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ASSH > ASSH Annual Meeting > ASSH Annual Meeting 2012 > Program > Symposia

Symposia - Friday, September 7

Times and locations vary for these concurrent sessions, see below for details.

Symposium 02: Thumb Reconstruction: Over 100 Years of Technical Refinement

8:00 - 8:45 AM - Scientific Session 1

Location: Grand Ballroom, Hyatt Regency Convention Center

Moderator: Kevin C. Chung, MD, MS

Faculty:

Neil F. Jones, MD
Fu-Chan Wei, MD
Joseph Upton, III, MD

View faculty disclosures here.

Description

The theme of thumb reconstruction has fascinated hand surgeons for over a century. With progressive experience and technical advances, the concept of thumb reconstruction has evolved from simply making a thumb-post to a refine digit that is mobile, sensate and aesthetically pleasing. This panel brings together world experts in thumb reconstruction to share their life-long interest and experience with thumb reconstruction to give the audience a unique perspective in thumb reconstruction, both in the adult and in the pediatric setting.

Learning Objective

The audience will learn about the options for thumb reconstruction and be able to prioritize these options for unique situations.

Program

8:00 – 8:05 AM	Introduction	Kevin C. Chung, MD, MS
8:05 – 8:15 AM	Traumatic Thumb Reconstruction, Options and My Treatment Algorithm	Neil F. Jones, MD
8:15 – 8:25 AM	Aesthetic Refinement of Toe-to-Thumb Reconstruction	Fu-Chan Wei, MD
8:25 – 8:35 AM	Congenital thumb differences: My treatment concepts	Joseph Upton, III, MD
8:35 – 8:45 AM	Case Presentations	Kevin C. Chung, MD, MS

Symposium 03: Tennis Elbow: Doing Something vs. Nothing

8:00 - 8:45 AM - Scientific Session 2

Location: Columbus I L, Hyatt Regency Convention Center

Moderator: Jennifer Moriatis Wolf, MD

Faculty:

David C. Ring, MD, PhD

A. Lee Dellon, MD, PhD

Graham J.W. King, MD, FRCSC

Mark S. Cohen, MD

View faculty disclosures here.

Description

Lateral epicondylitis, a common tendinopathy, can be observed or treated in multiple ways using varied modalities, according to the literature. The central question is: what works, what doesn’t, and does anything change the course of the disease? In a debate format, we will discuss the evidence for and against various treatments including expectant observation, platelet-rich plasma and steroid injections, denervation, arthroscopic debridement, and open surgical release.

Learning Objective

Upon completion of this session the attendee will be able to evaluate treatment options for lateral epicondylitis.

Program

8:00 – 8:05 AM	Introduction	Jennifer Moriatis Wolf, MD
8:05 – 8:07 AM	How to Talk with a Patient about Self-Limited Treatment	David C. Ring, MD, PhD
8:07 – 8:09 AM	Injections - Autologous Blood and Platelet-Rich Plasma	Jennifer Moriatis Wolf, MD
8:09 – 8:11 AM	Elbow Denervation	A. Lee Dellon, MD, PhD
8:11 – 8:13 AM	Open Release/Debridement	Graham J.W. King, MD, FRCSC
8:13 – 8:15 AM	Arthroscopic Debridement	Mark S. Cohen, MD
8:15 – 8:25 AM	Case for Nothing vs. Conservative Treatments including Injections	David C. Ring, MD, PhD vs. Jennifer Moriatis Wolf, MD
8:25 – 8:35 AM	Open vs. Arthroscopic Treatments	Mark S. Cohen, MD vs. Graham J.W. King, MD, FRCSC
8:35 – 8:45 AM	Is Denervation a Placebo?	A. Lee Dellon, MD, PhD vs. David C. Ring, MD, PhD

Symposium 04: Fast and Furious: Thumb CMC Arthritis in 5-Minute Bullets

9:20 - 10:05 AM - Scientific Session 1

Location: Grand Ballroom, Hyatt Regency Convention Center

Moderator: Amy L. Ladd, MD

Faculty:

Arnold-Peter C. Weiss, MD

Elisabet Hagert, MD, PhD

Jennifer Moriatis Wolf, MD

Steven Z. Glickel, MD

Jeffrey Yao, MD

View faculty disclosures here.

