, PA
11:09 am - 11:15 am
Panel Discussion
HS 24. Pinch Strength of Patients with CMC Arthritis and its Concomitant Conditions
Carissa C Dock, BBME
1; Rebecca Stone McGaver, MS, ATC
2; Clare McCarthy, MD
3
1University of Minnesota, Minneapolis, MN; 2Twin Cities Orthopedices, Edina, MN; 3Twin Cities Orthopedics, Edina, MN
HS 25. Comparing the Leading Surgical Indications for Total Elbow Arthroplasty: National Trends in Case Volumes and Demographic Incidences From 2010-2018
Jacob A. Worden, BS
1; Haley McKissack, MD
2; Hayden L Cooke, BS
2; Anthony L. Karzon, MD
3; Michael B. Gottschalk, MD
2; Eric R. Wagner, MD, MS
2
1Medical College of Georgia, Augusta, GA; 2Emory University, Atlanta, GA; 3Emory University School of Medicine, Atlanta, GA
HS 26. Capitolunate Versus Four-Corner Fusion for Mid Carpal Arthrosis
Etka Kurucan, MD
1; Alexis Kasper, BS
2; Pedro K Beredjiklian, MD
2; Rick Tosti, MD
3
1Temple University Hospital, Philadelphia, PA; 2Rothman Orthopaedic Institute, Philadelphia, PA; 3Orthopaedic Surgery and Sports Medicine, Rothman Institute, Philadelphia, PA
HS 27. Outcomes of FCR Tenotomy and STT Debridement for STT arthritis
Marijke J DeVos, MD
1; Saral J Patel, M.B.B.S, MS
1; Sebastian D Arango, BS
1; Adam B Strohl, MD
1; David S Zelouf, MD
2; Andrew J. Miller, MD
3
1Philadelphia Hand to Shoulder Center - Thomas Jefferson University, Philadelphia, PA; 2Department of Orthopaedic Surgery, Philadelphia Hand to Shoulder Center - Thomas Jefferson University, Philadelphia, PA; 3Orthopaedics, Philadelphia Hand to Shoulder Center - Thomas Jefferson University, Philadelphia, PA
HS 28. TSA Ambulatory Surgery Centers Versus Hospital Surgery Centers: Complications and Costs
Andrew R Horn, MD; Paul Mastrokostas, BS; Joshua Harounian, BS; Ameer Tabbaa, MD; Ariel N Rodriguez, MD; Asad M Ashraf, MD; Afshin Razi, MD; Jack Choueka, MD
Maimonides Medical Center, Brooklyn, NY
10:29 am - 10:35 am
Panel Discussion
HS 29. Arthroscopic-Assisted Lower Trapezius Tendon Transfer Yields Improved Outcomes Compared to Superior Capsular Reconstruction for Massive Irreparable Rotator Cuff Tears
Haley McKissack, MD
1; Hayden L Cooke, BS
1; Sameer Khawaja, BS
1; Anthony L. Karzon, MD
2; Michael B. Gottschalk, MD
1; Eric R. Wagner, MD, MS
1
1Emory University, Atlanta, GA; 2Emory University School of Medicine, Atlanta, GA
HS 30. Testosterone Replacement Therapy is Associated with Increased Rates of Trigger Finger and De Quervain’s Tenosynovitis with Increased Rates of Requiring Surgical Release
J. Alex Albright, BS
1; Patrick S Barhouse, BS
1; Elliott Rebello, BS
1; Kenny Chang, BS
1; Joseph A Gil, MD
2; Alan H Daniels, MD
3; Michel A. Arcand, MD
1
1Brown University, Providence, RI; 2Department of Orthopaedic Surgery, Alpert Medical School of Brown University, Providence, RI; 3Brown University, Warren Alpert Medical School, Providence, RI
HS 31. Clinical Effectiveness of Splinting After Collagenase Clostridium Histolyticum for Dupuytren Contracture
Craig Dent, MS
1; Nino Coutelle, MD
1; Rajeev Herekar, D.O.
2; Tantien Nguyen, BS
3; Jason A Nydick, DO
3; Alfred Vincent Hess, MD
4; Michael C Doarn, MD
5; Jeffrey Stone, MD
6; Michael Garcia, MD
3; Peter Simon, Ph. D.
