Saturday Symposia

8:00 - 8:45 AM

 

Find symposia handouts here


SYMPOSIUM 09
Moscone West 3004/3012

Social Media and Your Practice

Moderators: Terry Light, MD and Raymond Raven, MD
 
In order to influence information people are receiving, you must understand what sources of information they use, how it is generated and how it is transmitted. The basic architecture of information exchange has changed profoundly.  In the past, the structure of information was vertical, a top down passive system.  People absorbed information but they couldn’t talk back. Now, the vertical system has become more horizontal. People now receive information from each other, which they consider to be the most trusted source. The core of Social Media is that it gives the user the ability to relate to other people by building, enhancing and fostering relationships. Patients and family members are using Social Media platforms to obtain health information and share their healthcare experiences with others.  Only recently have physicians started taking a more active role in the process.  In addition to publishing health-related information, physicians are increasingly becoming more comfortable with participating in Social Media dialogue. Social Media venues are one of the most powerful sources of information and the benefits of participation have been seen in both politics and social movements.  Understanding how to leverage Social Media tools will help you develop and maintain a sustainable competitive advantage for your practice.
 
Learning Objectives
  • Understand how people, patients and their families use Social Media outlets to learn about medical conditions and make better choices about their health care.
  • Learn how to leverage Social Media to promote health, market your practice and engage participants in meaningful dialog about hand and upper extremity conditions.
  • Learn ways to establish a positive Social Media presence.
  • Understand the possible legal implications of participating in Social Media outlets as a healthcare provider and how to minimize risk. 
Program
​8:00 – 8:03 AM ​Introduction: Engaging the Audience through Twitter ​Megan Meislin, MD
​8:04 – 8:14 AM ​Why Physicians Must Participate in Social Media ​Jonathan Tueting, MD
​8:15 – 8:25 AM Engaging Patients and the Community Online Ray Raven, MD
​8:26 – 8:35 AM ​Minimizing Risk While Engaging Online ​Adam Shafritz, MD
​8:36 – 8:45 AM ​Q&A: Using Twitter & Facebook feed ​Terry Light, MD & Megan Meislin, MD
 
 

SYMPOSIUM 10
Moscone West 3001/3003

Pediatric Brachial Plexus Injury

Moderator: Donald S. Bae, MD
 
This program will be a case-based discussion amongst internationally renowned experts in the field of brachial plexus birth palsy.  Two cases will be presented, during which the faculty will discuss evidence-based evaluation and management, as well as their preferred indications and techniques for treatment.  Audience participation will be encouraged, and the moderator will present the faculty with comments and questions from the attendees via a live blog.  The two cases to be discussed will be:
  • The infant with brachial plexus birth palsy and potential need for microsurgical plexus reconstruction
  • The young child with limitations in shoulder function and glenohumeral dysplasia
 
Learning Objectives
The purpose of this symposium will be to discuss the evaluation and treatment of brachial plexus birth palsy.  Specifically, the educational session will inform the attendee regarding:
  • Optimal timing and indications for microsurgery.
  • Surgical approaches and techniques for brachial plexus reconstruction.
  • Evaluation and classification of glenohumeral dysplasia.
  • Indications for and techniques of secondary reconstructions, including botulinum toxin, arthroscopic releases, tendon transfers and humeral or glenoid osteotomy.
 
Program
This program will be a case-based discussion amongst internationally renowned experts in the field of brachial plexus birth palsy.  Two cases will be presented, during which the faculty will discuss evidence-based evaluation and management, as well as their preferred indications and techniques for treatment.  Audience participation will be encouraged, and the moderator will present the faculty with comments and questions from the attendees via a live blog.  The two cases to be discussed will be:

1) The infant with brachial plexus birth palsy and potential need for microsurgical plexus reconstruction
2) The young child with limitations in shoulder function and glenohumeral dysplasia

CASE #1: Infant presenting with brachial plexus birth palsy
​8:00 – 8:05 AM ​Clinical evaluation of brachial plexus birth palsy, indications and timing of microsurgery (Donald S. Bae, MD)
​8:05 – 8:10 AM ​Panel discussion on approach to the infant with brachial plexus birth palsy
​8:10 – 8:15 AM ​Surgical approaches and microsurgical techniques (Scott Kozin, MD)
​8:15 – 8:20 AM ​Panel discussion on surgical techniques
 
