Tuesday January 14, 2025
8:00 am - 12:30 pm
Hand Surgery Review Course
(Separate Registration Required)
Co-Chairs: Tyler S. Pidgeon, MD; David M. Brogan, MD
Faculty: Jill Putnam MD; Brandon Smetana, MD; Marie Morris, MD; Lauren Wessel, MD; Avi M. Giladi, MD; Jeffrey Stepan, MD; Kalpit N. Shah, MD; Sahitya K. Denduluri, MD; Michael G. Galvez, MD; Aaron Berger, 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 the anatomy, biology, biomechanics, and evidence for non-operative and operative treatment approaches for various commonly encountered disorders of the hand and wrist.
- Recognize various uncommon and/or unusual clinical conditions of the hand and wrist, and improve clinical decision making based on physical exam, diagnostic testing and best available evidence,
- Compare and contrast alternative treatment options to improve patient-centered care.
2:00 pm - 6:00 pm
Nerve Repair Skills Pre-Course
(Separate Registration Required)
Supported by: Axogen
Chairs: Jonathan Isaacs, MD; Bauback Safa, MD
Faculty: Harvey Chim, MD; Mark Rekant, MD; Sonu A. Jain, MD; Ines C. Lin, MD; Deana M. Mercer, MD; Scott L. Hansen MD, Suhail Mithani MD; Amber R. Leis MD; Sami H. Tuffaha, MD; Megan McCullough, MD; Katie Liu, MD
This course is aimed at residents, fellows, and junior attending surgeons interested in improving their understanding of nerve injury assessment, treatment principles, and repair techniques from experts in the field. 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.
2:00 pm - 6:00 pm
Fractures and Malunions Pre-Course
(Separate Registration Required)
Supported By: Skeletal Dynamics, Acumed, Trimed
Chairs: Jerry Huang MD; R. Glenn Gaston, MD
Faculty: Mihir Desai MD; Melvin Rosenwasser, MD; Brady Evans, MD; Alex Lauder, MD; Chelsea Boe, MD; Nikki Schroeder, MD; Bobby Chhabra, MD; Luke Nicholson, MD; Daniel Osei MD; Angela Wang, MD; Jonathan Tueting MD
Experienced faculty will deliver a review of commonly encountered hand, wrist, forearm, and elbow fractures/injuries, using a combination of case based presentations and lectures. They will cover principles of diagnosis and treatment, provide surgical tips and tricks, while providing an overview of conditions encountered on board examinations and resident in-training examinations. The course is ideal for residents, fellows and junior faculty 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 injuries and fractures of the hand, wrist, forearm, and elbow.
- Identify treatment options and available instrumentation available for these fractures.
- Develop back up plans for difficult fractures and apply principles of fracture fixation to complex fracture patterns.
- Identify benefits and limitations of different treatment methods to avoid complications and improve patient outcomes.
Wednesday January 15, 2025
5:45 am - 7:30 am
Continental Breakfast
6:00 am - 7:15 am
AAHS Instructional Courses
101
Complex Distal Radius Fractures: Volar, Dorsal, and Everything in Between
Chair: A. Lee Osterman, MD
Instructors: Robert Medoff, MD; Reid Abrams, MD; Charalampos Ntinopoulos, MD; Satoshi Ichihara, MD; Jerry Huang MD; Christine Khelfa OT, CHT; Sarah Taub, APP
Distal radius fractures are common injuries treated by hand surgeons. 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. Evidence, including the AAOS clinical practice guidelines, will be included when possible.
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
102
Top Tendon and Nerve Transfers that should be in every Hand Surgeon Practice
Chair: Bryan Loeffler, MD
Instructors: Dafang Zhang, MD; MD; Paige Fox, MD; Panagiotis Givissis, MD; Chase Kluemper, MD; Brian Laney, OTD
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 injury 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.
103
Scapholunate Ligament Reconstruction: Case Based Debate Between the Masters
Chair: Melvin Rosenwasser, MD
Instructors: Sanj Kakar, MD; Dimitrios Papadopoulos, MD; Pedro Bronenberg, MD; Nickolaos Darlis, MD; Wendy Moore, OT, CHT; Anne Owen, APP
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. In this session experts will debate varying management options in the treatment of scapholunate ligament injuries.
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 multiple scapholunate ligament reconstruction options.
104
How Do I Cover this Wound: Local Flaps for Soft Tissue Loss in the Hand
Chair: Warren C. Hammert, MD
Instructors: Eric Wang, MD; Donald H. Lalonde, MD; Duretti Fufa, 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 help you get 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.
7:15 am - 7:30 am
Coffee Break
7:30 am - 7:40 am
President and Program Chairs Welcome (Not for Credit)
David Ruch, MD; AAHS President
Marc Richard, MD; Robin Kamal, MD; AAHS Program Chairs
Stephanie Kannas, OTR/L, CHT; Nora Barrett, OTR/L, CHT; AAHS Therapist Chairs
Jerome J. Wenninger Jr., PA-C; AAHS Advance Practice Provider Chair
7:40 am - 7:55 am
Invited ASHT President
Introduction: Stephanie Kannas, OTR/L, CHT
What sustains us?
Kimberly Masker, OTD, OTR/L, CHT
Sustainability....it's not only about the environment. This talk explores the multifaceted concept of sustainability in hand surgery and therapy, extending beyond environmental considerations into fostering sustainable practices in therapist-surgeon and professional-patient relationships, as well as within organizational structures. What can we do to sustain intertwined relationships that benefit ourselves, our patients, and our organizations?
7:55 am - 8:00 am
HSE Update (Not for Credit)
Thomas B. Hughes MD
8:00 am - 8:15 am
Vargas Award Presentation (Not for Credit)
Introduction: Gayle K. Severance, MS, OTR/L
2024 Recipient Presentation: Thomas G. Berger, DPT, CHT
2025 Recipient Announcement: Lisa S. Michael, OTD, OTR/L, CHT
8:15 am - 8:30 am
Reverse Surgery & Therapist Fellowship Programs (Not for Credit)
2024 Surgeon: Solange Ferraguti
2024 Therapist: Josue Daniel Vargas Aguilar
8:30 am - 9:15 am
Jaiyoung Ryu Lectureship in Innovation
Introduction: David Ruch, MD
Diagnosis and Management of Upper Extremity Occlusive and Vasospastic Disorders
L. Andrew Koman, MD
Upper extremity vascular disorders are increasing within an aging population and the prevalence of collagen vascular diseases. Impacting 10 percent of the population, occlusive and vasospastic disease is a significant societal burden.
Objectives: Following this session, the participant will be able to:
- Detail the appropriate history and physical evaluation necessary for the correct diagnosis.
- Outline indications for the appropriate diagnostic testing to delineate anatomic abnormalities and define physiologic factors contributing to symptoms and signs.
- Provide treatment options based on anatomic and physiologic principles.
9:15 am - 10:15 am
AAHS Instructional Courses
105
Demystifying the Crooked Finger: Swan Neck, Boutonniere and Intrinsic Pathology
Chair: Fraser Leversedge, MD
Instructors: Loukia Papatheodorou, MD; Mark Rekant, MD; Sergi Barrera, MD; Catherine Sullivan, PT, CHT; Laura Hanna, APP
The crooked finger can be a challenge to the hand surgeon, with multiple etiologies and treatment options. In this course, we will review the pathoanatomy associated with common deformities of the hand, such as Boutonniere and Swan neck deformities. Instructors will provide information on classification systems that guide 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 deformities from trauma and chronic conditions.
- Discuss treatment options based on acute and chronic presentation types.
- Identify therapy options for treatment. Review surgical options for repair, reconstruction and salvage.
- Discuss outcomes and expectations to explain to the patient.
106
Thumb CMC Arthritis: Contemporary Approaches From Trapeziectomy to Implant Arthroplasty
Chair: Steve L. Moran MD
Instructors: Shohei Omakawa, MD; Miguel A. Pirela-Cruz, MD; Randy R. Bindra, MD; Nikolas Tzinieris, MD; Kebra Porter, PT
Trapeziectomy is widely recognized as a gold standard for operatively managing symptomatic CMC arthritis, however newer techniques for suspensionplasty and implant arthroplasty have demonstrated promise. Many other techniques are emerging as viable alternatives. The panelists will try and convince the moderator and audience to consider such techniques as tightrope reconstruction, arthroscopic debridement, and arthroplasty as potential better alternatives.
Objectives: Following this session, the participant will be able to:
- Discuss emerging alternative techniques for the management of CMC arthritis.
- Recognize the pros and cons of newer techniques for treating CMC arthritis.
- Identify the post-operative rehab protocols following various CMC reconstructive techniques.
107
Managing the Athlete's Elbow - UCL, OCD, Distal Biceps/Triceps
Chair: Thomas B. Hughes, MD
Instructors: Bryan Loeffler, MD; Reed Hoyer, MD; Aaron Venouziou, MD; Mashiro Maruyama, MD; Lauren Koger, CHT
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.
108
Wrist And Hand Arthroscopy: From the Basics to Advanced Techniques
Chair: R. Glenn Gaston, MD
Instructors: Jeffrey Yao, MD; Eric R. Wagner, MD; Hideo Hasegawa, MD; Pedro Delgado, MD; Kevin Plancher, MD
This course will review the indications, surgical techniques of hand and wrist arthroscopy. The advantages and disadvantages arthroscopic vs open approaches for common conditions will be discussed. Emerging arthroscopic techniques to treat difficult wrist and hand conditions will be reviewed. Appropriate rehabilitation based on procedure will be highlighted.
Objectives: Following this session, the participant will be able to:
- Identify surgical indications for wrist and hand arthroscopy.
- Discuss arthroscopic approaches for common conditions (TFCC tears, SL ligament tears, CMC arthritis).
- Recognize the advantages and disadvantages of arthroscopy vs open approaches.
- Identify splint and rehab patients following surgery.
10:15 am - 10:30 am
Coffee Break
10:30 am - 11:00 am
Concurrent Panel I: Mother's In Hand Surgery Panel
Moderator: Krystle R. Tuano, MD; Milton B. Armstrong, MD
Panelists: Kerri M. Woodberry, MD; Rachel C. Hooper, MD; Wendy Chen, MD
11:00 am - 11:30 am
Invited Speaker: Martina Kamaka, MD
Native Hawaiian Health, University of Hawaii John A. Burns School of Medicine
Ola ka ‘āina, ola ke kanaka, ola ka lāhui
The Health Of The Land, Is The Health Of The People, Is The Health Of The Nation
10:30 am - 11:30 am
Concurrent Panel II: Primum Non Nocere: When to Put Down the Knife
Moderator: Marco Rizzo, MD
Panelists: Nash H. Naam, MD; Dean Sotereanos, MD; Jesse B. Jupiter, MD; Donald H. Lalonde, MD; Alex Georgescu, MD; Danielle Sparks, CHT
Objectives: Following this session, the participant will be able to:
10:30 am - 11:30 am
Concurrent Panel III: How To Deal With Your Worst Complications
Moderator: A. Lee Osterman, MD
Panelists: Bobby Chhabra, MD; Randy Bindra, MD; Robert Medoff, MD; Teng Hsiang Wei, MD; Aviva Wolff, EdD, 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, as well as the health of the patient. 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 of senior surgeons and therapists will discuss their own clinical experiences to provide insights to the practicing clinician.
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 and the approaches used to manage the patient, and themselves
10:30 am - 11:30 am
Concurrent Panel IV: Technology to Elevate your Practice: From AI to Robotic Surgery
Moderator: Warren C. Hammert, MD
Panelists: Daniel Nagle, MD; Anna Luan, MD; Jerry I, Huang, MD; Mary Barnes, MOT, CHT, CIND
Technology is pervasive in hand surgery. The evolution of artificial intelligence and ChatGPT is evolving and has been used in teaching, patient education, and clinical practice. Machine learning models are being used to predict treatable conditions, allowing for earlier diagnosis. Augmented and virtual reality are being used to manage pain and assist in rehabilitation.
Objectives: Following this session, the participant will be able to:
- Describe the history of AI and its utilization ion hand care
- Identify models for early diagnosis of conditions to expedite treatment
- Understand how AR/ VR can be used to improve patient care
HS 1. Intraoperative Second Harmonic Generation Imaging Detects Structural Damage Associated with Poor Long-Term Outcomes After Stretch Injury in the Rat Median Nerve.
Christoph A Schroen, BS
1; Paul J Cagle, MD
2; Michael R. Hausman, MD
3
1Icahn School of Medicine at Mount Sinai, New York, NY; 2Mount Sinai Hospital, New York, NY; 3Orthopaedic Surgery, Mount Sinai Medical Center, New York, NY
HS 2. THAW A Prospective Randomized Control Trial Comparing Hand Edema Post Operatively in Patients given TXA vs placebo before Dupuytren s Excision and Distal Radius Fixation: A pilot study
Alexandra Munn, MD, MSc, FRCSC
1; Joy MacDermid, BScPT, MSc, PhD
2; Kendrick Au, MD, MSc, FRCSC
1; Douglas C. Ross, MD, MEd, FRCSC
3; Ruby Grewal, MD, MSc
4
1Western University, London, ON, Canada; 2Hand and Upper Limb Center, University of Western Ontario, Roth|MacFarlane Hand and Upper Limb Centre, London, ON, Canada; 3Plastic Surgery/ Hand and Upper limb Centre, Division of Plastic Surgery, Roth|McFarlane Hand & Upper Limb Centre/Co-Director, The Peripheral Nerve Clinic, Western University, London, ON, Canada; 4Hand and Upper Limb Center, Western University, London, ON, Canada
HS 3. Endoscopic Versus Open Treatment of Carpal Tunnel Syndrome: Postoperative Complications in Patients Receiving Anticoagulation Therapy
Arman Kishan, MBBS
1; Sami H. Tuffaha, MD
2; Dawn M Laporte, MD
1; Duc M Nguyen, MD
3
1Johns Hopkins University, Baltimore, MD; 2Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD; 3Johns Hopkins Medicine, Columbia, MD
HS 4. Artificial Intelligence in Hand and Upper Extremity Surgery Education: Accuracy and Validity of ChatGPT-4o Versus UpToDate as a Learning Tool for Trainees
Caleb H Bercu, MD
1; Brianna Rosner, BS
2; Aneeq S. Chaudhry, BA
2; Hannah Korah, PhD
3; Isabel Bernal, DO
4; Jonathan D Freedman, MD, PhD
5; Aaron J Berger, MD, PhD
1
1Division of Plastic and Reconstructive Surgery, Nicklaus Children's Hospital, Miami, FL; 2Florida International University Herbert Wertheim College of Medicine, Miami, FL; 3University of Arizona College of Medicine, Tuscon, AZ; 4HCA Florida Westside Hospital, Plantation, FL; 5University of Miami, Miami, FL
HS 6. GLP-1 Receptor Agonists Increase Fracture Risk in Patients with Obesity
Evangelia Constantine, BS
1; Luke F Enthoven, BS
2; Riley Hart Kahan, MBS
2; Emily Michelle Pflug, MD
3; Alexander Lauder, MD
3
1University of Colorado Anschutz, Aurora, CO; 2University of Colorado Anschutz Medical Campus, Aurora, CO; 3University of Colorado, Aurora, CO
HS 7. Hormone Replacement Therapy Is Associated with Increased Risk of Carpal Tunnel Syndrome
Travis Kotzur, BS
1; Aaron Singh, BA
1; Lindsey Peng, BS
1; Blaire Peterson, BS
1; Jordan Carter, MD
1; Ryan Rose, MD
1; Christina Brady, MD
2
1UT Health San Antonio, San Antonio, TX; 2Audie L. Murphy Memorial Veterans' Hospital, San Antonio, TX
11:44 am - 11:50 am
Panel Discussion
HS 8. Glucagon-like Peptide-1 Receptor Agonists and Carpal Tunnel Syndrome
Travis Kotzur, BS
1; Aaron Singh, B.A.