1
1Foundation For Orthopaedic Research and Education, Tampa, FL; 2Nova Southeastern University, Davie, FL; 3Florida Orthopaedic Institute, Tampa, FL; 4Orthopedic Surgery/ Hand and Wrist, Florida Orthopaedic Institute, Tampa, FL; 5Hand and Upper Extremity Surgery, Florida Orthopaedic Insititue, Tampa, FL; 6Florida Orthopaedic Institute, Temple Terrace, FL
HS 32. Midaxial Proximal Phalanx Corticosteroid Injection for Stenosing Tenosynovitis
Craig Dent, MS
1; Riley Schlub, MD
2; Michael Kucharik, MD
3; Nino Coutelle, MD
1; Layanne Nayfeh, BS
1; Michael C Doarn, MD
4; Alfred Vincent Hess, MD
5; Peter Simon, Ph. D.
1
1Foundation For Orthopaedic Research and Education, Tampa, FL; 2Florida Orthopaedic Institute, Tampa, FL; 3University of South Florida, Tampa, FL; 4Hand and Upper Extremity Surgery, Florida Orthopaedic Insititue, Tampa, FL; 5Orthopedic Surgery/ Hand and Wrist, Florida Orthopaedic Institute, Tampa, FL
HS 33. Timing of Carpal Tunnel or Trigger Finger Release After a Steroid Injection In The Operative Hand
Riikka E Koso, MD
1; Hannah Piston, BS
2; Asher B. Mirvish, BA
3; Confidence Njoku-Austin, BA
2; Runjia Li, MS
4; John R. Fowler, MD
5
1UPMC, Pittsburgh, PA; 2University of Pittsburgh Medical Center, Pittsburgh, PA; 3University of Pittsburgh School of Medicine, Pittsburgh, PA; 4University of Pittsburgh, Pittsburgh, PA; 5Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
HS 34. Effectiveness Of Conservative Management In Treating Trigger Finger In Diabetic Patients: Prospective Cohort Of Diabetic Patients
Alexandra B Munn, MD, MSc
1; Kathryn Minkhorst, BSc
1; Joy MacDermid, BScPT, MSc, PhD
2; Ruby Grewal, MD, MSc
3
1Western University, London, ON, Canada; 2Hand and Upper Limb Center, University of Western Ontario, Roth|MacFarlane Hand and Upper Limb Centre, London, ON, Canada; 3Hand and Upper Limb Center, Western University, London, ON, Canada
HS 35. Outcomes of Collagenase Treatment for Dupuytren Contracture of PIP Joint
Craig Dent, MS
1; Nino Coutelle, MD
1; Andrew Moore, MD
2; Matthew Nester, BS
2; Jason A Nydick, DO
3; Peter Simon, Ph. D.
1
1Foundation For Orthopaedic Research and Education, Tampa, FL; 2University of South Florida, Tampa, FL; 3Florida Orthopaedic Institute, Tampa, FL
10:49 am - 10:55 am
Panel Discussion
HS 36. The Bridged Digital Artery Perforator Flap as an Alternative Reconstructive Option for Dorsal Digital or Toe Soft Tissue Defects
Epameinondas Kostopoulos, MD, PhD
1; Petros Konofaos, MD, PhD
2; Matthew B Mitchell, MD
3; Ioannis Kotsakis, MD
4; George Skepastianos, MD, PhD
5; Efi Apostolou, MD
6; Vincent Casoli, MD, PhD
7
1Metaxa Antcancer Hospital, MAROUSSI-ATHENS, PIRAEUS-ATHENS, Greece; 2Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN; 3University of Tennessee Health Science Center, Memphis, TN; 4‘A. Sygros’ Hospital, National and Kapodistrian University of Athens, Athens, Greece; 5Metaxa Anticancer Hospital, PIRAEUS, Greece; 6Metaxa Antcancer Hospital, PIRAEUS, Greece; 7University Hospital Bordeaux, Bordeaux, France
HS 37. Routine Pathological Examination of Clinically Presumed Dupuytren Disease: Does It Add Value?