 
CASE #2:  Young child with limited shoulder abduction and external rotation
​8:20 – 8:25 AM ​Evaluation and surgical indications of child with limited shoulder function and glenohumeral dysplasia, including role of botulinum toxin (Marybeth Ezaki, MD)
​8:25 – 8:30 AM ​Panel discussion
​8:30 – 8:35 AM ​Surgical techniques for shoulder reconstruction, including tendon transfers and osteotomies (Bassem El-Hassan, MD)
​8:35 – 8:40 AM ​Panel discussion
 

SYMPOSIUM 12
Moscone West 3000/3002

Composite Tissue Transfer in 2013: An Update

Moderators: W. P. Andrew Lee, MD and Linda Cendales, MD
 
The symposium deals with the current concepts and application of vascularized composite allo-transplantation (VCA) including hand transplants. Speakers will cover the evolution of VCA as part of the microsurgical reconstructive ladder, advances in immune modulation and functional outcome after hand transplantation, patient selection and surgical techniques and the emerging military system for candidate identification and evaluation.
 
Learning Objectives
 
The audience should become familiar with the latest advances in vascularized composite allo-transplantation, including the progress in immune modulation, actual functional outcome, applicable surgical techniques and patient selection criteria.
 
Program
8:00 - 8:12 AM
​Advances in immune modulation and functional outcome after hand transplantation Jaimie Shores, MD
​8:12 - 8:24 AM
​Patient selection and surgical techniques ​Kodi Azari, MD
​8:24 - 8:36 AM ​Military candidate identification and evaluation ​Dmitry Tuder, MD
​8:36 - 8:45 AM ​Audience Questions and Comments​

9:25 - 10:10 AM

SYMPOSIUM 11
Moscone West 3004/3012

Treatment Differences Around the Globe for Distal Radius Fractures and Scaphoid Fractures

Moderator: Kevin C. Chung, MD
 
Two of the most intriguing injuries in the hand and wrist are distal radius and scaphoid fractures.  These injuries have been described for centuries, and their treatments are evolving owing to evidence that has been presented in recent years.  This symposium will apply a case-based format to an international panel of experts to apply scientific data to guide their decision-making process for fractures and malunions of the distal radius and scaphoid.  By integrating the scientific data with expert experience, rational treatment approaches are presented to provide the most optimal care for these two complex injuries.
 
Learning Objectives
  • Discuss the management of distal radius fracture based on patient and fracture type.
  • Present the concepts in evaluating distal radius malunions and in proposing treatments.
  • Explain the diagnosis and treatment of acute scaphoid fractures.
  • Conceptualize an algorithm to manage various types of scaphoid nonunion and malunion patterns to restore acceptable wrist kinematics.
 
Program
​9:25 - 9:26 AM ​Introduction of Panel ​Kevin Chung, MD
​9:26 - 9:27 AM ​Case Presentation of Distal Radius Fracture ​Kevin Chung, MD
​9:27 - 9:33 AM ​What is the Evidence in Treating Distal Radius Fracture to Help Me with this Case? ​Gregory Bain, MD (Australia)
​What Kevin Chung Did ​Kevin Chung, MD
​9:33 - 9:34 AM ​Case Presentation of Distal Radius Malunion ​Kevin Chung, MD
​9:34 - 9:42 AM ​What is the Evidence in Helping Me Treat this Disaster Case? ​Expert panel
​What Kevin Chung Did ​Kevin Chung, MD
​9:42 - 9:43 AM ​Case Presentation of Scaphoid Fracture ​Kevin Chung, MD
​9:43 - 9:49 AM ​How do I Diagnose and Treat Scaphoid Fracture: Does Evidence Matter to Me? ​Doug Campbell, MD
​What Kevin Chung Did ​Kevin Chung, MD
​9:49 - 9:50 AM ​Case Presentation of Scaphoid Malunion
​9:50 - 9:56 AM ​Concepts and Evolution in Optimizing Outcomes for Treating Scaphoid Malunion, an​ Evidence-Based Approach ​Daniel Herren, MD​
​What Kevin Chung Did ​Kevin Chung, MD
​9:56 - 10:10 AM ​Audience Questions

1:30 - 2:15 PM

SYMPOSIUM 13
Moscone West 3004/3012

Treatment Differences Around the Globe for Common Hand Problems

Moderator: James Chang, MD
 
Even for common hand problems, there exist significant treatment differences around the world.  These differences may be based on historical treatment, training and/or regional biases.  The socioeconomic environment, as well as cultural attitudes and anatomic variations may also play a role.  The purpose of this symposium is to present a variety of hand cases related to thumb osteoarthritis and hand wounds to panelists from different centers around the world.  Both differences in treatment and common principles will be highlighted in a point-counterpoint format.
 