1; Blaire Peterson, BS
1; Lindsey Peng, BS
1; Jordan Carter, MD
1; Ryan Rose, MD
1; Christina Brady, MD
2
1UT Health San Antonio, San Antonio, TX; 2Audie L. Murphy Memorial Veterans' Hospital, San Antonio, TX
HS 9. Variance Among Accreditation Council for Graduate Medical Education Hand Surgery Fellowship Program Case Minimum Logs
Ryan Lubbe, MD
1; Sean Hogan, PhD
2; Yoon Soo Park, PhD
3; Sameer Puri, MD
1; F. Thomas Kaplan, MD
4; Brandon S. Smetana, MD
1
1Indiana Hand to Shoulder Center, Indianapolis, IN; 2ACGME, Chicago, IL; 3University of Illinois Chicago, Chicago, IL; 4Indiana Hand Center, Indianapolis, IN
HS 10. Pharmacological Preconditioning of an Ischemic Composite Tissue Using Platelet-Derived Extracellular Vesicles Delivered via a Hyaluronic Acid Hydrogel
Aida K. Sarcon, MD
1; Rou Wan, MD
1; Ramona Reisdorf, B.S
1; Julie F. Jacobs, D.V.M
1; Omar A. Selim, M.B.B.C.h, M.S
1; Elena Millesi, MD
1; Felicia D. Boynton, D.V.M
1; Anne Gingery, Ph.D.
1; Atta Behfar, MD, PhD
1; Chunfeng Zhao, MD
1; Steve L. Moran, M.D.
2
1Mayo Clinic, Rochester, MN; 2Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN
HS 11. Reachable Workspace (RWS) Provides an Objective and Psychological State-Independent Measure of Upper Extremity Function
Saman Andalib, BS
1; Maya Hatch, PhD
1; Christopher Lee, BS
1; Luigi Porciuncula Gonzales, BS
2; Amanda Tedesco, BS
1; Tyler R Johnston, MD
2; David Wright, MD
3; Oswald Steward, PhD
2; Ranjan Gupta, MD
4
1University of California, Irvine, School of Medicine, Irvine, CA; 2University of California, Irvine, Irvine, CA; 3University of California, Irvine, Department of Orthopaedic Surgery, Orange, CA; 4University of California Irvine, Orange, CA
HS 12. Canary in the Carpal Tunnel: A Pilot Study of the Value for Screening for Amyloidosis in Carpal Tunnel Syndrome
Logan Hansen, MD
1; Nevil M Khurana, M.S.
2; Trevor Ruesch, B.S.
2; Julia Malewicz, B.S.
2; Katiya Bharko, B.S.
2; Charles S Day, MD, MBA
3
1Henry Ford Hospital, Detroit, MI; 2Henry Ford Health, Detroit, MI; 3Henry Ford Health System, Detroit, MI
HS 13. Optimizing Hand Splint Fitting Parameters through Artificial Intelligence Analysis
Ashkan Sedigh, MS
1; Peter Beredjiklian, -
1; Amir R Kachooei, MD
2; Michael Rivlin, MD
3
1Thomas Jefferson University, Philadelphia, PA; 2Rothman Orthopaedics Florida at AdventHealth, Orlando, FL; 3Rothman Orthopaedic Institute, Philadelphia, PA
HS 14. National Survey on Antithrombotic Management in Minor Hand Surgery: Current Practices in Canada.
Justin Haas, MD, BSc
1; Thoma Achilles, MD, MSc, FRCS(C)
2; Minoo Aminnejad, PhD
1; Forough Farrokhyar, MPhil, PhD
3; Helene Retrouvey, MD, PhD, FRCS(C)
1
1McMaster University, Hamilton, ON, Canada; 2Department of Surgery, Division of Plastic Surgery, St. Joseph's Healthcare and McMaster University, Hamilton, ON, Canada; 3Plastic Surgery, McMaster University, Hamilton, ON, Canada
12:04 pm - 12:10 pm
Panel Discussion
HS 15. Investigating the effect of distal screw and peg length on stability in volar plating of comminuted, intra-articular distal radius fractures in a cadaveric model.
Francine Zeng, MD; Raghunandan Nayak, BS; Martinus Megalla, MD; Mehreen Pasha, BS; Shiza Bari, BS; Dashan Liu, BS; Joel V Ferreira, MD; Anthony Parrino, MD; Craig M Rodner, MD
University of Connecticut, Farmington, CT
HS 16. Determining the Optimal Intramedullary Screw Canal Fill Ratio in Length Unstable Metacarpal Fractures: A Biomechanical Investigation.
Spencer B Chambers, MD
1; Daniel Thompson, MS
2; Christine V Schaeffer, MD
3; Alexander R Graf, MD
4; Eric R. Wagner, MD
5; Michael B. Gottschalk, MD
5; Nina Suh, MD
5
1Western University, Roth | McFarlane Hand and Upper Limb Centre, London, ON, Canada; 2Emory Univeristy, Atlanta, GA; 3Emory University, Atlanta, GA; 4Medical College of Wisconsin, Milwaukee, WI; 5Emory University School of Medicine, Atlanta, GA
HS 17. Emergency department visits within 90 days of elective hand surgery: A healthcare utilization study
Katie Ross, MD, BKinH
1; Haley Glazebrook, MHA
1; Justin MacLellan, MSc
1; JoAnne Douglas, MSc
1; Evan Nemeth, MSc
1; Julia Harrison, PhD
2; Emily Krauss, MD, MSc
1
1Dalhousie University, Halifax, NS, Canada; 2Dalhousie University, Division of Plastic Surgery, Halifax, NS, Canada
HS 19. Comparison of Surgeon Expectations to Patient-Reported Outcomes Following Trigger Finger Release and Open Carpal Tunnel Release
John Hajj, BS
1; Melissa E Cullom, MD
2; Erin L Weber, MD, PhD
1; Ryan J Kozlowski, MD
2; Desai Khusboo, MD
2; Anthony Archual, MD
2; Brian Christie, MD, MPH
2
1Indiana University School of Medicine, Indianapolis, IN; 2Indiana University, Indianapolis, IN
HS 20. Educationally Optimized Videos Impact on Trainee Cadaveric Surgical Performance: A Multicenter Randomized Trial
Daniel A London, MD, MS
1; Julia AV Nuelle, MD
1; Stephanie L Choo, MD
1; Sebastien Lalonde, MD
1; Marie T. Morris, MD
2; Ryan P. Calfee, MD, MSc
3
1University of Missouri, Columbia, MO; 2Washington University School of Medicine, St. Louis, MO; 3Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO
HS 21. The Swiss Cheese Effect: A Biomechanical Study of 5th Metacarpal Structural Integrity after Multiple K-wire Passes
Ryan James Bickley, MD
1; Gabriel Yohe, MS
2; Pooyan Abbasi, MS
3; Aviram M. Giladi, MD, MS
3
1Tripler Army Medical Center, Tripler AMC, HI; 2The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; 3The Curtis National Hand Center, Baltimore, MD
12:24 pm - 12:30 pm
Panel Discussion
HS 22. Collateral Ligament Release Improves Anterior Exposure of the Olecranon Osteotomy
Harrison Robert Ferlauto, MD
1; Christoph A Schroen, BS
1; Brian Beitler, MD
1; Katrina Nietsch, MS
1; James Dieterich, MD
1; Dave Shukla, MD
1; Jaehon Kim, MD
2; Michael R Hausman, MD
3
1Icahn School of Medicine at Mount Sinai, New York, NY; 2Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY; 3Department of Orthopaedic Surgery, Mount Sinai Medical Center, New York, NY
HS 26. Outcomes of Non-Operative Management of Olecranon Fractures in Adults: A 14-Year Retrospective Review
John R Vaile, BS
1; Jake D Fanizza, BS
2; Harrison Fellheimer, BS
1; Alexis Kasper, BS
3; Justin Kistler, MD
3
1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA; 2Drexel University College of Medicine, Philadelphia, PA; 3Rothman Orthopaedic Institute, Philadelphia, PA
HS 27. Radial Head Arthroplasty Survivorship and Outcomes
Alyssa Rothman, MD
1; Alexandra Damron, BS
1; Jessica Welch, BS
2; Christopher S Klifto, MD
3; Tyler S. Pidgeon, MD
4; David S Ruch, MD
4; Marc J. Richard, MD
4
1Duke University Hospital, Durham, NC; 2Duke University, Durham, NC; 3Duke Univeristy Hospital, Durham, NC; 4Duke University Medical Center, Durham, NC
HS 28. A Systematic Review Examining the Clinical Evidence for the Elbow Internal Joint Stabilizer
Preksha Rathod, MD
1; Diego Martinez Leyton, MD
2; Khaled Al Awadhi, MD
3; Ali Lari, MD
4; Carlos Prada, MD, MSc
1
1McMaster University, Hamilton, ON, Canada; 2Hospital of the Worker Santiago, Santiago, Regi n Metropolitana, Chile; 3New Jahra Hospital, Al Jahra, Al Jahra, Kuwait; 4Al Razi Orthopedic Hospital, Kuwait City, Kuwait City, Kuwait
11:44 am - 11:50 am
Panel Discussion
HS 33. Wide Resection of Distal Ulna Giant Cell Tumors: is Tenodesis of Extensor Carpi Ulnaris necessary?
Dimitra Melissaridou, MD
1; Ioannis Papanastassiou, MD
2; Olga Savvidou, MD
1; Panayiotis Papagelopoulos, MD
1
11st Department of Orthopaedics,Attikon University General Hospital, Athens, Attica, Greece; 2Agioi Anargyroi General Hospital, Athens, Attica, Greece
HS 34. Epidemiology, management and outcomes of vascular malformations of the upper extremity: a 12-year retrospective cohort study
Sophia Hu, BS
1; Yoshiko Toyoda, MD
1; Mimi Kim, BS
1; Tessa Muss, BA
1; Ashley E Chang, BA
1; Manisha Banala, BBA
2; Emily M Graham, MD
3; Deepthi Gunturi, MS
4; Ines C. Lin, MD
1
1University of Pennsylvania, Philadelphia, PA; 2Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 3The Children's Hospital of Philadelphia, Philadelphia, PA; 4Children's Hospital of Pennsylvania, Philadelphia, PA
12:04 pm - 12:10 pm
Panel Discussion
HS 37. Contrasting Medical Environments: An Analysis of Trigger Finger Release to Maximize Value
Hunter Cohn, B.A.
1; Alex Lindahl, BS
2; Reid Becker, BS
1; Emily Mazier, B.S.
2; Charles S Day, MD, MBA
3
1Wayne State University School of Medicine, Detroit, MI; 2Oakland University William Beaumont School of Medicine, Rochester, MI; 3Henry Ford Health System, Detroit, MI
HS 38. Flexor Tendon Injuries - Does Longer Time to Surgery result in Worse Outcomes?
Shahab Shahid, MBBS, BSc, PGCert, MRCS; Sebastian Kosasih, MBBS, BSc, MRCS; Ben Miranda, BSc MBBS(Lond) MRCS(Eng) FRCS(Plast) EBHS(FESSH) DipHandSurg(BSSH) PhD
St. Andrew's Centre for Plastic Surgery and Burns, Chelmsford, Essex, United Kingdom
HS 41. Composite Cap Grafting for Fingertip Amputations in Pediatric Patients: Predictors of Success and Clinical Recommendations
John R Vaile, BS
1; Vinay Rao, MD, MPH
2; Omkar S. Anaspure, BA
2; Manisha Banala, BBA
3; Sarah L. Struble, MD
2; John A. Tipps, BA
2; Apurva S Shah, MD MBA
1,
3; Benjamin Chang, MD
2; Shaun D Mendenhall, MD
1,
4
1The Children's Hospital of Philadelphia, Philadelphia, PA; 2Children's Hospital of Philadelphia, Philadelphia, PA; 3Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 4University of Utah, Salt Lake City, UT
HS 42. Phalangeal fracture fixation through the joint; quantification of articular involvement
Jordan Pearce, MD
1; Allicia Imada, MD
1; Julie Mekhail, MS
2; Nikalus Skipp, BS
1; Caroline Ardizzone, MD
1; Ann L Wells, PhD
3; Deana M. Mercer, MD
4
1University of New Mexico, Albuquerque, NM; 2Chicago Medical School, North Chicago, IL; 3University of New Mexico School of Medicine, Albuquerque, NM; 4The University of New Mexico, Albuquerque, NM
12:24 pm - 12:30 pm
Panel Discussion
HS 43. Treatment Trends in Dupuytren Disease: A Large Payor Database Analysis
Andi J Cummins, MD
1; Danielle J Rogan, MS
2; Virginia J Bee, MD
2; Daniel P Donato, MD
3
1Univserity of Texas Medical Branch, Galveston, TX; 2University of Texas Medical Branch, GALVESTON, TX; 3University of Texas Medical Branch, Galveston, TX
HS 44. Defining the anatomic boundaries of the dorsal metacarpal artery flap: An indocyanine-green study
Justin Davis, MD
1; Justin D Sawyer, MD
2; Timothy H Daugherty, MD
3
1Southern Illinois University, Springfield, IL; 2Institute For Plastic Surgery, Southern Illinois University School of Medicine, Springfield, IL, Springfield, IL; 3Southern Illinois University School of Medicine, Springfield, IL
HS 46. Outcomes of DRUJ Capsular Release for Post Traumatic Rotational Forearm Contracture
Graham King, MD, MSc, FRCSC
1; Alexandra B Munn, MD, MSc, FRCSC
2
1Hand and Upper Limb Center, Western University, London, ON, Canada; 2Western University, London, ON, Canada
HS 48. Factors Associated with Finger, Hand and/or Forearm Amputation after Burn Injury - A Burn Care Quality Platform Analysis
Elizabeth Blears, MD, MMS
1; Shiraz Mumtaz, MS
1,
2; Brian Tinsley, MD
1,
2,
3; Asif M Ilyas, MD, MBA
2,
4
1Tower Health, West Reading, PA; 2Drexel University College, Philadelphia, PA; 3Orthopaedic Associates of Reading, Wyomissing, PA; 4Rothman Institute at Thomas Jefferson University, Philadelphia, PA
HS 49. Assessment of Metacarpophalangeal Joint Extension - A Cadaveric Study
Eitan Melamed, M.D.
1; Varun Arvind, MD, PhD
2; Robert J Strauch, MD
3
1NYC Health + Hospitals/Elmhurst, Queens, NY; 2Columbia University, New York, NY; 3Columbia University Medical Center, New York, NY
11:44 am - 11:50 am
Panel Discussion
HS 51. First webspace contracture recurrence following primary release in the burn population
Rachel A Guest, MD
1; Cameron Etebari, MD
2; Maleika Ramirez, BA
3; Dhaval Bhavsar, MBBS
4
1University of Cincinnati, Cincinnati, OH; 2University of Kansas Medical Center, Kansas City, KS; 3Ponce Health Sciences University, Ponce, PR; 4Plastic Surgery, University of Kansas Medical Center, Kansas City, KS
HS 52. From Trauma to Congenital: Unveiling the Versatility of Fat Grafting in Pediatric Upper Extremity
Alejandra Aristiz bal, MD
1; Luis Antezana, MD
1; Cole Holan, MD, MBA
1; Steve L. Moran, M.D.