Kathryn J Uhlman, MD, MBA, MSc(HQ)
1; Thoma Achilles, MD, MSc, FRCS(C)
2; Michael Bonert, MD, MASc
3; Eric Duku, PhD
3
1University of Toronto, Toronto, ON, Canada; 2Department of Surgery, Division of Plastic Surgery, St. Joseph's Healthcare and McMaster University, Hamilton, ON, Canada; 3McMaster University, Hamilton, ON, Canada
HS 38. Management of Xylazine-Induced Soft Tissue Necrosis - A Review of 20 cases
Helene Retrouvey, MD PhD
1; Maximilian Meyer, MD
2; Kyros Ipaktchi, MD
2; Andrew Maertens, MD
2; Matthew Folchert, MD
1; Alexander Lauder, MD
3
1University of Colorado, Aurora, CO; 2University of Colorado School of Medicine, Aurora, CO; 3Denver Health Medical Center, Denver, CO
HS 39. Critical Digit Ischemia Timing and Temperature of Preservation
Arman J Fijany, MD; Sara C Chaker, BS; Hannah Egozi, BS; Ya-Ching Hung, MD/MPH; J. Bradford Hill, MD; Panambur Laxminarayan Bhandari, MD; Wesley P. Thayer, MD, PhD; William Lineaweaver, MD
Vanderbilt University Medical Center, Nashville, TN
HS 40. Is An Increased Trapezial Slope A Cause Of Early Trapeziometacarpal Osteoarthritis?
Mauro Maniglio, MD
1; Lara Maniglio, MD
1,2; Fabian Aregger, MD
3; Andreas Schweizer, MD
4
1Balgrist University Hospital, Zürich, ZH, Switzerland; 2Hospital Grabs, Grabs, Switzerland; 3Inselspital, Bern, BE, Switzerland; 4Department of Orthopedics, Balgrist University Hospital, Zurich, Switzerland
HS 41. Unmet Challenges: Assessing Non-healing Xylazine Wounds and the Paucity of Effective Treatment Options. A Retrospective Review with Illustrative Cases.
Genoveffa R Morway, DO
1; Parker H Johnsen, MD
2; Aaron Jackson, DO, DPT
1; Pietro Gentile, BS
2; Katharine T Woozley, MD
2
1Philadelphia College of Osteopathic Medicine, Philadelphia, PA; 2Cooper University Hospital, Camden, NJ
11:09 am - 11:15 am
Panel Discussion
HS 44. Synpolydactyly of the Hand: An Updated Classification System
Apurva S Shah, MD MBA
1; Emily M Graham, MD
1; Andrea S Bauer, MD
2; Suzanne Steinman, MD
3; Shaun D. Mendenhall, MD
1; Lindley B Wall, MD
4
1The Children's Hospital of Philadelphia, Philadelphia, PA; 2Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA; 3Division of Plastic Surgery, Seattle Children's Hospital, Seattle, WA; 4Washington University School of Medicine, St. Louis, MO
HS 46. Outcomes of the Dorsal-Volar Two-Triangular Flap Technique to Improve Contour and Appearance in 139 Preaxial Polydactyly Reconstructions
John R Vaile, BS
1; Niki K Patel, MD, MSc
1; Eliza Buttrick, BA
1; Santiago E Lopez Becerra, BA
2; Sarah L Struble, BS
1; Apurva S Shah, MD MBA
1,2; Benjamin Chang, MD
1,2; Shaun D. Mendenhall, MD
1,2
1The Children's Hospital of Philadelphia, Philadelphia, PA; 2Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
HS 48. Outcomes of 1,621 Polydactyly Reconstructions from the Polydactyly at the Children’s Hospital of Philadelphia Database
Sarah L Struble, BS
1; Niki K Patel, MD, MSc
1; Eliza Buttrick, BA
1; Sarah L Barnett, BA
1; John R Vaile, BS
1; Benjamin Chang, MD
2; Apurva S Shah, MD MBA
2; Shaun D. Mendenhall, MD
1
1The Children's Hospital of Philadelphia, Philadelphia, PA; 2Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
HS 49. A Novel Radiographic Subclassification of Type A Postaxial Polydactyly
Holly Cordray, BS
1; Apurva S Shah, MD MBA
1,2; Eliza Buttrick, BA
2; Shaun D. Mendenhall, MD
1,2
1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 2The Children's Hospital of Philadelphia, Philadelphia, PA
11:29 am - 11:35 am
Panel Discussion
HS 50. Documented Cannabis Use is a Risk Factor for Nonunion after Nonoperative Management of Scaphoid Fractures: A Retrospective Review of 159,998 Patients
Neil Pathak, MD
1; Phillip P. Ratnaswami, BS
1; Oghenewoma Oghenesume, BS
1; Xuan Luo, MD
1; Jonathan N Grauer, MD
2; Andrea Halim, MD
1
1Yale University, New Haven, CT; 2Yale School of Medicine, New Haven, CT
HS 51. Comparing Antegrade Versus Retrograde Intramedullary Screw Fixation For Extra-Articular Diaphyseal Fractures Of The Proximal Phalanx. A Biomechanical Study.
