Meeting the Challenge of the New Decade
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Precourse 01 - New Options in Minimally Invasive Hand Surgery

Wednesday, September 5

7:30 – 11:30 AM

Location: Columbus AB, Hyatt Regency Convention Center

Chair: Donald H. Lalonde, MD



Members – $195
Nonmembers – $225
Senior Members - $145
Residents & Fellows – $75
Allied Health – $125






CME: The ASSH designates this live educational activity for a maximum of 4.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Audience Level: Intermediate



Minimally invasive procedures involve less dissection, less morbidity, less general anesthesia, and more patient interaction.  These factors contribute to decreasing recovery time and improving outcomes for hand patients.  Experts on minimally invasive techniques in Dupuytren’s and finger fracture management will discuss how and when to use new alternative therapies.  Minimizing rupture, tenolysis and improper transfer tension with tourniquet-free surgery occurs when intraoperative adjustments are made while watching awake patients actively move reconstructed tendons and joints during hand, wrist and forearm surgery.  Experts in arthroscopy and Botox therapy will share their best tips for simplifying the use of these tools.  New advances in pronator syndrome diagnosis and surgery will be demonstrated with video.

Learning Objectives

  • Explain practical details of how to administer minimally painful local anesthesia for wide awake tendon repair and transfer.
  • Recognize when to use minimally invasive Dupuytren’s management (needle aponeurotomy vs. collagenase vs. surgery).
  • Outline useful techniques to simplify arthroscopic surgery.
  • Summarize how and when to administer Botox in hand diseases.
  • Explore ways to simplify diagnosis and surgery for pronator syndrome.
  • Demonstrate early protected movement with K-wired finger fractures.

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Francisco Del Pinal, MD
Charles J. Eaton, MD
Elisabet Hagert, MD, PhD
Vincent R. Hentz, MD
Donald H. Lalonde, MD
Michael W. Neumeister, MD
A. Lee Osterman, MD


7:30 ​ ​Needle Aponeurotomy: How I do it ​Charles J. Eaton, MD
 ​ ​How I Decide Between Surgery, Needle Aponeurotomy and Collagenase for Dupuytren’s ​Charles J. Eaton, MD
​7:50 ​Collagenase Injection: How I do it and How I Decide on That vs. Other Treatments for Dupuytren’s ​Vincent R. Hentz, MD
​8:10 ​Comments on How I Decide between Surgery, Needle Aponeurotomy and Collagenase for Dupuytren’s ​A. Lee Osterman, MD
​8:25 Discussion on Dupuytren’s
​8:35 ​How to do Flexor Tendon Repair and Transfers with the Wide Awake Approach for Less Rupture and Tenolysis ​Donald H. Lalonde, MD
​8:50 ​No Muss, No Fuss, Wide Awake Carpal Tunnel Release that Patients Really Love ​Donald H. Lalonde, MD
​9:05​ ​How to Perform Almost Pain Free Local Anesthesia for 95% of Hand Surgery ​Donald H. Lalonde, MD
​9:20 ​Wide Awake Wrist Arthroscopy and Wrist Surgery ​Elizabet Hagert, MD, PhD
​9:35 Discussion on Wide Awake Hand and Wrist Surgery
​9:45 ​Refinements in Arthroscopic Reduction of the Distal Radius ​Francisco del Pinal, MD
​10:00 ​How, When and Why to do Dry Arthroscopy ​Francisco del Pinal, MD
​10:15 ​Pearls on Arthroscopy: How to make it Easier and Work Better and Stay out of Trouble ​A. Lee Osterman, MD
​10:30 Discussion on Arthroscopic Pearls

​Solving Problems in Raynaud’s, Pain Patients and Hand Diseases with Botox:
How I do it  ▲

​Michael W. Neumeister, MD
11:00 ​ ​Simplifying Pronator Syndrome Diagnosis and Surgery to get Good Results ​Elizabet Hagert, MD, PhD
​11:15 ​How and When to do Early Protected Movement for K-wired Finger Fractures ​Donald H. Lalonde, MD
▲ This lecture includes discussion of Botox, an “off-label” or other non-FDA approved, investigational pharmaceutical product manufactured by Allergan.

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