2
1Mayo Clinic, Rochester, MN; 2Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN
HS 53. Assessing the Impact of Xylazine Intravenous Abuse: An In-Depth Case Series and Evaluation of Existing Hand SurgeryTreatment Strategies
Sebastian D Arango, B.S.
1; Jason C. Flynn, B.S.
2; Jacob Zeitlin, B.A.
3; Tristan B. Weir, M.D.
4; Andrew J. Miller, M.D.
4
1Philadelphia Hand to Shoulder Center - Thomas Jefferson University, Philadelphia, PA; 2Sidney Kimmel Medical College, Philadelphia, PA; 3Weill Cornell Medical College, New York, NY; 4Philadelphia Hand to Shoulder Center, Philadelphia, PA
HS 54. First Webspace Contracture Release in the Burn Population: A Single Center Experience
Cameron A Etebari, MD
1; Rachel Guest, MD
2; Maleika Ramirez, BA
3; Dhaval Bhavsar, MBBS
4
1University of Kansas Medical Center, Kansas City, KS; 2University of Cincinnati Medical Center, Cincinnatti, OH; 3Ponce Health Sciences University, Ponce, PR; 4Plastic Surgery, University of Kansas Medical Center, Kansas City, KS
12:04 pm - 12:10 pm
Panel Discussion
HS 57. In-office ultrasound for the identification of partial zone II flexor tendon lacerations
Ian Zweifel, BA
1; Riley Onoszko, BA
1; Joshua M Adkinson, MD
2; Gregory H Borschel, MD
2; Anthony Archual, MD
1; Ryan Kozlowski, MD
1; Khusboo Desai, MD
1; Erin L Weber, MD, PhD
2
1Indiana University, Indianapolis, IN; 2Indiana University School of Medicine, Indianapolis, IN
HS 58. Side-to-Side Tendon Coaptation Yields Greater Load to Failure and Stiffness than Pulvertaft Weave: A Meta-Analysis of Biomechanical Studies
Casey Imbergamo, MD
1; Calvin Wang, BS
2; Daniel Devine, BS
2; Kenneth R. Means, Jr., MD
3
1The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; 2Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; 3The Curtis National Hand Center, Baltimore, MD
HS 60. Assessment of the finger flexor tendon healing after surgical repair using shear wave elastography and radiofrequency analysis: a longitudinal study
Chih-Chien Hung, M.D.
1; Hsing-Kuo Wang, PhD.
2,
3
1National Taiwan University Hospital Yun-Lin branch, Dou-Liu City, Yun-Lin County, Taiwan; 2Center of Physical Therapy, National Taiwan University Hospital, Taipei City, Taiwan; 3School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan
HS 61. Trigger Finger Release: Who Requires Ulnar Superficialis Slip Resection?
Stephanie A. Kwan, DO
1; Jonas Matzon, MD
2; Daniel Fletcher, MD
3; Matthew Sherman, MS
4
1Jefferson Health - New Jersey, Stratford, NJ; 2Rothman Orthopaedics, Sewell, NJ; 3Rothman Institute, philadelphia, PA; 4Rothman Orthopaedic Institute, Philadelphia, PA
HS 63. Injury-Specific Factors Impact Outcomes Following Flexor Tendon Repair
Akhil Dondapati, MD
1; Andrew Rodenhouse, MD
2; Gilbert Smolyak, BS
1; Thomas J Carroll, MD
1; Giap Vu, MD
1; Gabriel Ramirez, PHD
1; Constantinos Ketonis, MD, PhD
1
1University of Rochester Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY
12:24 pm - 12:30 pm
Panel Discussion
HS 64. Use of Hyaluronate-Alginate Gel-coated Small Intestine Submucosa for Nerve Protection in a Preclinical Adhesion Model
Nesreen Zoghoul Alsmadi, PhD
1; Curt Deister, PhD
2; Peter Evans, MD, PhD
3; Tamer Ghanem, MD, PhD
4; Brandon S. Smetana, MD
5; Deana M. Mercer, MD
6
1Axogen, Alachua, FL; 2Clinical and Translational Sciences, AxoGen Inc, Alachua, FL; 3Hand & Upper Extremity Surgery, Cleveland Clinic, Cleveland, OH; 4Premier Head and Neck Surgery, Flint, MI; 5Indiana Hand to Shoulder Center, Indianapolis, IN; 6The University of New Mexico, Albuquerque, NM
HS 66. Influence of Pre-Existing Cervical Radiculopathy on Cubital Tunnel Syndrome Development Following Distal Humerus Fractures
Nirav K Mungalpara, M.D.
1; Logan P Van Poucke, B.S.
1; Brett Drake, B.S.
1; Apurva Choubey, M.D.
1; James Oosten, M.D.
1; Abhishek Deshpande, M.D.
1; Benjamin Goldberg, M.D.
1; Alfonso Mejia, MD
2; Mark Gonzalez, MD, PhD
3
1University of Illinois at Chicago, Chicago, IL; 2Orthopaedic Surgery, University of Illinois at Chicago, Chicago, IL; 3University of Illinois at Chicago, Department of Orthopaedic Surgery, Chicago, IL
HS 67. Machine Learning Approach to Predict Pain Outcomes Following Primary Targeted Muscle Reinnervation in Amputees
Floris V. Raasveld, MD
1; Zihe Zhang, PhD
2; Benjamin R Johnston, MD, PhD
3; Anna Luan, MD
4; Arya Rao, BA
5; William Renthal, MD, PhD
6; Ian L Valerio, MD, MS, MBA
7; Kyle R. Eberlin, MD
1
1Massachusetts General Hospital/Harvard Medical School, Boston, MA; 2Boston Children's Hospital, Boston, MA; 3MGH, Boston, MA; 4Massachusetts General Hospital, Boston, MA; 5Massachusetts General Hospital/ Harvard Medical School, Boston, MA; 6Brigham and Women's Hospital/Harvard Medical School, Boston, MA; 7Massachusetts General Hospital | Harvard Medical School, Boston, MA
HS 68. Cold Intolerance Following Digital Nerve Injury - A Multicenter Prospective Randomized Comparison of Decellularized Nerve Allograft versus Nerve Conduits.
Asif M Ilyas, MD
1; David Kirby, MD
2; Matthew Peterson, PhD
3; L Scott Levin, MD
4; Jonathan Isaacs, MD
5
1Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA; 2Rothman, Philadelphia, PA; 3AxoGen Inc, Alachua, FL; 4Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 5Department of Orthopaedics, Virginia Commonwealth University, Richmond, VA
11:44 am - 11:50 am
Panel Discussion
HS 71. Carpal Tunnel Syndrome Results from Persistent Hypoxia and Senescence Within the Wrist Flexor Tenosynovium
Sebastian D Arango, B.S.
1; Jacob Zeitlin, BS
2; A Lee Osterman, MD
2; Michael Weinik, DO
2; Rowena McBeath, MD
3
1Philadelphia Hand to Shoulder Center - Thomas Jefferson University, Philadelphia, PA; 2Philadelphia Hand to Shoulder Center, Philadelphia, PA; 3The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, PA
HS 72. Predictors of Successful Outcomes Following Revision Carpal Tunnel Release
Akhil Dondapati, MD
1; Thomas J Carroll, MD
1; Warren C. Hammert, MD
2; Bilal Mahmood, MD
3
1University of Rochester Medical Center, Rochester, NY; 2Duke University, Durham, NC; 3University of Rochester, Rochester, NY
HS 73. Examining socioeconomic disparities in brachial plexus birth injuries: A multicenter public health analysis
Erin Meisel, MD
1; Nathan Khabyeh-Hasbani, BA
2; Brittany Lala, MD
2; Devon O Brien, BS
1; Mandana Behbahani, MD
2; Steven M. Koehler, M.D.
2
1Children's Hospital Los Angeles, Los Angeles, CA; 2Montefiore Medical Center, Bronx, NY
HS 75. The Impact of Bariatric Surgery on Carpal Tunnel Syndrome: Outcomes and Management Strategies
Vennela Challagondla, BS, MPH
1; Brett Drake, B.S.
1; Nirav K Mungalpara, M.D.
1; Apurva Choubey, M.D.
1; Mark Gonzalez, MD, PhD
2
1University of Illinois at Chicago, Chicago, IL; 2University of Illinois at Chicago, Department of Orthopaedic Surgery, Chicago, IL
HS 76. Persistent in vivo spatial control of AAV-transgene using tissue engineered nerve grafts in a 1.5-cm rat sciatic nerve defect model
Viviana Alpizar Vargas, B.S.
1; Franco A. Laimo, BS
1; Sam Elijah Lien, MSE
1; Mykhailo Tatarchuk, MD, PhD
1; Robert B. Shultz, PhD
2; Kritika Katiyar, PhD
2; D. Kacy Cullen, PhD
1; Hannah Hoeun Lee, MD, PhD
1
1University of Pennsylvania, Philadelphia, PA; 2Axonova Medical, Philadelphia, PA
HS 77. Ultrasound Measurement of Nerve Cross-Sectional Area: Evaluating Longitudinal Skill Retention
Kerilyn N Godbe, MD
1; Ellie Helton, BS
2; Niaman Nazir, MD, MPH
1; David Megee, MD
1; Charles C Jehle, M.D.
1
1University of Kansas Medical Center, Kansas City, KS; 2University of Kansas School of Medicine, Kansas City, KS
12:04 pm - 12:10 pm
Panel Discussion
HS 80. The influence of socioeconomic factors on the prognosis of brachial plexus birth injury
Erin Meisel, MD
1; Nathan Khabyeh-Hasbani, BA
2; Brittany Lala, MD
2; Emily Ferreri, BS
2; Mandana Behbahani, MD
2; Steven M. Koehler, M.D.
2
1Children's Hospital Los Angeles, Los Angeles, CA; 2Montefiore Medical Center, Bronx, NY
HS 84. A new concept of nerve capping - peripheral nerve reinnervation into adipose tissue wrapping with collagen epineural device for prophylaxis and management of neuromas
Minghao Zheng, MD, PhD, FRCPath
1; David Gamble, MD
2; Priya Kaluskar, BSc
2; Monica Zheng, MD
3; Alex O'Brerine, MD
2; Jaslyn Cullen, Bsc
2; David M. Brogan, MD
4; Richard Carey Smith, MD
2
1The University of Western Australia, Perth, Western Australia, Australia; 2University of Western Sydney, Perth, Western Australia, Australia; 3Sir Charles Gairdner Hospital, Perth, Western Australia, Australia; 4Washington University School of Medicine, St. Louis, MO
12:24 pm - 12:30 pm
Panel Discussion
12:30 pm - 2:30 pm
Therapist Panel I: Clinical Manual Assessment of the Wrist
Chair: Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
What is the most challenging type of hand therapy diagnosis to evaluate? Is it a patient with a crush injury involving multiple fractures and tendon repairs or .is it the young girl with progressive onset of wrist pain with weight-bearing? Hand therapists are typically well-versed in the "rhythm" of evaluating post-operative patients; however, performing a wrist evaluation for a conservative patient presenting with vague wrist pain can sometimes be daunting. Using a systematic approach combining findings from the patient's history, clinical examination, and special tests, hand therapists can more efficiently determine the underlying pathology and provide appropriate treatment to optimize clinical outcomes.
Objectives: Following this session, the participant will be able to:
- ifferentiate the capsular pattern of the wrist and what is means regarding progression of the plan of care.
- Perform a physical examination to determine a tenosynovitis from a tendinopathy.
- Interpret clinical testing to evaluate stability of the scapholunate interval, lunotriquetral interval, midcarpal joint, and distal radioulnar joints.
12:30 pm - 2:30 pm
Advanced Practice Provider Session: Most Common Conditions in a Hand APP Practice
Chair: Carrie L. Roth Bettlach, APP
Panelists: Julie West, APP; Lauren Perry, APP; Laura Hanna, APP; Haley Jacobs, MS-PAS; Vanessa JS Smith, PA-C; Jerome J. Wenninger Jr., PA-C; Abby Chapman, PA-C; Christine McAndrew PA-C
Advanced Practice Providers are able to treat a variety of conditions within their scope of practice, under the guidance of their collaborating physicians. APPs require a strong knowledge base and skills to effectively manage these conditions. This educational program aims to provide evidence-based content about the diagnosis, management, and treatment options for common hand conditions presenting to APPs working in hand surgery as it is imperative for an APP to correctly recognize, diagnosis, manage, and discuss all treatment options with patients. An understanding of the pathophysiology of the condition, appropriate recognition and management, functional limitations, and treatment options will lead to improved patient care and outcomes.
Objectives: Following this session, the participant will be able to:
- Describe management options for common hand conditions under the scope of treatment by an Advanced Practice Provider.
- Discuss benefits and risks of treatment options as they pertain to patient outcomes.
- Apply evidence-based data to support shared decision making.
12:30 pm - 5:30 pm
Hands-On Surgical Skills Workshop
(Separate Registration Required)
Supported by: Medartis
Chair: Nina Suh, MD
Co-Chair: Brandon Smetana, MD
Faculty: Youssra Marjoua, MD; Eric R. Wagner, MD; Tyler S. Pidgeon, MD; Ryan Schmucker, MD; Kitty Wu, MD; Jordan Grier, 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 and 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 & Therapist Casting & Splinting Workshop
(Separate Registration Required)
Chairs: Jerome J. Wenninger Jr., PA-C; Haley Jacobs, MS-PAS; Stephanie Strouse, CHT; Gary S. Solomon, MSOT, MBA, CHT
This workshop for therapists and APPs will review basic requirements for splinting, casting, and bracing for hand and upper extremity conditions. It will include a didactic portion that covers principles of casting, principles of orthotic fabrication, the most common casts and orthotics used in upper extremity care, tips for fabrication and when to use which type. A hands-on portion is included for participants to fabricate casts and orthotics with experienced colleagues demonstrating and providing feedback to maximize participant's exposure to each material.
Objectives: Following this session, the participant will be able to:
- Determine the most appropriate splint, orthotic, brace, or cast for conservative and post-operative hand and UE treatment.
- Distinguish the appropriate placement, supplies and duration of immobilization or protection of diseases and conditions for hand/UE patients.
- Demonstrate the materials and tools needed to apply and make splints, orthotics, braces, and casts for hand/UE patients.
- Apply modifications to existing splints, orthotics, casts, and braces for hand/UE patients.
- Describe the risks associated with splinting, casting, and bracing of patients for hand conditions and treatment.
- Explain concepts of patient education with the application and usage of braces, orthotics, splints, and casts for hand patients.
4:30 pm - 5:30 pm
Advanced Practice Provider Reception (Not for Credit)
Supported by: Endo Pharmaceuticals
5:30 pm - 6:30 pm
Meet the Masters: Reception and Trivia Contest (Not for Credit)
Chairs: Marc Richard, MD; Robin Kamal 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 16, 2025
5:45 am - 7:30 am
Continental Breakfast in Exhibit Hall
6:00 am - 7:15 am
AAHS Instructional Courses
109
Pediatric Hand Surgery: From Simple to Complex
Chair: Joshua Abzug, MD
Instructors: Scott Oishi, MD; Wee Lam, MD; Zoe Dailiana, MD; Eugene Park, MD; Grainne Bourke, MD; Josh MacDonald, MS, OTR; 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 challenges associated with treating the developing pediatric patient.