Bert Vanmierlo, MD
1; Bruno Vandekerckhove, MD
2; Shanna Zielinski, n/a
1; Joris Duerinckx, MD, PhD
3; Jean Goubau, MD, PhD
4; Bert Op 't Eijnde, PhD
1
1UHasselt, Hasselt, Limburg, Belgium; 2AZ Delta, Roeselare, West-Vlaanderen, Belgium; 3ZOL Genk, Genk, Limburg, Belgium; 4UZ Brussel, Brussel, Brussels Hoofdstedelijk Gewest, Belgium
HS 53. Scaphoid Fractures: Is a Single Screw Enough?
Stephanie A. Kwan, DO
1; Tiffany N Bridges, DO
1; Levi Buchan, DO
1; Ashkan Sedigh, BS
2; Richard Tosti, MD
2; Justin Kistler, MD
2; Amir R Kachooei, MD
3; Michael Rivlin, MD
2
1Jefferson Health - New Jersey, Stratford, NJ; 2Rothman Orthopaedic Institute, Philadelphia, PA; 3Rothman Orthopedics Florida at AdventHealth, Orlando, FL
HS 54. Trends in Hand and Digit Traumatic Amputations and Replantations Over a Decade: An Evaluation of Two National Databases from 2010-2019
Theodore E. Habarth-Morales, BS,
1LT, USAR
1,2; Mehdi S Lemdani, BA
2; Tien Thuy Nguyen, BS
2; Harrison D Davis, BS
3; Robyn B Broach, PhD
2; Arturo J Rios-Diaz, MD
2; Ines C. Lin, MD
2
1Thomas Jefferson University, Philadelphia, PA; 2University of Pennsylvania, Philadelphia, PA; 3Temple University, Philadelphia, PA
HS 55. Dorsal Spanning Plate Malreduction of Distal Radius Fractures and the Impact on Forearm Rotation
Miranda J. Rogers, MD, MS
1; John T Heineman, MD, MPH
1; Suzanna Ohlsen, MD
1; Scott Telfer, Eng.D.
1; James Nolan Winters, MD
2; Nicholas Iannuzzi, MD
1
1University of Washington, Seattle, WA; 2Institute for Plastic Surgery, University of Washington, Seattle, WA
11:49 am - 11:55 am
Panel Discussion
HS 57. Time To Surgical Management Of Distal Radius Fractures: Effects On Healthcare Utilization And Functional Outcomes
Kathy Liu, MPH, MD
1; Emma J.M. Grigor, MSc, MD(c)
2; Daniel Antflek, BSc
1; George Ho, MD
3; Heather L Baltzer, MSc, MD, FRCSC
1; Ryan Paul, MD FRCSC
1
1University of Toronto, Toronto Western Hospital, Toronto, ON, Canada; 2University of Ottawa, Ottawa, ON, Canada; 3University of Toronto, Toronto, ON, Canada
HS 59. Risk Factors for the Development of Persistent Scaphoid Non-Union After Non-Union Surgery
Ethan D Patterson, Medical Student
1; Chloe L. Elliott, Bachelor of Science Student
2; Gurpreet S Dhaliwal, MD, FRCS(C)
3; Eric C. Sayre, PhD
4; Neil J. White, MD, FRCS
5
1Queens University, Kingston, ON, Canada; 2Lindenwood University, St. Charles, MO; 3University of Calgary, Calgary, AB, Canada; 4British Columbia Centre on Substance Use, Vancouver, BC, Canada; 5Orthopaedic Surgery, University of Calgary, Calgary, AB, Canada
HS 61. The Impact of State Level Voting Trends, Medicare Expansion Laws, and Hospital Price Transparency On Cost of Distal Radius Fracture Management
Travis Kotzur, BS
1; Aaron Singh, BA
1; Jordan Carter, MD