Description

The etiology for Thumb CMC osteoarthritis remains elusive and its treatment controversial. During this program, 6 hand surgeons will present 5 minute briefs that explore discovery and innovation of CMC function and anatomy, hormonal influence on arthritis, and surgical perspectives. Each speaker will respond to one question posed by the subsequent speaker that summarizes the bullet topic. A round robin wish list for an idealized surgical procedure will close the symposium.

Learning Objective

Upon completion of this session the attendee will be able to identify current evidence and key controversies of biomechanics, demographics, and treatment of thumb CMC arthritis.

Program

9:20 – 9:27 AM	The CMC Joint: A Marvelous Piece of Machinery	Amy L. Ladd, MD
9:27 – 9:34 AM	Biomechanics - How We Think the CMC Joint Works: An Update	Arnold-Peter C. Weiss, MD
9:34 – 9:41 AM	Anatomy - New Evidence to Challenge Old Ideas of the CMC Joint	Elisabet Hagert, MD, PhD
9:41 – 9:48 AM	Hormonal Influences - Theories and Evidence of CMC Arthritis	Jennifer Moriatis Wolf, MD
9:48 – 9:55 AM	Reconstructing the CMC Joint: Restore the Anatomy	Steven Z. Glickel, MD
9:55 – 10:02 AM	Surgery for CMC Joint Pain: Less is More ▲	Jeffrey Yao, MD
10:02 – 10:05 AM	Round Robin: What is the Ideal Surgery for CMC Arthritis?	Panelists: Drs. Ladd, Weiss, Hagert, Wolf, Glickel and Yao

▲ Symposium 4: Fast and Furious: Thumb CMC Arthritis in 5-Minute Bullets will include discussion of Mini-Tightrope, an "off-label" or other non-FDA approved, investigational pharmaceutical product manufactured by Arthrex.

Symposium 05: My Favorite Flexor Tendon Repair and Why

9:20 - 10:05 AM - Scientific Session 2

Location: Columbus, I L, Hyatt Regency Convention Center
Moderator: James Chang, MD

Faculty:

Jin Bo Tang, MD

Martin I. Boyer, MD, FRCS(C)

Robert Savage, MS, FRCS

Edward Diao, MD

View faculty disclosures here.

Description

Most symposia on flexor tendon repair focus on the rationale for multi-strand repair, post-operative protocols, and/or the scientific basis of healing. What is overlooked is a clear presentation of what the hand surgeon actually does in practice. In this symposium, 4 leaders in flexor tendon surgery will first present, in detail, the exact technique they perform for a clean Zone II flexor tendon laceration. In the discussion, they will present bullet points on why that repair technique is chosen. In the end, the audience will vote electronically on the method that they would adopt.

Learning Objective

Upon completion of this session the attendee will be able to discuss optimal repair techniques for Zone II flexor tendon lacerations.

Program

9:20 – 9:27 AM	Introduction and Case Presentation	James Chang, MD
9:27 – 9:34 AM	Repair Technique 1	Jin Bo Tang, MD
9:34 – 9:41 AM	Repair Technique 2	Martin I. Boyer, MD, FRCS(C)
9:41 – 9:48 AM	Repair Technique 3	Robert Savage, MS, FRCS
9:48 – 9:55 AM	Repair Technique 4	Edward Diao, MD
9:55 – 10:05 AM	Discussion and Voting

Symposium 06: Health Policy: Practicing Medicine with Increasing Governmental Regulation

10:40 - 11:25 AM - Scientific Session 1

Location: Grand Ballroom, Hyatt Regency Convention Center

Moderator: Bruce M. Leslie, MD

Faculty:

Graham Newson, Associate Director, AAOS Office of Government Relations

Honorable Bill Hazel, MD, Secretary of Health and Human Resources, Commonwealth of Virgina (Cancelled)
Andrew W. Gurman, MD, Speaker of the House of Delegates American Medical Association

View faculty disclosures here.