- Identify non-operative as well as operative approaches for common pediatric hand conditions
- Identify technical pearls when surgically treating common pediatric hand conditions.
110
Scaphoid Nonunion: Case Based Debate Between the Masters
Chair: Jerry I Huang, MD
Instructors: Greg Sommerkamp, MD; Asif Ilyas, MD; Jill Putnam, MD; Suhail Mithani, MD; Lisa S. Michael, OTD, OTR/L, CHT
Experts debate each other in this course on the merits of vascularized bone grafting vs nonvascularized cancellous vs corticocancellous grafts, fixation techniques, and repairing vs reconcstructing the scaphoid nonunion. Cancellous autograft, corticocancellous autograft, pedicled vascularized grafts as well as free vascularize grafts will be discussed. Evidence for and against surgical options will be presented along with surgical pearls for managing these challenging injuries.
Objectives: Following this session, the participant will be able to:
- Discuss the nonvascularized and vascularized bone graft options and their benefits and limitations
- Formulate a treatment algorithm for repair vs reconstruction of the proximal pole scaphoid nonunion
- Identify the evidence that supports various techniques.
111
Managing the Elbow Fracture Dislocation: Common Conditions and Contemporary Approaches
Chair: Dean Sotereanos, MD
Instructors: Jesse B. Jupiter, MD; Robert A. Kaufmann, MD; Jorge L. Orbay, MD; Masahiro Maruyama, MD; Thomas G. Berger, DPT, CHT
This course will describe the current approach to managing complex elbow fractures and instability including distal humerus fractures, radial head fractures and terrible triad injuries. Surgical tips and pearls will be included. Differentiating PLRI from PMRI will be discussed. When and how to fix associated coronoid fractures, especially anteromedial facet fractures, will be highlighted, as well as elbow osteochondritis dissecans (OCD. Appropriate rehab including supine overhead range of motion protocols will be explained.
Objectives: Following this session, the participant will be able to:
- Recognize the differing mechanisms of injury and associated injuries with PLRI and PMRI.
- Discuss how to manage complex elbow fractures, instability, and OCDs.
- Identify the current rehab protocols for managing complex elbow injuries.
112
Management of Ulnar Wrist Pain
Chair: Randy R. Bindra, MD
Instructors: Kalpit N. Shah, MD; Marco Rizzo, MD; Raymond Chou, MD; Vicente Carratal MD; Gayle K. Severance, MS, OTR/L, CHT; Haley A. Jacobs, MS-PAS
Ulnar sided-wrist pain is common in hand surgery practice, with a number of clinical etiologies that can be difficult to elucidate. This session will discuss clinical pearls to accurately diagnose causes of ulnar sided wrist pain, as well as treatment algorithms. Innovations such as dry arthroscopy and smaller arthroscopes will be discussed.
Objectives: Following this session, the participant will be able to:
- Identify and diagnose common causes of ulnar wrist pain.
- Discuss both surgical and non-surgical treatment options and technical pearls.
- Review common diagnostica and treatment algorithms for ulnar wrist pain.
7:15 am - 7:30 am
Coffee Break in Exhibit Hall
7:30 am - 7:35 am
Presidential & Program Chairs Welcome (Not for Credit)
David Ruch, MD; AAHS President
Marc Richard, MD; Robin Kamal, MD; AAHS Program Chairs
Stephanie Kannas, OTR/L, CHT; Nora Barrett, OTR/L, CHT; AAHS Therapist Chairs
Jerome J. Wenninger Jr., PA-C; AAHS Advance Practice Provider Chair
7:35 am - 7:40 am
Hellenic Society for Reconstructive Microsurgery President Welcome (Not for Credit)
Nickolaos A. Darlis MD, PhD; Filippos S. Giannoulis MD, PhD
7:40 am - 7:45 am
ASSH President Welcome (Not for Credit)
Tamara D. Rozental, MD
7:45 am - 8:45 am
Presidential Address (Not for Credit)
Introduction: Kyle R. Eberlin, MD
Balance
David Ruch, MD
8:45 am - 9:45 am
Invited Guest Speaker (Not for Credit)
Introduction: Robert Medoff, MD
Calculated Madness
Grant "Twiggy" Baker
Grant "Twiggy" Baker is a Big Wave Surfing World Champion. Born in Durban, South Africa, Grant is now a citizen of the world and spends the northern hemisphere winters between Portugal (Nazar ) California (Mavericks) and Hawaii (Jaws) surfing the biggest waves on the planet. Grant is also a passionate ocean advocate and spends his time, when he is not surfing monster waves, promoting ocean preservation around the world, through his role as Save the Oceans Ambassador for The Perfect World Foundation.
9:45 am - 10:15 am
Coffee Break with Exhibitors
HS 88. Reevaluating the Impact of Horner s Syndrome on Diagnosis Accuracy in Brachial Plexus Birth Injury
Clark Jia-Long Chen, MD
1; Christopher S Crowe, MD
2; Connor Hickey, MD
3; Eugene D Park, MD
4; Scott H Kozin, MD
5; Dan A. Zlotolow, MD
5
1Einstein Healthcare Network, Philadelphia, PA; 2University of Washington, Seattle, WA; 3Albert Einstein Healthcare Network, Philadelphia, PA; 4Shriners Children's Philadelphia, Philadelphia, PA; 5Shriners Hospitals for Children, Philadelphia, PA
HS 89. A rhPDGF-BB/bovine type I collagen/?-TCP mixture for the treatment of critically sized non-union tibial defects: An in vivo study in rabbits
Vasudev Vivekanand Nayak, MSci, PhD
1; Joseph P. Costello II, BS
1; Quinn T. Ehlen, BS
1; Blaire V. Slavin, BS
1; Nicholas Mirsky, BS
1; Sophie Kelly, BS
2; Camila Suarez, BS(c)
3; Sylvia Daunert, PharmD, MS, PhD
1; Lukasz Witek, MSci, PhD
4; Paulo G. Coelho, MD, DDS, PhD, MBA
1
1University of Miami, Miami, FL; 2Florida Atlantic University, Boca Raton, FL; 3Duke University, Durham, NC; 4New York University, New York, NY
HS 90. A Prospective Randomized Controlled Trial on The Effect of Music Therapy Intervention on Pain and Anxiety in Adult Patients Undergoing Total Shoulder Arthroplasty
Raymond Y Kim, MD
1; Hannah H Nam, MD
2; Janice W Stouffer, MT-BC
1; Christina A Myers, MMT
1; Susan E Hassenbein, CCRP
1; Gary F Updegrove, MD
1; Vernon M Chinchilli, PhD
3; Yue Zhang, MPH
3; Sanjib Adhikary, MD
1; April D Armstrong, MD
1
1Penn State Milton S. Hershey Medical Center, Hershey, PA; 2Massachusetts General Hospital, Boston, MA; 3Penn State College of Medicine, Hershey, PA
HS 91. An Artificial Intelligence Tool to Prevent Wrong-Side Hand Surgery: A Feasibility Study
Nishantha Jayasuriya, BA
1; Emily Feng, BS
2; Karan Goswani, MD, PhD
3; Sina Ramtin, MD
3; Asif M Ilyas, MD
4
1Drexel University College, Philadelphia, PA; 2Drexel University College, Philadelphia, PA; 3Rothman, Philadelphia, PA; 4Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA
10:29 am - 10:35 am
Panel Discussion
HS 92. The Majority of Abstracts Presented at the American Association of Hand Surgery Annual Meetings Are Later Published
Benjamin Millar, BS
1; Tyson Stoker, MS
1; Lilah Fones, MD
2; Asif M Ilyas, MD, MBA
3
1Drexel University College of Medicine, Philadelphia, PA; 2Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA; 3Rothman Institute at Thomas Jefferson University, Philadelphia, PA
HS 93. AI Text-to-Image Generators and the Lack of Diversity in Hand Surgeon Demographic Representation
Isra Abdulwadood, BS
1; Meeti Mehta, BS
2; Kassandra Carrion, BA
3; Xinfei Miao, BS
4; Sonal Kumar, BA
5; Parul Rai, BS
6; Sabrina Lazar, BS
7; Heli S Patel, MBA
8; Noopur Gangopadhyay, MD
9; Wendy Chen, MD
10
1Mayo Clinic, Scottsdale, AZ; 2University of Pittsburgh, Pittsburgh, PA; 3Stanford University, Palo Alto, CA; 4California University of Science and Medicine, Colton, CA; 5Ross University, Miramar, FL; 6University of Texas Medical Branch, Galveston, TX; 7Albany Medical College, Albany, NY; 8Nova Southeastern University College of Allopathic Medicine, Davie, FL; 9Ann & Robert H. Lurie Children's Hospital, Chicago, IL; 10The Johns Hopkins University School of Medicine, Baltimore, MD
HS 94. Taking a Closer Look into the Utility of Horner s Syndrome in Surgical Evaluation in Brachial Plexus Birth Injury.
Clark Jia-Long Chen, MD
1; Christopher S Crowe, MD
2; Connor Hickey, MD
3; Eugene D Park, MD
4; Scott H Kozin, MD
5; Dan A. Zlotolow, MD
5
1Einstein Healthcare Network, Philadelphia, PA; 2University of Washington, Seattle, WA; 3Albert Einstein Healthcare Network, Philadelphia, PA; 4Shriners Children's Philadelphia, Philadelphia, PA; 5Shriners Hospitals for Children, Philadelphia, PA
HS 95. The CoULD Ulnar Polydactyly Classification: Multicenter Analysis
Holly Cordray, BS
1; Apurva S Shah, MD MBA
2; Suzanne Steinman, MD
3; Douglas Hutchinson, MD
4; Donald S. Bae, MD
5; Shaun D. Mendenhall, MD
4
1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 2The Children's Hospital of Philadelphia, Philadelphia, PA; 3Division of Plastic Surgery, Seattle Children's Hospital, Seattle, WA; 4University of Utah, Salt Lake City, UT; 5Department of Orthopedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA
HS 96. Assessment of Preoperative Active Movement Scale Scores in Discordant Brachial Plexus Birth Injuries
Clark Jia-Long Chen, MD
1; Connor Hickey, MD
2; Christopher S Crowe, MD
3; Eugene D Park, MD
4; Scott H Kozin, MD
5; Dan A. Zlotolow, MD
5
1Einstein Healthcare Network, Philadelphia, PA; 2Albert Einstein Healthcare Network, Philadelphia, PA; 3University of Washington, Seattle, WA; 4Shriners Children's Philadelphia, Philadelphia, PA; 5Shriners Hospitals for Children, Philadelphia, PA
HS 97. Long-Term Hand Function after Pollicization for Congenital Thumb Hypoplasia using Validated Patient-Reported Outcome Measures
John R Vaile, BS
1,
2; Holly Cordray, BS
3; Sarah L. Struble, MD
4; Vinay Rao, MD, MPH
4; Meagan Pehnke, MS, OTR/L, CHT, CLT
4; John A. Tipps, BA
4; Apurva S Shah, MD MBA
2,
3; Benjamin Chang, MD
4; Shaun D Mendenhall, MD
5
1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA; 2The Children's Hospital of Philadelphia, Philadelphia, PA; 3Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; 4Children's Hospital of Philadelphia, Philadelphia, PA; 5University of Utah, Salt Lake City, UT
HS 98. Clinical Presentation and Patient-Reported Function in Children with Sprengel s Deformity
Julianna Lee, MD
1; Eliza Buttrick, BA
1; Carley Vuillermin, MBBS, FRACS
2; Lindley B Wall, MD
3; Julie Balch Samora, MD, PhD
4; Apurva S Shah, MD MBA
1,
5
1The Children's Hospital of Philadelphia, Philadelphia, PA; 2Upper Extremity Surgery/Orthopaedics, Boston Children's Hospital/Harvard University, Boston, MA; 3Washington University School of Medicine, St. Louis, MO; 4Nationwide Children's Hospital, Columbus, OH; 5Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
10:49 am - 10:55 am
Panel Discussion
HS 100. Long-term Outcomes of Long Head of the Triceps Transfer in Patients with Amyoplasia
Meera Reghunathan, MD
1; Andreas Weber, MD
2; Courtney Schneidau, PA
3; Terri Beckwith, MPH, CCRP
3; Oishi Scott, FACS
4
1UC San Diego, San Diego, CA; 2Texas Scottish Rite Hospital for Children, Dallas, CA; 3Texas Scottish Rite Hospital for Children, Dallas, TX; 4Hand Surgery/Orthopedics, Texas Scottish Rite Hospital, Dallas, TX
HS 101. The Surgical Treatment of Madelung Deformity: A Systematic Review and Meta-Analysis
Rommy Obeid, BS
1; Osama Darras, MD
1; Christopher Jou, MD
1; Abby Brown, BS
2; Diwakar Phuyal, MD
1; Fuad Abbas, BS
1; Bahar Bassiri Gharb, MD, PhD
3; Antonio Rampazzo, MD, PhD
3
1Cleveland Clinic Foundation, Cleveland, OH; 2West Virginia School of Osteopathic Medicine, Lewisburg, WV; 3Cleveland Clinic, Cleveland, OH
HS 102. The effect of timing of intraoperative vasopressor use on failure of digital replantation
Floris V. Raasveld, MD
1; Yannick AJ Hoftiezer, MD
2; Karan Amin, BA
3; Krystle R. Tua o, MD
4; Abhiram R. Bhashyam, MD PhD
3; Neal C. Chen, MD
3; Kyle R. Eberlin, MD
1
1Massachusetts General Hospital/Harvard Medical School, Boston, MA; 2Massachusetts General Hospital/ Harvard Medical School, Boston, MA; 3Massachusetts General Hospital, Boston, MA; 4Massachusetts General Hospital | Harvard Medical School, Boston, MA
HS 103. Outpatient Free Vascularized Bone Grafts for Management of Scaphoid Nonunion
Benjamin A Sarac, MD
1; Hisham M. Awan, MD
2; Ryan Schmucker, MD
3
1The Ohio State University Wexner Medical Center, Columbus, OH; 2Hand & Upper Extremity Center, Ohio State University, Columbus, OH; 3The Ohio State University Medical Center, Columbus, OH
11:09 am - 11:15 am
Panel Discussion
HS 106. Utility of Radiographic Parameters in predicting Mid-Term PROMIS Upper Extremity Scores in Operatively Treated Distal Radius Fractures
Walter D. Sobba, BS
1; Gerardo Sanchez-Navarro, BS
2; Jacques H. Hacquebord, MD
2; Michael Fitzgerald, MD
1; Ren Peter, BS
2; De Souza Daniel, BS
1
1NYU Langone Health, New York, NY; 2New York University Langone Orthopedic Hospital, New York, NY
HS 107. Characterizing isolated hand trauma transfers to Level 1 trauma center in Southeast USA