1; Ralph Zachary Garza, MD
2; Christina Brady, MD
2
1UT Health San Antonio, San Antonio, TX; 2Audie L. Murphy Memorial Veterans' Hospital, San Antonio, TX
HS 62. Risk of Refracture in Proximal Both Bone Forearm Fractures among Skeletally Immature Patients
Alexander Aretakis, MD
1; Zachary Clarke, MD
1; Andy Lalka, MPH
1; Aaron Brandt, MD
2; Gaia Georgopoulos, MD
1; Sarah E Sibbel, MD
3
1University of Colorado, Aurora, CO; 2Johns Hopkins, Baltimore, MD; 3University of Colorado School of Medicine, Aurora, CO
12:09 pm - 12:15 pm
Panel Discussion
HS 66. Understanding Survival, Prognostic Factors and Treatment Patterns for Malignant Bone Sarcomas of the Hand: A National Cancer Database Analysis
Azeem Tariq Malik, MBBS
1; Annie Chen, MSc
2; Thomas Utset-Ward, MD
1; Thomas Scharschmidt, MD
1; Joel Mayerson, MD
3; Carl Quinion, MD
1; John H Alexander, MD
1
1The Ohio State University Wexner Medical Center, Columbus, OH; 2The Ohio State University College of Medicine, Columbus, OH; 3Orthopedic Surgery, Ohio State University, Columbus, OH
HS 67. Ganglion Cyst Recurrence After Post-Operative Casting Immobilization
Maheen Nadeem, MD
1; Peter A Andrawes, MD
2; John D Lubahn, MD
3
1UPMC Hamot Orthopedic Surgery, Erie, PA; 2Hand, Microsurgery and Reconstructive Orthopaedics, LLP, Erie, PA; 3Orthopaedics, UPMC Hamot, Erie, PA
11:29 am - 11:35 am
Panel Discussion
HS 72. Thumb Carpometacarpal Denervation Has Grown in Popularity Since 2019
Daniel A Portney, MD
1; Cody Lee, MD
1; Walaa Abdelfadeel, MD
1; Jason Strelzow, MD
2; Jeffrey G Stepan, MD, MS
2
1University of Chicago, Chicago, IL; 2University of Chicago Medical Center, Chicago, IL
HS 74. Clinical Performance Of A Locked Intramedullary Wrist Arthrodesis Nail
John J. Heifner, MD
1; Tejbir Pannu, MD
2; Francisco Rubio, MD
2; George Kardashian, MD
3
1Miami Orthopaedic Research Foundation, Miami, FL; 2Larkin Hospital Department of Orthopedic Surgery, Miami, FL; 3The Center for Bone and Joint Disease, Brooksville, FL
HS 75. GRIT Score Does Not Correlate with QuickDASH Scores After Basal Thumb Arthroplasty
Kevin Zuo, MD, MASc
1,2; Alexy Ilchuk, BA
1; Carl Harper, MD
1; Tamara Rozental, MD
1
1Beth Israel Deaconess Medical Centre, Boston, MA; 2University of Toronto, Toronto, ON, Canada
HS 76. Biomechanical Analysis of Headless Compression Screw Versus Tension Band for Proximal Interphalangeal Joint Arthrodesis
Nathan Heineman, MD
1; Dang-Huy Do, MD
1; Douglas Sammer, MD
2; Daniel M Koehler, MD
1
1UT Southwestern Medical Center, Dallas, TX; 2Plastic Surgery, Division of Hand Surgery, University of Texas Southwestern, Dallas, TX
HS 77. Regional-Only Versus General Anesthesia For Total Shoulder Arthroplasty
Adil Shahzad Ahmed, MD
1; Abdullah Naser Ghali, MD
1; David Momtaz, BS, M.P.H.