Learning Objectives
  • Learn optimal treatment for a range of problems related to thumb osteoarthritis including CMC joint dislocations, CMC joint osteoarthritis, and STT joint osteoarthritis.
  • Learn optimal treatment for a range of problems related to hand wounds including fingertip injuries, webspace defects, and dorsal hand injuries.
  • Understand the historical and cultural reasons for treatment differences.
  • Appreciate that different effective treatments may be possible for common hand problems.
 
Program
Thumb osteoarthritis – Nick Downing vs. Jeff Yao
CMC dislocation in young worker
Eaton stage II
Pan Trapezial
STT OA

Hand wounds – Jeff Friedrich vs. Ryo Kakinoki
Fingertip pulp injury
Exposed PIP joint
First web defect
Dorsal hand wound 
 

SYMPOSIUM 14
Moscone West 3001/3003

EBM 2013 Symposium - Interpretation of Evidence in 2013 – How to Interpret Scientific Studies, from Level I and Level IV

Moderator: Warren Hammert, MD
 
Scientific evidence often seems as odds with wisdom, but the “Journal of Retraction” as previously presented, emphasizes that impressions change. Levels of evidence are intended to indicate the confidence in quality of a scientific experiment.  Level I studies are imperfect and merit careful interpretation.  Level IV studies are easy to misinterpret, but for uncommon diseases we must rely on them.  Level II and III studies provide a measure of control over the types of biases and misinterpretations that lead to retractions.  There is no perfect study.  Therefore, an understanding of the scientific method is a critical aspect of evidence-based medicine.
 
Learning Objectives
This symposium will help the attendee interpret studies of both higher and lower levels of evidence, using clinical case examples.
 
Program
1:30 - 1:33 PM​ ​Introduction/ Overview ​Warren Hammert, MD
​1:33 - 1:43 PM ​Interpretation of Level IV Studies
Treatment of Scaphoid Nonunion
​Brent Graham, MD
​1:43 - 1:53 PM ​Interpretation of Level II and III Studies
Prospective Cohort Studies, Case-Control Studies, Imperfect Randomized Trials
​David Ring, MD, PhD
​1:53 - 2:03 PM ​Interpretation of Level I Studies –
Confidence Intervals and Equivalence
​Noah Raizman, MD
​2:03 - 2:15 PM ​Discussion, Questions and Answers
 

2:55 - 3:40 PM

SYMPOSIUM 15
Moscone West 3004/3012

Treatment Differences Around the Globe for Complex Peri-Articular Elbow Fractures

Moderators: David Ruch, MD and Graham King, MD
 
Despite many new implants and innovative devices, the management of periarticular fractures about the elbow remains one of the most challenging areas in upper limb surgery.  The difficult exposures, critical reductions and often-times tenuous fixation make these injuries prone to a variety of complications resulting in poor outcomes even in expert hands.  The goal of this symposium is to present challenging examples of periarticular elbow injuries and how international experts would approach and manage them.  Specific attention will be paid to fractures of the distal humerus, radial head and more complex fracture-dislocations.  Attendees will also gain a perspective on how international opinion may vary in the solution to these injuries as experts from Europe, North America, Australia and Japan are represented on the panel.
 
Learning Objectives
At the conclusion of the program, participants will be able to understand treatment options for complex periarticular fractures and fracture-dislocations of the elbow.
 
Program
​2:55 – 3:03 PM ​Coronoid Fracture ​Gregory I. Bain, FRACS, PhD
​3:03 – 3:11 PM ​Unstable Simple Dislocation ​Moroe Beppu, MD
​3:11 – 3:19 PM ​Coronal Shear Fracture ​Graham J. King, MD, FRCSC
​3:19 – 3:27 PM ​Monteggia Fracture-Dislocation ​David C. Ring, MD, PhD​
​3:27 – 3:35 PM ​Radial Head Fracture ​Roger Van Riet, MD, PhD
​3:35 – 3:40 PM ​Discussion

 
 

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