Hiba Saifuddin, MD
1; Meredyth Berard, BS
1; Alexandra Bartholomew, BS
1; Andrew J Malek, BS
2; Daniel Yoo, MD
1; Sharon Stanley, MD
3
1Louisiana State University, New Orleans, LA; 2Louisiana State University Health Sciences Center, New Orleans, LA; 3University of Arizona College of Medicine - Tuscon, Tuscon, AZ
HS 109. Correcting the scaphoid humpback deformity with the 1,2 Intercompartmental Supraretinacular Artery based vascularized bone graft: A single centre experience
Adrian Battiston, MD
1; Omar Barasain, MD
1; Conne Lategan, MSc
2; Brandon J Ball, MD, FRCSC
1; Adil Ladak, MD, MSc, FRCSC
1; Hollie A Power, MD
1; Michael Morhart, MD, MSc, FRCSC
1; Matthew WT Curran, MD, MSc, FRCSC
1
1University of Alberta Division of Plastic Surgery, Edmonton, AB, Canada; 2University of Alberta Faculty of Medicine and Dentistry, Edmonton, AB, Canada
HS 110. Risk Factors for Failing Non-Operative Treatment of a Partial Distal Biceps Tear
Samuel Cohen-Tanugi, MD
1; Gretchen Maughan, MSPH
2; Mario Quesada, BS
1; John Curran, BS
1; Hernan Roca, MD
1; Brittany N. Garcia, MD
3
1University of Utah, SLC, UT; 2University of Utah, Salt Lake City, UT; 3University of Utah Hospital, Salt Lake City, UT
HS 111. The Impact of Socioeconomic Factors on Operative Management of Acute Distal Radius Fractures
Emma Smolev, BA; Rafa Rahman, MD, MPH; Amy Lu, BS; Rosie Mc Colgan, MD; Troy Amen, MD, MBA; Sanjum Singh, MD; Jeremy Abolade, MD; Isabel Wofle, MD; Joseph Nguyen, MPH; Duretti T. Fufa, MD
Hospital for Special Surgery, New York, NY
10:29 am - 10:35 am
Panel Discussion
HS 113. The Effect of Non-Steroidal Anti-Inflammatory Drugs on Union Rates following Operative Repair of Distal Radius Fractures
Michael Chang, MD
1; Juliet Chung, BS
2; Alexis Kasper, BS
2; Sina Ramtin, MD
2; Margaret Pennington, MD
2; Asif M Ilyas, MD
3
1Thomas Jefferson University Hospital, Philadelphia, PA; 2Rothman, Philadelphia, PA; 3Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA
HS 114. Rotational Stability of One vs Two Intramedullary Screws for Proximal Phalanx Fractures: A Biomechanical Study
Andrew L O'Brien, MD, MPH
1; Zakkary J Walterscheid, MD
2; Manaswini Chennoju, MS
2; Pooyan Abbasi, MS
2; Kenneth R. Means, Jr., MD
2; Aviram M. Giladi, MD, MS
2
1The Ohio State University Medical Center, Columbus, OH; 2The Curtis National Hand Center, Baltimore, MD
HS 119. Early Postoperative Outcomes of Surgical Fixation of Proximal Phalanx Fractures with Intramedullary Nails vs. Kirschner Wires
Gregory J Schmidt, MD
1; Craig Dent, DO, MS
2; Andy Nguyen, BS
2; Jason Nydick, DO
3
1Florida Orthopaedic Institute, Temple Terrace, FL; 2Foundation For Orthopaedic Research and Education, Tampa, FL; 3Florida Orthopaedic Institute, Tampa, FL
10:49 am - 10:55 am
Panel Discussion
HS 120. Articular Surface Damage Following Headless Intramedullary Nail Fixation of Proximal Phalanx Fractures
Jonathan M Bekisz, MD, MSci
1; Nicholas G Cuccolo, MD
1; Sachin R Chinta, BS
1; Danielle Thornburg, MD
1; Jonathan L Bass, MD
2; Nikhil A Agrawal, MD
1
1NYU Langone Health, New York, NY; 2New York University, New York, NY
HS 121. Proximal pole scaphoid reconstruction for unsalvageable proximal scaphoid nonunions using proximal pole hamate autograft: a multi-center case series
Courtney R Carlson Strother, MD
1; Joshua J. Meaike, M.D
1; Bassem Elhassan, MD
1; Robin N Kamal, MD
2; Jeffrey Yao, MD
2; R. Glenn Gaston, MD
3; Sanjeev Kakar, MD, FAOA
4
1Mayo Clinic, Rochester, MN; 2Stanford University, Redwood City, CA; 3OrthoCarolina Hand Center, Charlotte, NC; 4Orthopaedics, Mayo Clinic, Rochester, MN
HS 122. Nonoperative Versus Intramedullary Fixation of Displaced Metacarpal Shaft Fractures
Alexander Jeffs, MD
1; Zohair D Zaidi, MD
1; Andrew Allen, MD
1; Stephen D Himmelberg, MD
1; Sarah D Nagel, MD
1; Preya D Deol, BS
2; G Aman Luther, MD
3
1University of North Carolina, Chapel Hill, NC; 2UNC School of Medicine, Chapel Hill, NC; 3Wake Orthopaedics, Raleigh, NC
HS 124. The Mangled Digit Severity Score: Determining Salvageability of Severe Digital Injuries
Anna Luan, MD, MS
1,
2; Jeffrey B. Friedrich, MD
3; Aviram M. Giladi, MD, MS
4; Suhail K. Mithani, MD
5; Peter C Rhee, MD
6; Bauback Safa, MD
7; Adam B. Strohl, M.D.
8; Kyle R. Eberlin, MD
9
1Massachusetts General Hospital/Harvard, Boston, MA; 2Stanford University, Palo Alto, CA; 3University of Washington, Seattle, WA; 4The Curtis National Hand Center, Baltimore, MD; 5Plastics and Reconstructive Surgery, Duke University Medical Center, Durham, NC; 6Orthopaedic Surgery, Mayo Clinic, Rochester, MN; 7The Buncke Clinic, San Francisco, CA; 8Philadelphia Hand to Shoulder Center - Thomas Jefferson University, Philadelphia, PA; 9Massachusetts General Hospital/Harvard Medical School, Boston, MA
11:09 am - 11:15 am
Panel Discussion
HS 128. Nuanced Differences in Dexterity Between the Dominant and Non-Dominant Hands of Healthy Young Adults
Brian J Conway, MD, MS
1; L on Taquet, BS
1; Timothy F Boerger, PhD
1; Kaitlin Goetschel, BS
1; Kate B Krucoff, MD
2; Sergey Tarima, PhD
1; Max O Krucoff, MD
1
1Medical College of Wisconsin, Milwaukee, WI; 2Medical College of Wisconsin, Wauwatosa, WI
HS 130. Are Antibiotics Necessary in Adult Upper Extremity Surgery with Hardware?
Yufan Yan, MD
1; Nathan Khabyeh-Hasbani, BA
1; Joey S. Kurtzman, BA
1,
2; Rami Abuqubo, BS
1; Joshua Cohen, BS
1; Steven M Koehler, MD
1
1Montefiore Medical Center, Bronx, NY; 2Wake Forest School of Medicine, Winston Salem, NC
HS 131. Esmarch exsanguination in acute hand infections: evaluating risk of infection spread
Jacob Zeitlin, BA
1; Sebastian D Arango, BS
1; Jason C. Flynn, B.S.
2; Jon Hammarstedt, MD
3; Tristan B. Weir, M.D.
1; Andrew J. Miller, M.D.
1
1Philadelphia Hand to Shoulder Center, Philadelphia, PA; 2Sidney Kimmel Medical College, Philadelphia, PA; 3Allegheny Health Network, Pittsburgh, PA
HS 132. Amyotrophic Lateral Sclerosis Among Patients Diagnosed With Compressive Mononeuropathy
Aaron Singh, BA
1; Travis Kotzur, BS
1; Blaire Peterson, BS
1; Lindsey Peng, BS
1; Jordan Carter, MD
1; Ryan Rose, MD
1; Christina Brady, MD
2
1UT Health San Antonio, San Antonio, TX; 2Audie L. Murphy Memorial Veterans' Hospital, San Antonio, TX
HS 133. Online Factors Influencing Patient-Reported Ratings of Hand Surgeons
Krishna N. Chopra, MA; Sameer R. Khawaja, BS; Joseph G. Monir, MD; Ozair R. Khawaja, HS; Shammah E. Udoudo, BS; Thomas J. McQuillan, MD; Michael B. Gottschalk, MD; Eric R. Wagner, MD
Emory University School of Medicine, Atlanta, GA
10:29 am - 10:35 am
Panel Discussion
HS 134. Incidental Triangular Fibrocartilage Complex Changes on Wrist MRI
Lilah Fones, MD
1; Molly Milano, BS
2; Sina Ramtin, MD
3; Asif M Ilyas, MD
4
1Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadelphia, PA; 3Rothman, Philadelphia, PA; 4Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA
HS 135. Age- and Injury-Associated Human Muscle Stem Cell Senescence Impairs Regenerative Capability Despite Preserved Pool Size
Amanda Tedesco, BS
1; Joanne Kim, BS
2; Tyler Huang, .
3; Tyler R Johnston, MD
2; Ranjan Gupta, MD
4; Michael Hicks, PhD
2
1University of California, Irvine, School of Medicine, Irvine, CA; 2University of California, Irvine, Irvine, CA; 3University of California Irvine, Irvine, CA; 4University of California Irvine, Orange, CA
HS 139. Quantifying Interdisciplinary Management in Hand Surgery: A Review of the Literature and Pan-Canadian Survey
Stefan Padeanu, MD, MEd
1,
2; Claudia Boucher, MD
3; Maude Vincent-Matteau, OT
2; France Archambault, OT, CHT
4; Nathalie Brisebois, OT
5; Dominique Tremblay, MD, FRCSC, OT
1,
2
1Universit de Montr al, Montr al, QC, Canada; 2H pital Maisonneuve Rosemont, Montr al, QC, Canada; 3Universit Laval, Qu bec, QC, Canada; 4H pital Santa Cabrini, Montr al, QC, Canada; 5Centre professionel d'ergoth rapie, Montr al, QC, Canada
10:49 am - 10:55 am
Panel Discussion
HS 141. GPT-4 as a Source of Healthcare Information for Hand-Surgery Patients
Stephen Parlamas, BS
1; Praneet Paidisetty, BS
2; Kylie Swiekatowski, BS
2; Ashton Mansour, MD
2; Candice Teunis-Washko, MD
2; Yuewei Wu-Fienberg, MD
1; Wendy Chen, MD
2
1McGovern Medical School at UT Health, Houston, TX; 2McGovern Medical School, Houston, TX
HS 142. Trends in Ambulatory Surgical Center Utilization for Common Hand Procedures by Race and Ethnicity
Troy Amen, MD, MBA
1; Omar Shareef, BS
2; Kaveh Torabian, BS
3; Mitchell Johnson, MD
2; Liimakka Adriana, BS
4; Daniel A Osei, MD
1
1Hospital for Special Surgery, New York, NY; 2Hospital for Special Surgery, New York City, NY; 3Rush University, Chicago, IL; 4Harvard Medical School, Boston, MA
HS 143. Patients on GLP-1 RA Therapy Who Undergo Carpal and Cubital Tunnel Release Have Significantly Less Comorbidities
Kristi T Nguyen, B.S.
1; Apurva Choubey, M.D.
1; Nirav K Mungalpara, M.D.
1; Brett Drake, B.S.
1; Salma Mumuni, M.D.
1; Alfonso Mejia, MD
2; Mark Gonzalez, MD, PhD
3
1University of Illinois at Chicago, Chicago, IL; 2Orthopaedic Surgery, University of Illinois at Chicago, Chicago, IL; 3University of Illinois at Chicago, Department of Orthopaedic Surgery, Chicago, IL
HS 145. Factors Associated with Amputation of the Lower Arm, Hand and Fingers after Burn Injury - A National Burn Quality Platform Analysis
Elizabeth Blears, MD, MMS
1; Shiraz Mumtaz, MS
1; Brian Tinsley, MD
1; Sina Ramtin, MD
2; Asif M Ilyas, MD
3
1Tower Health, West Reading, PA; 2Rothman, Philadelphia, PA; 3Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA
HS 146. The Role of LGR+ Epithelial Stem Cells to Augment Osteogenesis on a Bone Scaffold
Austin M. Beason, MD
1; Carrie Harrison, BS
1; Michelle Randle, MS
1; Melanie Bedolli, BS
1; Jacob D. Franke, MD
2; Michael W. Neumeister, MD
1
1Southern Illinois University School of Medicine, Springfield, IL; 2Corewell Health, Grand Rapids, MI
11:09 am - 11:15 am
Panel Discussion
HS 148. Endoscopic Versus Open Treatment of Carpal Tunnel Syndrome in Patients with Rheumatoid Arthritis
Arman Kishan, MBBS
1; Jake DePalo, BS
2; Sami H. Tuffaha, MD
3; Dawn M Laporte, MD
1; Duc M Nguyen, MD
4
1Johns Hopkins University, Baltimore, MD; 2Johns Hopkins University, BALTIMORE, MD; 3Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD; 4Johns Hopkins Medicine, Columbia, MD
HS 149. Lidocaine Administration for Preinjection Anesthesia in Trigger Finger Injections: A randomized controlled clinical trial
Sofia Bougioukli, MD, PhD
1; Luke Nicholson, MD
2; Haley Nakata, MD
3; Pui Yan, MS
3; Charalampos Zalavras, MD, PhD
3; Milan Stevanovic, MD, PhD
3; Rachel Lefebvre, MD
4
1University of Michigan, Ann Arbor, MI; 2University of Southern California/LAC+USC Medical Center, Los Angeles, CA; 3University of Southern California, Los Angeles, CA; 4Watson clinic, Lakeland, FL
HS 150. Open vs Percutaneous Management of Pediatric Ganglia: A 12-Year Comparison
Austin D. Williams, BS; Alexandra L. Martinez, BA; Yang Ding, BA; Diego M Quirarte, BA; Alisa Lu, BA, BSA; Olohirere Tomisin Ezomo, MD, MPH; Christine Yin, MD
Baylor College of Medicine, Houston, TX
HS 152. Axillary Nerve Injury Following Reverse Total Shoulder Arthroplasty: An Anatomical Study
Sebastian D. Arango, B.S.
1,
2; Jason C. Flynn, B.S.
1,
3; Charles J. Nessralla, M.D.
1; Jacob Zeitlin, B.A.
1,
4; Johannes B. Roedl, M.D., Ph.D.
5; Kenneth A. Kearns, M.D.
1; Matthew S. Wilson, M.D.
1; Adam B. Strohl, M.D.
1
1Philadelphia Hand to Shoulder Center, Philadelphia, PA; 2University of Miami Miller School of Medicine, Miami, FL; 3Sidney Kimmel Medical College, Philadelphia, PA; 4Weill Cornell Medical College, New York, NY; 5Thomas Jefferson University Hospital, Philadelphia, PA
HS 153. High-resolution Micro-Computed-Tomography Zone of Injury Characterization of Simulated Lacerations to Peripheral Nerve
Safa Bauback, MD
1; Brandon S. Smetana, MD
2; Adam B Strohl, MD
3; Sunishka M. Wimalawansa, MD, MBA
4; Eitan Melamed, M.D.
5; Amy M Moore, MD
6; Fraser J. Leversedge, MD
7; Youssra Marjoua, MD
8; Rasa Zhukauskas, MD
9
1The Buncke Clinic, The Buncke Clinic, San Francisco, CA; 2Indiana Hand to Shoulder Center, Indianapolis, IN; 3Philadelphia Hand to Shoulder Center, Philadelphia, PA; 4Dept of Orthopaedics, Division of Plastic Surgery, Wright State University, Boonshoft School of Medicine / Miami Valley Hospital, Dayton, OH; 5NYC Health + Hospitals/Elmhurst, Queens, NY; 6Division of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, OH; 7University of Colorado, Aurora, CO; 8Youssra Marjoua, MD - Surgery of the Hand and Upper Extremity, Lutherville-Timonium, MD; 9Axogen, Alachua, FL
HS 154. Reevaluating Risk Factors for CRPS Following Distal Radius Fracture: The Role of Compressive Neuropathy and Tendinopathy
Nirav K Mungalpara, M.D.