2; Aaron Singh, BA
2; Zuhair Jameel Mohammed, BA
1; Valeria Cristina De Las Casas, BA
1
1Baylor College of Medicine, Houston, TX; 2UT Health San Antonio, San Antonio, TX
11:49 am - 11:55 am
Panel Discussion
HS 78. Failed Distal Ulnar Epiphyseodesis is a Risk Factor for Revision Surgery Following Ulnar Shortening Osteotomy in Pediatric Patients
Jennifer Marks, MS
1; Catherine C May, BS
2; Joshua M Abzug, MD
3; Kevin J. Little, MD
4
1Cincinnati Children's Hospital Medical Center, Ciincinnatii, OH; 2University of Maryland School of Medicine, Timonium, MD; 3University of Maryland School of Medicine, Baltimore, MD; 4Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
HS 79. Outcomes Analysis of Patients Undergoing Operative Treatment of Radial Head Fractures Using PROMIS
Thomas John Carroll, MD
1; Jonathan Minto, MD
1; Akhil Dondapati, MD
1; Samantha Hoffman, BA
1; Warren C Hammert, MD
2; Bilal Mahmood, MD
1
1University of Rochester, Rochester, NY; 2Duke University, Durham, NC
HS 80. Machine Learning-Aided Diagnosis Enhances Human Detection of Perilunate Dislocations
Anna Luan, MD, MS
1; Lisa von Rabenau, MS
1; Arman Serebrakian, MD
2; Christopher S Crowe, MD
3; Bao Do, MD
1; Kyle R. Eberlin, MD
4; James Chang, MD
5; Brian Pridgen, MD
6
1Stanford University, Palo Alto, CA; 2Massachusetts General Hospital, Boston, MA; 3University of Washington, Seattle, WA; 4Massachusetts General Hospital/Harvard Medical School, Boston, MA; 5Plastic & Reconstructive Surgery, Stanford University, Stanford, CA; 6The Buncke Clinic, San Francisco, CA
HS 81. Does Intraarticular Involvement Effect Patient-reported Outcomes? A Retrospective Study of Surgically-treated Distal Radius Fracture Patients
Stephen A Doxey, DO
1; Rebekah M Kleinsmith, MD
1; Deborah C Bohn, MD
2; Brian P Cunningham, MD
3
1TRIA Orthopedic Center, Bloomington, MN; 2Orthopaedics, University of Minnesota, Minneapolis, MN; 3Park Nicollet Methodist Hospital, Minneapolis, MN
HS 82. Post-Operative Pain Medication Effects on Patient-Reported Outcomes within 3 Months of Distal Radius Fracture Fixation
Rebekah M Kleinsmith, MD
1; Stephen A Doxey, DO
1; Deborah C Bohn, MD
2; Brian P Cunningham, MD
3
1TRIA Orthopedic Center, Bloomington, MN; 2Orthopaedics, University of Minnesota, Minneapolis, MN; 3Park Nicollet Methodist Hospital, Minneapolis, MN
HS 84. Factors Associated with Loss of Reduction of Volar Ulnar Rim Fragments following Volar Locking Plate Fixation of Intra-articular Distal Radius Fractures
Rachel E Cross, BA
1; Justin McCarty, DO, MPH
1; Charlotte Louise Ernestine Laane, MD
1; Yannick Albert J. Hoftiezer, MD
1; Aquiles Gavagnin, MD
2; Pietro Regazzoni, MD
3; Alberto Fernandez Dell'Oca, MD
2; Jesse B Jupiter, MD
4; Abhiram R. Bhashyam, MD, PhD
5
1Massachusetts General Hospital, Boston, MA; 2Hospital Britanico Montevideo, Montevideo, Montevideo, Uruguay; 3University Hospital of Basel, Basel, Basel, Switzerland; 4Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA; 5Massachusetts General Hospital / Harvard Medical School, Boston, MA
12:09 pm - 12:15 pm
Panel Discussion
12:15 pm - 12:45 pm
Coffee Break Lunch Transition Time
12:30 pm - 3:30 pm
Endo Pharmaceuticals Fellowship Course (Not for Credit)
(Separate Registration Required)
XIAFLEX® (collagenase clostridium histolyticum) XTRA TRAINING & ENROLLMENT
Join us for an Endo Orthopedic-sponsored program on the administration of XIAFLEX® for Dupuytren's contracture. This program will include:
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.
- The opportunity to review case studies with distinguished faculty.