Description

As the cost of health care approximates 20% of the GDP it has become more and more obvious that the present system is unsustainable. As a result the Federal Government and the individual States are looking at many different methods of providing cost effective care. The end result is that health care providers need to be aware of State and Federal regulations. Fortunately the situation is still fluid and the regulations can still be influenced by physicians willing become involved in the political process.

Learning Objectives

Upon completion of this session the attendee will be able to:

Discuss the status of health care legislation across the country
Describe the effect of Federal legislation on the individual States.
List how you can influence the impending legislation and regulations

Program

10:40 – 10:43 AM	Introduction	Bruce M. Leslie, MD Chair, ASSH Government Affairs Committee
10:43 – 10:53 AM	Overview of Health Care Legislation across the Country	Graham Newson, Associate Director, AAOS Office of Government Relations
10:53 - 11:08 AM	The Affordable Care Act	Andrew W. Gurman, MD, Speaker of the House of Delegates American Medical Association
11:08 – 11:18 AM	Political Activism 101	Andrew W. Gurman, MD, Speaker of the House of Delegates American Medical Association
11:18 – 11:25 AM	Q&A

Symposium 07: Evidence Based Medicine 2012 - The Use of Evidence in Daily Practice

10:40 - 11:25 AM - Scientific Session 2

Location: Columbus I L, Hyatt Regency Convention Center

Moderator: Warren C. Hammert, MD

Faculty:

Charles A. Goldfarb, MD
Jay F. Pomerance, MD
Christine J. Cheng, MD
Jennifer Moriatis Wolf, MD

View faculty disclosures here.

Description

The practice of medicine is a combination of art and science. We do not have scientific answers for many conditions, so we must rely on the art of medicine. Experience, the art of medicine, takes many years to obtain, so what do you do until then – use science to help guide decisions. The purpose of EBM is to clarify the science component to ensure the best prediction of outcomes – not to replace the art of medicine. This symposium will present a series of case scenarios and demonstrate how evidence can be used to guide treatment.

Learning Objective

Upon completion of this session the attendee will be able to discuss how EBM can be used to guide treatment.

Program

10:40 – 10:45 AM	Introduction	Warren C. Hammert, MD
10:45 – 10:52 AM	Clinical Case Scenario: Lateral Epicondylitis	Charles A. Goldfarb, MD
10:52 – 10:59 AM	Clinical Case Scenario: Carpal Tunnel Syndrome	Jay F. Pomerance, MD
10:59 – 11:07 AM	Clinical Case Scenario: Carpal Tunnel Syndrome	Christine J. Cheng, MD
11:07 – 11:15 AM	Clinical Case Scenario: Basal Joint Arthritis	Jennifer Moriatis Wolf, MD
11:15 – 11:25 AM	Panel Discussion / Q&A

Symposium 08: Hand Smackdown

1:35 - 2:20 PM

Location: Grand Ballroom, Hyatt Regency Convention Center

Moderator: Thomas A. Wiedrich, MD

Emcee: Robert J. Strauch, MD

New Millennium Smackers Team Captain: T. Greg Sommerkamp, MD
Dura Mater Manus Team Captain: Amy L. Ladd, MD

View faculty disclosures here.

Description

The “Hand Smackdown” is a college bowl type competition between two competing groups. This year it’s men vs. women! Approximately 45 minutes before the symposium, five difficult hand surgery cases in areas of Congenital, Trauma, Reconstructive, and Wrist will be exchanged in addition to one “wild card” topic. The captains will then assign five team members each a case to discuss during the symposium. At the beginning of the symposium, each team enters the arena and the emcee will introduce the teams. Management of each case will be discussed for a total of 3 minutes allowing for a 60 second case introduction by Team 1, a 90 second discussion by Team 2 and a 30 second rebuttal by Team 1. At the end of all presentations the audience will decide which team overall best managed their cases. After voting is complete, Dr. Strauch will announce the winner and will issue a challenge for a new hand group to take on the winner at the 68th ASSH Annual Meeting next year in San Francisco.

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