1; Brett Drake, B.S.
1; Apurva Choubey, M.D.
1; Darren Seaney, BS
1; Gautam Malhotra, M.D.
1; Daniel Mass, M.D.
1; Alfonso Mejia, MD
2; Mark Gonzalez, MD, PhD
3
1University of Illinois at Chicago, Chicago, IL; 2Orthopaedic Surgery, University of Illinois at Chicago, Chicago, IL; 3University of Illinois at Chicago, Department of Orthopaedic Surgery, Chicago, IL
10:29 am - 10:35 am
Panel Discussion
HS 156. Glenohumeral Arthrodesis Leads to Improved Elbow Flexion in Traumatic Adult Brachial Plexus Injury Patients
Lauren E Dittman, MD
1; Robert J. Spinner, MD
2; Allen T Bishop, MD
3; Alexander Y Shin, MD
1
1Mayo Clinic, Rochester, MN; 2Orthopedics, Mayo Clinic, Rochester, MN; 3Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN
HS 157. Timing of Carpal Tunnel Syndrome Treatment Based on Social Deprivation
Akhil Dondapati, MD
1; Callista N Zaronias, BA
2; Janet N Tran, BA
2; Cody Fowler, MD
2; Thomas J Carroll, MD
1; Bilal Mahmood, MD
2
1University of Rochester Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY
HS 159. Office-based Unilateral versus Simultaneous Bilateral Carpal Tunnel Release with Ultrasound Guidance: 1-year Results from the ROBUST Trial
Ashley L Pistorio, MD, MS
1; Victor M Marwin, MD, MBA
2; Paul D Paterson, MD
3; Randall D Alexander, MD
4; Johnny T Nelson, MD
5; Larry E Miller, PhD
6
1Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV; 2Bluegrass Orthopaedics, Lexington, KY; 3Vero Beach Orthopaedics, Vero Beach, FL; 4Georgia Hand, Shoulder, & Elbow, Atlanta, GA; 5The Bone and Joint Surgery Clinic, Raleigh, NC; 6Miller Scientific, Johnson City, TN
HS 160. A Comparative Analysis of Early Patient-Reported Outcomes in Endoscopic versus Open Carpal Tunnel Release
Emmanuel Emovon, BS
1; Joshua K Kim, BS
1; Steven L Zeng, BA
1; Daniel Joh, MD
1; D. Spencer Nicols, MD
1; Neill Li, MD
2; Warren C. Hammert, MD
1; Suhail K. Mithani, MD
3
1Duke University, Durham, NC; 2Duke University Medical Center, Durham, NC; 3Plastics and Reconstructive Surgery, Duke University Medical Center, Durham, NC
HS 161. Use of Machine Learning for Ultrasound Assessment of the Ulnar Nerve and Diagnosis of Cubital Tunnel Syndrome
Akhil Dondapati, MD
1; Thomas J Carroll, MD
1; Andrew Rodenhouse, MD
2; Gilbert Smolyak, BS
1; Jeffrey Lillie, PhD
2; Ajay Anand, PhD
1; Lisa Pink, MS
1; Dave J Mitten, MD
1; Constantinos Ketonis, MD, PhD
1
1University of Rochester Medical Center, Rochester, NY; 2University of Rochester, Rochester, NY
10:49 am - 10:55 am
Panel Discussion
HS 162. Novel Carpal Tunnel Release Decision Tool Guided by Multi-Criteria Decision Analysis Incorporating Patient-Reported Outcomes, Complications, and Cost
Casey Imbergamo, MD
1; Gongliang Zhang, PhD, MS
1; Gabriel Yohe, MS
1; Fong Allan, MS
2; Aviram M. Giladi, MD, MS
3
1The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; 2Curtis National Hand Center, Baltimore, MD; 3The Curtis National Hand Center, Baltimore, MD
HS 164. The Effect of Bariatric Surgery on Surgical Outcomes and Care Strategies for Cubital Tunnel Syndrome
Brett Drake, B.S.
1; Vennela Challagondla, BS, MPH
1; Nirav K Mungalpara, M.D.
1; Apurva Choubey, M.D.
1; Mark Gonzalez, MD, PhD
2
1University of Illinois at Chicago, Chicago, IL; 2University of Illinois at Chicago, Department of Orthopaedic Surgery, Chicago, IL
HS 166. The use of the 4th extensor compartmental vascularized bone graft for treatment of Kienb ck s disease and tips for the appropriate capsulotomy. Cadaveric and clinical study
Frantzeska Zampeli, MD, PhD; Panagiotis Karras, MD; O Paliaroutas, MD; Panagiotis Kanellos, MD, PhD; Emmanouil Fandridis, MD, PhD
KAT Attica General Hospital, Athens, Greece
HS 167. The impact of countersinking headless compression screws on fracture compression in 3 fracture topologies: When Ship-to-Shore Matters More
Spencer B Chambers, MD
1; Daniel Thompson, MS
2; Michael B. Gottschalk, MD
3; Eric R. Wagner, MD
3; Nina Suh, MD
3
1Western University, Roth | McFarlane Hand and Upper Limb Centre, London, ON, Canada; 2Emory Univeristy, Atlanta, GA; 3Emory University School of Medicine, Atlanta, GA
11:09 am - 11:15 am
Panel Discussion
11:15 am - 12:30 pm
AAHS Instructional Courses
113
Tips And Tricks To Optimize Your Flexor Tendon Surgery
Chair: Eitan Melamed, MD
Instructors: Konstantinos Ditsios, MD; Megan Conti Mica, MD; Daniel A Osei, MD; Alexander Lauder, MD; Greg Pitts, 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 patients optimize outcomes. This ICL will discuss pearls of flexor tendon surgery, including repair techniques, pulley venting, WALANT surgery, and post-operative rehabilitation protocols.
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.
114
Metacarpal and Phalangeal Fractures: Nail, Plate, or Pin?
Chair: Bobby Chhabra, MD
Instructors: Lauren Shapiro, MD; Soya Nagao, MD; Luke Nicholson, MD; Kaveh Mansuripur, MD; Gary S. Solomon, MSOT, MBA, CHT
Application of the principles of a reconstructive ladder, that included closed treatment and then percutaneous pins has long been the standard for treating finger fractures. However, emerging implants and percutaneous techniques have challenged this paradigm. Experts will discuss their approaches to treating these common injuries, as well as debate what may be the best' implant options to improve patient outcomes.
Objectives: Following this session, the participant will be able to:
- Identify the treatment options for finger fractures
- Discuss the pros and cons of pins, nails, and plates
- Identify new strategies for the management of metacarpal and phalangeal fractures while considering costs and patient outcomes.
115
Reconstructing the Wrist: From Arthroplasty to Fusion and Everything Between
Chair: Marco Rizzo, MD
Instructors: Filippos Giannoulis, MD; Ilvy H. Cotterell, MD; Mihir J. Desai, MD; Heather Baltzer, MD; Heather Dyuck, CHT
Experts will discuss common wrist conditions and their treatment algorithms. Techniques such as wrist arthroplasty vs total and limited arthrodesis and other reconstructive procedures will be discussed. Evidence on the pros and cons of various TWA implants as well as alternatives such as denervation, and osteoarticular reconstruction will be discussed.
Objectives: Following this session, the participant will be able to:
- Discuss indications for wrist arthrodesis vs wrist arthroplasty.
- Discuss benefits, indications, and evidence for different TWA types
- Identify rehabilitation protocols to maximize function.
116
The Midnight Mangled Extremity: Principles to Keep You Efficient and Effective
Chair: Suhail Mithani, MD
Instructors: Ellada Papadogeorgou, MD; Jill Putnam, MD; Andrei Odobescu, MD; Eric R. Wagner, MD; Dan London, MD; Amy Brossard, OTR/L, CHT
Do you take call and manage complex injuries in the middle of the night? Then experts from this ICL can help you. This course will review current treatment strategies for salvaging complex upper extremity injuries. The full array of skeletal reconstruction, tendon and nerve management and soft tissue coverage will be discussed. A principally oriented approach coupled with representative cases will be reviewed.
Objectives: Following this session, the participant will be able to:
- Discuss treatment principles and algorithms to manage mangled extremities
- Identify the skeletal reconstructive options for the mangled extremity
- Prepare and execute on soft tissue reconstructive options including tried and true methods as well as cutting edge techniques.
12:30 pm - 12:45 pm
Coffee Break Lunch Transition Time
12:45 pm - 3:30 pm
Endo Pharmaceuticals Fellowship Training 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 Simulation.
12:45 pm - 2:15 pm
Axogen Industry Lunch Symposia (Not for Credit)
Island Innovations: Advancing Patient Outcomes in Hand Surgery A Lunch Symposium Led By Experts In The Field Of Nerve Surgery
Faculty: Youssra Marjoua, MD; Brendan J MacKay MD; Bauback Safa, MD, MBA, FACS; Aaron Morgan, MD
Sign-up
Friday January 17, 2025
5:45 am - 7:30 am
Continental Breakfast
6:00 am - 7:15 am
AAHS/ASPN Instructional Courses
117
Compression Neuropathies of the Upper Extremity
Chair: Catherine Curtin, MD
Instructors: Eitan Melamed, MD; Detlev Erdmann, MD; Nikolaos Zagoreos, MD; Jennifer Waljee, MD; Eliseo DiPrinzio, MD; Jennifer TenNapel OTR/L, CHT, CLT
Compression neuropathies are common in any hand surgery practice, from common conditions such as carpal tunnel and cubital tunnel, to more rare conditions such as PIN syndrome. Panelists will discuss their approach these common conditions, as well as advanced and minimally invasive surgical techniques. Evidence and professional guidelines that support the diagnosis and treatment approaches for varying conditions will be included.
Objectives: Following this session, the participant will be able to:
- Discuss the pros and cons of endoscopic and open techniques to treat carpal tunnel and cubital tunnel syndromes.
- Discuss the AAOS clinical practice guideline on carpal tunnel syndrome.
- Identify an algorithm for manual muscle testing to diagnose common compression neuropathies.
118
Management of Adult Brachial Plexus Injuries
Chair: Christopher J. Dy, MD
Instructors: Luis Miguel Appiani, MD; Marios Vekris, MD; Joaquim Casa as, MD; Neill Li, MD; Mary Reed Drake, OTR/L, CHT
Brachial plexus injuries are devastating injuries to the upper extremity requiring multiple reconstructive surgeries to maximize function. In this panel a case-based approach will be used to get expert opinions on their initial management, timing of surgical intervention, and prioritization of function. The panelists will focus on the benefits and outcomes of both traditional (grafting, distal nerve transfers, free functional muscle) and non-traditional (vascularized nerve grafts, contralateral C7 transfers) treatments as well as the difficult task of pain management in these patients.
Objectives: Following this session, the participant will be able to:
- Consider the priorities in upper limb reconstruction after brachial plexus injury.
- Discuss different techniques for upper extremity reconstruction.
- Identify different techniques for nerve transfers and their outcomes.
- Explain the non-surgical and surgical management of pain in BPI.
119
TMR, RPNI, and Prosthetics for the Hand and Upper Extremity
Chair: Joseph Styron, MD
Instructors: Katie Liu, MD; Kerri Woodberry, MD; Sami H. Tuffaha, MD; Reena Bhatt, MD; Laura Beckman, CHT
Experts in managing patients with upper extremity amputations and nerve injuries will discuss clinical scenarios and treatment algorithms for these devastating injuries. The evidence and indications for techniques such as TMR, RPNI, and prosthetics, and their surgical pearls will be discussed.
Objectives: Following this session, the participant will be able to:
- Create a treatment algorithm for the traumatic limb, specifically in management of peripheral nerve injuries to improve patient outcomes.
- Discuss the technical considerations for TMR and RPNI.
- Review prosthetic options.
120
Wrist Fracture Dislocations and Perilunate Injuries: Where to Start?
Chair: Sanj Kakar, MD
Instructors: Antonio Tufi Neder Filho, MD; Carlos Gomez, MD; Pedro Bronenberg, MD; Chelsea Espinoza, CHT
High energy mechanisms that lead to wrist fracture dislocations, such as ulnocarpal translocations and perilunate dislocations, have ligamentous, articular, and skeletal injuries that can be challenging to the surgeon and patient. Experts in wrist surgery discuss these challenging clinical scenarios and provide tips and tricks for management and rehab to improve patient outcomes.
Objectives: Following this session, the participant will be able to:
- Describe classification systems for various wrist and carpal fracture-dislocations.
- Identify associated injuries and treatment algorithms for these injuries.
- Review the evidence on outcomes and emerging techniques.
121
Migraine Headache
Chair: Lisa Gfrerer, MD
Instructors: Jay Austen, MD; Ziv Peled, MD; Darryl Sneag, MD; Ali Totonchi, MD
Migraine headache surgeries are becoming an increasingly popular surgery among peripheral nerve surgeons, and yet there is still a lot of challenges in clinical practice that requires clarification. This session will provide an update on headache surgery including patient selection, preoperative evaluation, surgical techniques, and how to deal with challenging and refractory cases. Invited faculty will also share how they started their practices in either the academic or private settings, or the pearls and pitfalls in maintaining this practice.
Objectives: Following this session, the participant will be able to:
- Discuss patient selection, and how to deal with challenging patients.
- Learn about current evaluating modalities, and discuss any updates in newer modalities that can provide help to surgery.
- Identify traditional and newer surgical techniques in fresh cases and in refractory cases.
- Listen to experiences of established experts in the panel about how to start and maintain clinical practices focusing on migraine headaches.
122
Pelvic and Pudendal Neurotization / Decompression
Chair: A. Lee Dellon, MD
Instructors: Tim Tollestrup, MD; Blair Peters, MD; Oskar Aszmann, MD
This session will highlight the anatomy and pathologic conditions that can cause pelvic and pudendal neuropathic pain, as well as the surgical and non-surgical management options. Diagnostic workup and indications for surgical intervention will be discussed, as well as technical details related to operative management. Outcomes related to surgery for pain, as well as for neurotization (and thus improvement in sensation) will be discussed. Conditions to be addressed might include: pudendal neuralgia, post-herniorrhaphy pain, piriformis syndrome and proximal sciatic nerve compression, and reinnervation during gender-affirming procedures.
Objectives: Following this session, the participant will be able to:
- Discuss pelvic and pudendal nerve anatomy and the surgical approaches to target these problems.
- Describe the diagnostic work-up, and operative management options for the management of pelvic and pudendal pain.
- Report the outcomes of surgical intervention for these painful conditions.
7:15 am - 7:30 am
Coffee Break in Exhibit Hall
7:30 am - 8:15 am
AAHS Danyo Lecture
Introduction: David Ruch, MD
Physician Value, the Journey from Deity to Commodity
Daniel Nagle, MD
This presentation will provide a brief overview of how societies have valued physicians over time and focus on physician value in the United States in the modern era.