- A tactile training experience with the Dupuytren's Contracture Injection Simulat
12:45 pm - 2:15 pm
Axogen Industry Lunch Symposia (Not for Credit)
12:45 pm - 2:15 pm
Sonex Health Industry Lunch Symposia (Not for Credit)
8:00 am - 8:10 am
Remembrance of Dr. Joseph Danyo the First AAHS President
William W. Dzwierzynski, MD; Kyle R. Eberlin, MD; Meredith Osterman, MD
8:50 am - 9:05 am
2023 Research Grants Recipient Reports (Not for Credit)
Introduction: Simon G. Talbot MD
Recipient: Paul Ghareeb, MD
Single Blind Randomized Controlled Trial to Evaluate the Effect of Ketorolac in First Carpometacarpal Joint Osteoarthritis
1:30 pm - 3:30 pm
Therapist Panel II: Emerging Topics in Hand Therapy
Moderator: Thomas G. Berger, DPT, CHT
Panelists: Jennifer Allen, CHT; Mary Collier Barnes, MOT, CHT, CIDN
Dry needling continues to gain popularity as it expands to more professions in the US and throughout the world. It is increasingly being utilized in physical and occupational therapy as an effective treatment option. This course will serve to increase the audience's knowledge of dry needling including how it differs from acupuncture and the pathophysiology of myofascial trigger points. Application will focus on the treatment of hand and upper extremity conditions and participants will gain an understanding of various needling techniques and their therapeutic effects. The panelists will review the current evidence of the efficacy of dry needling in hand therapy. Useful resources for hand therapists to explore integrating dry needling into their practice including resources from APTA, AOTA and ASHT as well as a state-by-state guide will be provided and discussed.
Objectives: Following this session, the participant will be able to:
- Define dry needling and discuss how it differentiates from acupuncture.
- Discuss the pathophysiology of myofascial trigger points and the therapeutic effects of dry needling.
- Demonstrate understanding of the benefits of different needling techniques and will identify two potential applications in upper extremity rehabilitation.
- Describe the legislative avenues for OTs and PTs to perform dry needling.
- Discuss considerations for the language regulating the practice of dry needling in state practice acts.
1:30 pm - 5:30 pm
Hand Surgery Review Course
Chair: Abdo Bachoura, MD
Co-Chair: Christopher Dy, MD
Faculty: Tyler Pidgeon, MD; Megan Conti Mica, MD; Peter Rhee, MD; Brandon Smetana, MD; Marie Morris, MD; Lauren Wessel, MD; Avi Giladi, MD; David Brogan, MD; Christopher Klifto, MD; Jeffrey Stepan, MD; Andrew Sobel, MD
Experienced faculty will deliver a review of commonly encountered hand and upper extremity conditions using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and hand therapists who wish to increase depth of knowledge in hand surgery as well as surgeons in practice seeking a knowledge update or preparing for a MOC exam.
Objectives: Following this session, the participant will be able to:
- Discuss non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist.
- Identify treatment options available for disorders of the hand and upper extremity.
- Recognize various uncommon and/or unusual clinical conditions of the hand and wrist including carpal and DRUJ conditions, peripheral nerve, tendon and other common problems.
- Compare different treatment methods to avoid complications and improve patient outcomes.
8:15 am - 8:30 am
AAHS/ASPN/ASRM President's Welcome (Not for Credit)
William W. Dzwierzynski, MD; AAHS President
Michael W. Neumeister MD; ASPN President
Joan Lipa, MD; ASRM President
Scot Glasberg, MD; ASPS President
10:00 am - 11:00 am
Joint Presidential Keynote Lecture
Nadine Hachach-Haram, MD
The Journey of Exploring the Potential of Operating Room Digitization
Nadine Hachach-Haram, a reconstructive plastic surgeon and MedTech entrepreneur, shares her journey, challenges, wins and vision. Nadine also explores the future of surgery, focusing on the pivotal role of healthcare technology in enhancing patient care and health system efficiency. She shows how technology serves as a catalyst to collaboration and smart decision making in the operating room; taking deep dives into the potential of operating room digitization, not only in transforming medical practices but also in inspiring a collective commitment to pushing the boundaries of what is possible through data. Her journey serves as a reminder that drawing inspiration from those around you and building a network united by a shared vision leads to innovation with the power to effect changes, elevate healthcare, and ultimately enhance lives.