8:15 am - 8:30 am
2024 Research Grants Recipient Reports (Not for Credit)
Introduction: John R. Fowler, MD
Recipient: Aviva Wolff, EdD, OTR/L, MA, CHT
8:30 am - 8:45 am
Awards & Announcements (Not for Credit)
8:45 am - 9:30 am
Annual Business Meeting (Not for Credit)
9:30 am - 10:00 am
Coffee Break with Exhibitors
10:00 am - 11:00 am
AAHS/ ASPN Instructional Courses
123
Addressing Care Equity: How to Improve Access to High Quality Care for ALL Patients
Chair: Lauren Shapiro, MD
Instructors: Michael Galvez, MD; Miguel A. Pirela Cruz, MD; Milton Armstrong, MD; Thompson Zhuang, MD; Vanessa JS Smith, PA-C; Tauni Malmgren, OTD, OTR/L
Surgical techniques and technology to treat common hand conditions continue to advance, and at the same time, there is strong evidence that not all patients have access to the same quality of care. This panel of experts will discuss the state of hand surgery care from an equity lens, review research that highlights opportunities for improvement, and highlight strategies for improving care equity.
Objectives: Following this session, the participant will be able to:
- Identify examples of care inequity in hand surgery care.
- Discuss opportunities to improve equitable hand care.
- List resources available that can improve the delivery of equitable hand care.
124
Staging Reconstruction for the Mangled Hand/Upper Extremity
Chair: Bauback Safa, MD
Instructors: Avi M. Giladi, MD; Neill L. Li, MD; Kyle R. Eberlin, MD; Olga Savvidou, MD; Subhro Sen, MD; Kelsi Kephart, CHT
Experts in this course will use a case-based approach to review current treatment strategies for salvaging the mangled upper extremity. Speakers will highlight factors that drive the stepwise approach to these complex injuries, and provide their treatment algorithms. Techniques to address skeletal, nerve, tendon, and soft tissue injuries will be discussed.
Objectives: Following this session, the participant will be able to:
- Discuss mangled extremities in an algorithmic fashion including factors that guide timing of treatment
- Identify the reconstructive options for the mangled extremity from skin, tendon, nerve, and bone.
- Discuss patient factors that guide treatment decisions.
125
Dupuytren's Treatment in 2025
Chair: Prosper Benhaim, MD
Instructors: Sahi Denduluri, MD; Erika Sears, MD; Nash H. Naam, MD; Chelsea Barker, OTR, CHT; Jerome J. Wenninger Jr., PA-C
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 and the evidence supporting conventional surgery, needle aponeurotomy, and collagenase injection will be discussed to maximize efficacy and patient outcomes
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.
126
How to Get Your Research Published: From Methods to Manuscript
Chair: Jonathan Isaacs, MD
Instructors: Ryan Calfee, MD; M. Daniel Wongworawat, MD; Harvey Chim, MD; Wee Lam, MD; Cynthia C. Ivy, OTR/L, CHT
The life cycle of a research manuscript, from research idea to execution and manuscript submission can be long and daunting without clear strategic and tactical guidance on how to successfully complete a research project. Editors and reviewers from multiple journals will provide their recommendations for completing a research project and tangible steps to go from methods to manuscript to publication.
Objectives: Following this session, the participant will be able to:
- Discuss steps in designing a publishable and rigorous research question.
- Discuss various research approaches and their advantages and limitations.
- Discuss approaches to writing your manuscript to maximize its chances of publication.
127
Defining Outcomes in Peripheral Nerve Surgery
Chair: Christine Novak, PT, PhD
Instructors: Christopher Dy, MD; Jonathan M. Winograd, MD; Ida K. Fox, MD
Peripheral nerve surgery has evolved immensely over the past few decades, with improved treatments for motor dysfunction, sensory disturbances and neuropathic pain, and the management of spasticity. Despite the evolution in surgical management of these conditions, our outcome measures have not changed considerably. This session will highlight the best practices in defining outcomes for motor nerve reconstruction, sensory recovery, and improvement in painful conditions.
Objectives: Following this session, the participant will be able to:
- Describe currently used outcome measures for motor and sensory nerve recovery.
- Identify outcome measures related to the diagnosis and treatment of neuropathic pain.
- Consider additional means to obtain and record future outcomes related to peripheral nerve surgery
128
Strategies for Lower Extremity Nerve Decompressions
Chair: Jason Ko, MD
Instructors: Eric Williams, MD; Grant Keliber, MD; Jana Dengler, MD; J. Henk Coert, MD
Lower extremity nerve compression is a common and often under-appreciated clinical entity. There are a number of anatomic locations in the lower extremity in which compressive neuropathy can manifest, including sciatic nerve compression/pirformis syndrome, common peroneal and superficial peroneal nerve compression, tibial nerve compression in the soleal sling, tarsal tunnel syndrome, sinus tarsi syndrome, as well as other entities such as popliteal artery entrapment syndrome. This session will highlight the diagnostic workup of these conditions, surgical and non-surgical management strategies, surgical techniques, and reported outcomes related to lower extremity nerve compression.
Objectives: Following this session, the participant will be able to:
- Discuss the anatomic locations for nerve compression in the lower extremity.
- Describe the diagnostic workup for these conditions, and indications for surgical intervention.
- Highlight outcomes related to nerve decompression in the lower extremity.
11:00 am - 12:00 pm
AAHS/ASPN Joint Panel: Spastic Hand: Selective Neurectomy, Tendon Transfers, Nerve Transfer, Fusions
Chair: Jennifer Waljee, MD
Instructors: Sami H. Tuffaha, MD; Kitty Wu, MD; Eugene Park, MD; Stephanie Kannas, OTD, OTR/L, CHT
Hand spasticity can result from myriad etiologies, including congenital pathology, cerebrovascular accidents, and tetraplegia/spinal cord injury, among other causes. Hand surgeons have an important and increasing role to play in the memanagement of patients with upper extremity spasticity, and there is a broad armamentarium of surgical options from which to choose including selective neurectomy, tendon lengthening/transfers, nerve transfers and arthrodeses. This session will present an overview of spastic hand pathologies and highlight decision-making for these complex patients.
Objectives: Following this session, the participant will be able to:
- Diagnose and understand the various causes of spasticity in the hand.
- Describe the treatment options available to the upper extreity surgeon and the differences between nerve, tendon, and bony procedures.
- Evaluate the differences in outcomes for the different surgical techniques.
12:00 pm - 1:00 pm
Lunch with Exhibitors
HS 169. Infectious Complications Following Primary Metacarpophalangeal or Proximal Interphalangeal Arthroplasty
Adam Schluttenhofer, BS
1; Matthew Rode, BS, MS
1; Marco Rizzo, MD
2; Peter Murray, MD
3
1Mayo Clinic Alix School of Medicine, Rochester, MN; 2Division of Hand Surgery, Mayo Clinic, Rochester, MN; 3Department of Orthopedic Surgery/Division of Hand Surgery, The Mayo Clinic, Jacksonville, FL
HS 171. Using Dynamic Biplane Radiography to Characterize Pre- and Post-Trapeziectomy First Metacarpal Subsidence and Strength During Key Pinch
Maria A Munsch, MD
1; Edward D Godbold, BS
1; Joshua C Setliff, BA
2; William J Anderst, PhD
1; John R Fowler, MD
1
1Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA; 2School of Medicine, University of Pittsburgh, Pittsburgh, PA
HS 173. The Mechanical Effect of Scaphoid Distal Pole Excision
Ronit Wollstein, MD
1; Nicholas Parody, Bsc
2; Sallie Yassin, MS
3; Paul Izard, BS
3; Steven Z Glickel, MD
4
1UAB Heersink School of Medicine, Birmingham, AL; 2NYU Grossman School of Medicine, New York, NY; 3NYU Langone Health, New York, NY; 4New York University School of Medicine, New York, NY
HS 175. Carpal Instability in the Setting of Revision Thumb Carpometacarpal Arthroplasty
Austin Beason, MD; Arman Tabarestani, BS; Catalina B ez, MD, MPH; Kevin Root, BS; Anton Khlopas, MD; Trevor Simcox, MD; Aimee Struk, MEd, MBA, LAT, ATC; Richard Hutchison, MD; Paul Dell, MD; Jongmin Kim, MD
University of Florida College of Medicine, Gainesville, FL
1:14 pm - 1:20 pm
Panel Discussion
HS 177. Opioid-Free Carpometacarpal Joint Arthroplasty: Post-Operative Results from a Double-Blind Randomized Controlled Trial
Krishna N. Chopra, MA; Musab Gulzar, BS; Hayden L. Cooke, BS; Paul A. Ghareeb, MD; Amanda L. Dempsey, MD; Nina Suh, MD; Michael B. Gottschalk, MD; Eric R. Wagner, MD
Emory University School of Medicine, Atlanta, GA
HS 179. Minimum Clinically Important Difference in Operative Treatment of CMC Arthritis: Do Patients Expectations Change with Time?
Rebekah M Kleinsmith, MD
1; Haley D Puckett, MD
1; Stephen A Doxey, DO
1; Andrew C Sibley, BS
2; Jeffrey B Husband, MD
1; Brian P Cunningham, MD
3
1TRIA Orthopedic Center, Bloomington, MN; 2Orthopaedics, University of Minnesota, Minneapolis, MN; 3Park Nicollet Methodist Hospital, Minneapolis, MN
HS 181. Incidence of Asymptomatic Scapholunate Widening on Plain Radiographs
Brook N Cahill, MD
1; Ashlyn J Morris, BA
1; Mirindi Kabangu, BS
1; Noor U Malik, BS
1; David Szames, DO
1; Lauren M Ladd, MD
1; Desai Khusboo, MD
1; Erin L Weber, MD, PhD
2
1Indiana University, Indianapolis, IN; 2Indiana University School of Medicine, Indianapolis, IN
HS 182. Analysis of small joint arthroplasty and arthrodesis complications after corticosteroid injections
Ricardo Rosales, MD
1; Hunter Faris, MD
1; Jian Li, BS, MPH
2; Andrea Yessaillian, BS
3; Asadullah Helal, MD
1; Lauren Dutton, MD
4; Katharine Hinchcliff, MD
5
1University of California San Diego, San Diego, CA; 2SUNY Upstate Medical University, Syracuse, NY; 3UC San Diego School of Medicine, La Jolla, CA; 4Naval Hospital Jacksonville, Jacksonville, FL; 5University of California, San Diego, San Diego, CA
1:34 pm - 1:40 pm
Panel Discussion
HS 183. Patient-Level Value Analysis for CMC Arthroplasty: How is Procedure Type Associated with Value of Care?
Rebekah M Kleinsmith, MD
1; Stephen A Doxey, DO
1; Haley D Puckett, MD
1; Issa Mutyaba, BS
2; Andrew C Sibley, BS
3; Lauren M Shapiro, MD
4; Jeffrey B Husband, MD
1; Brian P Cunningham, MD
5
1TRIA Orthopedic Center, Bloomington, MN; 2University of Minnesota, Minneapolis, MN; 3Orthopaedics, University of Minnesota, Minneapolis, MN; 4University of California, San Francisco, San Francisco, CA; 5Park Nicollet Methodist Hospital, Minneapolis, MN
HS 185. Incidence of Carpal Instability and Mid- to Long-Term Outcomes after Trapeziectomy and Partial Trapezoidectomy for Concomitant Thumb Carpometacarpal and Scaphotrapeziotrapezoid Osteoarthritis
Meredith R Flanagan, BS
1; Christopher M Gibbs, MD
2; Jessica B Hawken, MD
3; Trenton M Gause II, MD
4; Robert J Goitz, MD
5
1University of Pittsburgh Medical Center, Pittsburgh, PA; 2Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC; 3MedStar Health, Alexandria, VA; 4Tri Rivers Musculoskeletal Centers, Mars, PA; 5Orthopaedic Surgery, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA
HS 187. Long-term outcomes of radial shortening osteotomy in late stage Kienbock s Disease
Tanis Quaife, BMSc, MD, FRCSC
1; Ian Diffey, MD
1; Braden Gammon, MD, MSc, FRCSC
2; Alexandra Munn, MD, MSc, FRCSC
1; Laura A Sims, MD FRCSC
3; Neil J. White, MD, FRCSC
4; Ruby Grewal, MD, MSc
5
1Western University, London, ON, Canada; 2University of Ottawa, Ottawa, ON, Canada; 3University of Saskatchewan, Saskatoon, SK, Canada; 4Orthopaedic Surgery, University of Calgary, Calgary, AB, Canada; 5Hand and Upper Limb Center, Western University, London, ON, Canada
HS 189. Predictors of Successful Pyrocarbon Hemiarthroplasty for Treatment of Trapeziometacarpal Arthritis: A Single Institution Retrospective Review
Barbara Mullen, MD
1; Matthew Rode, BS, MS
2; Samuel Schrader, MD
1; Steve L. Moran, M.D.
3
1Mayo Clinic, Rochester, MN; 2Mayo Clinic Alix School of Medicine, Rochester, MN; 3Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN
1:54 pm - 2:00 pm
Panel Discussion
HSPN 1. Nerve Tape is an Effective Tool For Small Nerve Repair
Geetanjali S Bendale, PhD
1; James Drinane, MD
1; Kush Savsani, BS
1; Raveena Joshi, BS
1; Kenny Phan, BS
1; Jonathan Isaacs, MD
2
1Virginia Commonwealth University, Richmond, VA; 2Department of Orthopaedics, Virginia Commonwealth University, Richmond, VA
HSPN 2. Sutureless Repair Of Transacted Nerves Using Photo-Activated Epineural Collagen Wrap
Minghao Zheng, MD, PhD, FRCPath
1; Zoran Pletikosa, MD
2; David Mahns, PhD
3; John Morley, PhD
3; David M. Brogan, MD
4
1The University of Western Australia, Perth, Western Australia, Australia; 2University of Western Sydney, Penrith, NSW, Australia; 3University of Western Sydney, Campbelltown, NSW, Australia; 4Washington University School of Medicine, St. Louis, MO
HSPN4. Relationship between Inner and Outer Reachable Workspace and Patient-reported Outcomes
Liliya Kachaluba, HS
1; Lauren N Lottier, MS
1; R. Tyler Richardson, PhD
2; Emily Nice, BS
3; Ross S Chafetz, DPT, PhD
3; Scott H Kozin, MD
3; Stephanie A Russo, MD, PhD
1
1Akron Children's Hospital, Akron, OH; 2Penn State University - Harrisburg, Middletown, PA; 3Shriners Hospitals for Children, Philadelphia, PA
HSPN 5. Strain Shielding Effects of a Novel Microhook-based Nerve Repair Device
Brandon Smetana, MD
1; Ben Loflin, MS
2; Jonathan Isaacs, MD
3; Jason Koerner, MD
1; Isaac Clements, PhD
4; Stephen Schlecht, PhD
2
1Indiana Hand to Shoulder Center, Indianapolis, IN; 2Indiana University, Indianapolis, IN; 3Department of Orthopaedics, Virginia Commonwealth University, Richmond, VA; 4Biocircuit Technologies, Atlanta, GA
HSPN 6. Defining the Zone of Acute Peripheral Nerve Injury using Fluorescence Lifetime Imaging in a Crush Injury Sheep Model
Dattesh R Dave, MD, MSc
1; Alba Alfonso Garcia, Phd
2; Lisanne Kraft, M.sc.
2; Laura Marcu, Phd
2; Clifford T Pereira, MD
3
1UC Davis Plastic Surgery, Sacramento, CA; 2University of California, Davis, Davis, CA; 3University of California Davis, Sacramento, CA
HSPN 7. Characterizing Increased Risk of Heart Failure Following Carpal Tunnel Release Surgery
Harrison S Fellheimer, BA
1; Mahaa Ayub, BA
1; Gabriel I Onor, MD
2; Lauren O'Mara, MD
2; Eric Tecce, MD
2; Pedro K Beredjiklian, MD
3
1Thomas Jefferson University, Philadelphia, PA; 2Thomas Jefferson University Hospital, Philadelphia, PA; 3Rothman Orthopaedic Institute, Philadelphia, PA
1:21 pm - 1:30 pm
Panel Discussion
HSPN 8. Exploring Volitional Control and Recovery Strength in Elbow Flexion After Ipsilateral C7 Transfer for C5-6 Brachial Plexus Injury Patients
Ying - Hsuan Lee, MD
1; Johnny Lu, MD
2; Tommy Nai-Jen Chang, MD
3; Chuang David, MD
4
1Chang Gung Memorial Hospital, Taoyuan City, Taiwan; 2Washington University in St. Louis, St. Louis, MO; 3Chang Gung Memorial Hospital, Taoyuan, Taoyuan, Taiwan; 4Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan City, Taiwan
HSPN 9. Consensus Recommendations for Diagnosis and Treatment of Neurogenic Thoracic Outlet Syndrome
Harvey W Chim, MD
1; Robert R Hagan, MD
2; INTOS Workgroup Members, MD
3
1Division of Plastic Surgery, University of Florida, Gainesville, FL; 2Neuropax, St. Louis, MO; 3Different Institutions, Different Cities, FL
HSPN 10. Tip-Tip Pinch Strength Following Median Nerve Decompression: Comparing Lacertus, Carpal Tunnel, and Double Crush Release.
Ileen Domela Nieuwenhuis, MD
1,
2; Sjoerd B Paulusma, MD
2; Niels WL Schep, MD PhD
3; J. Henk Coert, MD PhD
1; Jean Bart Jaquet, MD PhD
4
1University Medical Center Utrecht, Utrecht, Utrecht, Netherlands; 2Maasstad Hospital, Rotterdam, Zuid-Holland, Netherlands; 3Maasstad Ziekenhuis, Rotterdam, Netherlands; 4Maasstad Hospital, Rotterdam, Netherlands
HSPN 11. The Epidermal Growth Factor Receptor (EGFR) Inhibitor Gefitinib Enhances In Vitro and In Vivo Sensory Neuron Regeneration Following Transection in a Mouse Median Nerve Injury Model
Payton Sparks, BS
1; Max Topley, BScH
2; Anne-Marie Crotty, BSc
2; Michael Kawaja, PhD, MSc
2; J. Michael Hendry, MD, MSc, FRCSC
2
1Marian University College of Osteopathic Medicine, Indianapolis, IN; 2Queen's University, Kingston, ON, Canada
HSPN 12. Associating Muscle Transcriptional Variations in Early and Advanced Denervation Atrophy with Functional Recovery in Carpal Tunnel Syndrome
Paige M Fox, MD, PhD
1; Shannon Francis, BS
1; Jesse Emefiele, BS
2; Amar Singh, PhD
2; Reid Smith, BS
2
1Stanford University School of Medicine, Stanford, CA; 2Stanford University, Palo Alto, CA
HSPN 13. Factors affecting Outcomes after Free Functional Gracilis Muscle Transfer for Elbow Flexion in Brachial Plexus Injury: A Systematic Review and Meta-Analysis
Syeda Hoorulain Ahmed, MD
1; Ramin Shekouhi, MD
1; Yousef Husseiny, BS
2; Eddy Rios, BS
3; Maryam Sohooli, MD
4; Harvey Chim, MD
1
1University of Florida College of Medicine, Gainesville, FL; 2New Giza University, Giza, Upper Egypt, Egypt; 3University of Massachusetts Chan School of Medicine, Worcester, MA; 4University of Florida, Gainesville, FL
1:51 pm - 2:00 pm
Panel Discussion
1:00 pm - 3:00 pm
Therapist Panel II: Preventing Complications to Maximize Outcomes in Hand Therapy Practice - Select Topics
Moderator: Joey G. Pipicelli, MScOT, CHT
Panelists: Joy MacDermid, BScPT, PhD; Scott Gould OTR, CHT, CKTP; Rebecca J. Saunders, BS, PT/CHT
This session will review predictable complications following extra-articular hand fractures, flexor and extensor tendon injuries. Furthermore, therapeutic management strategies aimed at both preventing and managing such complications will be discussed. The use of outcome measures will be discussed and how they can be implemented to identify patients which are susceptible to poor outcomes in order to streamline services to those which are likely to develop complications following upper extremity injury.
Objectives: Following this session, the participant will be able to:
- Discuss why we should use outcome measures, which ones to use and implementation issues.
- Discussion and management of complications within all zones of injury including DIPJ flexion contracture, Intratendinous adhesions in Zone II, tendon adhesions to the lumbrical muscle belly within zone III.
- Discussion on how to manage malrotation, use of accelerated rehabilitation to prevent tendon adhesions following ORIF and the use of static linear traction to prevent displacement.
1:00 pm - 3:00 pm
Advanced Practice Provider Session Injection Course
(Separate Registration Required)
Supported by, Endo Pharmaceuticals
An introduction to XIAFLEX (collagenase clostridium histolyticum) designed for APPs, and those new to the product. Attendees will have an opportunity to become trained in XIAFLEX after learning about the clinical data, treatment procedure, and watching videos of experienced injectors perform real patient procedures.
Objectives: Following this session, the participant will be able to:
- The opportunity to review case studies with distinguished faculty.
- A tactile training experience with the Dupuytren's Contracture Injection Simulation.
2:00 pm - 3:00 pm
AAHS Concurrent Panel V: Nerve Regeneration: State of the Art and the Future
Chair: Amy M. Moore, MD
Instructors: Johnathan Isaacs, MD; Ryosuke Ikeguchi, MD; Kimberly A. Masker, OTD OTR/L, CHT
Peripheral nerve injuries and their subsequent regeneration continue to challenge hand surgeons and patients with varying outcomes. As the basic science and surgical techniques continue to advance, outcomes are expected to improve with use of biologics and other translational technology. Experts will provide a preview of cutting-edge basic science and surgical techniques that may change the game in managing nerve injuries.
Objectives: Following this session, the participant will be able to:
- Describe the current state of biologic solutions to achieving recovery of nerve function.
- Describe advances in nerve repair techniques.
- Describe the evidence on outcomes after nerve injury.
6:00 pm - 7:00 pm
Annual Meet the Hand Surgery Fellowship Directors Reception (Invitation Only)
7:00 pm - 10:00 pm
Annual Meeting Dinner Dance
Saturday January 18, 2025
6:30 am - 8:00 am
Continental Breakfast
7:00 am - 8:00 am
AAHS/ASPN/ASRM Instructional Courses
201
The Amputated Extremity: Principles for Success
Chair: Kyle R. Eberlin, MD
Instructors: Scott Hansen, MD; Alexandros Beris, MD; Adnan Prsic, MD; Sahitya K. Denduluri, MD; Emily Skoza-Brackenridge, CHT
Advances in surgical techniques and technology have revolutionized amputation care over the past two decades. This session will explore patient selection and surgical techniques aimed at optimizing function of the residual limb and prevention of post amputation pain including targeted muscle reinnervation and regenerative peripheral nerve interfaces. Exciting advances in prosthetic attachment and intuitive control will also be discussed.
Objectives: Following this session, the participant will be able to:
- The treatment algorithm for patients with major limb amputation.
- The surgical techniques available to prevent and treat pain after major limb amputation.
- Advances in intuitive prosthetic control and osseointegrated prosthetic attachment.
202
Birth Brachial Plexus Injuries
Chair: Aaron Berger, MD
Instructors: Erin Meisel, MD; Nick Pulos, MD; Gregory H. Borschel, MD; Paige Fox, MD; Meagan Pehnke, MS, OTR/L, CHT, CLT
This course will review updates and advancements in the management of brachial plexus birth injuries (BPBI). This expert panel will debate the role of imaging, timing of intervention, and discuss their algorithmic approaches to treatment. They will cover workup and treatments from the pediatric shoulder to elbow and hand while highlighting postoperative therapy to maximize results.
Objectives: Following this session, the participant will be able to:
- Discuss the principles and management of brachial plexus birth palsy.
- Assess BPBI to choose the proper surgical intervention for each patient.
- Identify tendon and nerve transfers for reconstruction of the pediatric extremity.
- Discuss the postoperative therapies necessary to maximize surgical outcomes.
204
How to Differentiate Ulnar Sided Hand Numbness
Chair: Harvey Chim, MD
Instructors: Robert R. Hagan, MD; Madi Elhaj, MD; Thomas J. Wilson, MD; Hollie A. Power, MD
Patients presenting with ulnar-sided hand numbness are a common concern. However, the challenge lies in the fact that numerous conditions can present as ulnar hand numbness, and the greatest concern is our inability to fully alleviate the symptoms through interventions. Potential diagnoses include cervical myelopathy or radiculopathy, thoracic outlet syndrome, cubital tunnel syndrome, Guyon's canal syndrome, or other undetected pathologies. This session will cover the diagnostic workup for these conditions, explore both surgical and non-surgical management strategies, discuss surgical techniques, and review reported outcomes related to these interventions.
Objectives: Following this session, the participant will be able to:
- Identify critical physical exams and imaging modalities that can be used to differentiate ulnar sided hand numbness.
- Know how to differentiate Proximal vs Distal compression points: cervical, TOS, cubital tunnel, guyon canal.
- Discuss the though process between different surgical options: decompression, rib removal, transposition, nerve transfers.
205
My Most Unbelievable Outcome In Nerve Surgery
Chair: Amy M. Moore, MD
Instructors: Bauback Safa, MD; Amber Leis, MD; Michiel Zuidam, MD; Jonathan Isaacs, MD
Nerve surgeries are inherently unpredictable. Often, we face unfavorable outcomes and strive to improve through personal adjustments and detailed research. Occasionally, we encounter unexpectedly positive outcomes that prompt us to reflect on what we did right. In this session, we invite experienced surgeons to share their insights, whether through case presentations or discussions of past research, and to engage the audience in understanding the thought processes behind their decisions.
Objectives: Following this session, the participant will be able to:
- Evaluate unpredictable outcomes when they occur.
- Manage unfavorable outcomes and learn critical points to avoid them in the future.
- Identify unexpectedly good outcomes and turn these into the norm via good research and consistent
206
Progress in Neurotization in Breast Reconstruction: How Far Have We Come
Chair: Stephania Tuinder, MD
Instructors: JJ Huang, MD; Ziv Peled, MD, Lisa Gfrerer, MD, PhD
207
Targeted Muscle Reinnervation And Extremity Nerve Transfers - Outcomes And Lessons Learned
Chair: Amy Moore, MD
Instructors: Grant Kleiber, MD; Meg Roubaud, MD; Helen Hui-Chou, MD; Sami H. Tuffaha, MD
208
Facial Reanimation: Techniques vs. Outcomes
Chair: Sameer Mardini, MD
Instructors: Phoung Nguyen, MD; Joe Dayan, MD; Michael Klebuc, MD; Gregory H. Borschel, MD
8:15 am - 8:30 am
AAHS/ASPN/ASRM President's Welcome (Not for Credit)
David Ruch, MD; AAHS President
Jonathan Winograd MD; ASPN President
Babak Mehrara MD; ASRM President
8:30 am - 9:30 am
AAHS/ASPN/ASRM Combined Panel: Worst Case NO Save: Extremity Cases
Moderator: William C. Pederson, MD
Panelists: Paul S. Cederna, MD; Jamie Levine, MD; Stephen Kovach, MD; Jonathan Isaacs, MD
Trauma or oncologic resection in the extremities can lead to significant challenges for the reconstructive surgeons, where the ultimate outcome may be suboptimal or result in less function than intended. The panel will highlight the teaching points from mistakes made in extremity reconstruction: how plans can be derailed by unexpected events and how reconstructive surgeons can change the course for patients in these challenging situations. From our failures, we can learn to better help others in the future.
Objectives: Following this session, the participant will be able to:
- Discuss critical decision-making in complex extremity reconstruction.
- Recognize pitfalls in surgical technique or treatment planning.
- Develop strategies to troubleshoot complications and effective disclosure to patients.
9:30 am - 10:00 am
Coffee Break with Exhibitors
AAHS 1. The Impact of a Dedicated Trauma Operating Room in Hand Surgery
Chloe R Wong, MD
1; Mauz Asghar, MD(c)
2; Heather L. Baltzer, MD
3
1University of Toronto, Toronto, ON, Canada; 2University of Saskatchewan, Saskatoon, SK, Canada; 3Krembil Research Institute, University Health Network, Toronto, ON, Canada
AAHS 2. Use of Machine Learning to Predict Osteoporosis Status from Plain Hand Radiographs
Andrew John Rodenhouse, MD; Thomas J Carroll, MD; Gilbert Smolyak, BS; Akhil Dondapati, MD; Jeffrey Lillie, PhD; Ajay Anand, PhD; Lisa Pink, MS; Dave J Mitten, MD; Constantinos Ketonis, MD, PhD
University of Rochester Medical Center, Rochester, NY
11:10 am - 11:20 am
Discussion
ASPN 1. Myoblast Transplantation to Reverse Denervation-Induced Muscle Atrophy
William Padovano, MD MPHS
1; Shaquielle Dias, MBBS
2; Emma Rowley, MD
1; Rachana Suresh, MD MPH
1; Thomas G.W. Harris, MBChB
1; Aidan Weitzner, BS
1; Erica B Lee, MS
1; Warren Grayson, PhD
2; Sami H. Tuffaha, MD
1
1Johns Hopkins University School of Medicine, Baltimore, MD; 2Johns Hopkins University, Baltimore, MD
ASPN 2. Long-term Sensory and Visual Clinical Outcomes Following Corneal Neurotization
Jordan R Crabtree, B.S
1; Khoa Dang Tran, MPH
1; Arif Hussain, MD
1; Konstantin Feinberg, PhD
1; Asim Ali, MD
2; Gregory H Borschel, MD
1
1Indiana University School of Medicine, Indianapolis, IN; 2Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, ON, Canada
11:30 am - 11:40 am
Discussion
ASRM #1 Outcomes in Sensation Preservation in Gender-Affirming Subcutaneous Mastectomy Using Intercostal Nerve Transfers
Veronique M. Doucet, MEng, MD1, Brian Pridgen, MD1, Ashley Lauren Titan, MD2, Bauback Safa, MD, MBA1 and Walter C. Lin, MD1
1The Buncke Clinic, San Francisco, CA, 2Stanford University, Redwood City, CA
ASRM #2 Donor Site Morbidity and Functional Outcomes in Pediatric Free Fibula Transfer to the Upper Extremity
Jacob Dinis, MD1,2, Heather R. Burns, MD1, Jenny Lee Nguyen, MD1, Edward P Buchanan, MD1 and William C. Pederson, MD1
1Baylor College of Medicine, Houston, TX, 2Texas Children's Hospital, Houston, TX
11:50 am - 12:00 pm
Discussion
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This session will review the properties and benefits of amniotic and chitosan membrane applications in nerve surgery. The faculty will use a case-based approach to common revision and complex nerve repair scenarios and share their biomaterial selection and application algorithms. Please join us for this fast-paced, no-holds-barred interactive session where dogmas will be challenged and emerging approaches to nerve surgery will be discussed.
6:30 pm - 8:00 pm
ASPN/ASRM Welcome Reception (Ticket Available for Purchase)
