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Precourse 07: Nerve Repair and Reconstruction – Basic Principles and Complex Problems

​Wednesday, October 2, 2013

12:30 - 4:30 PM

Moscone West 2001

Co-Chairs:  Allen T. Bishop, MD; Steve K. Lee, MD

Precourse Fees:

ASSH Member - $195
ASSH Senior Member - $145
Non-Member Surgeon - $225
Allied Health - $125
Resident/Fellow - $75

Includes printed & electronic syllabus.


This precourse will address the basic principles of nerve repair and reconstruction, from simple to complex, emphasizing pertinent anatomy, patient-specific considerations, timing of repair, options for reconstruction and outcomes.

Learning objectives:

At the conclusion of this activity, participants will be better able to:
  • Define step-by-step principles of the treatment of patients with critical nerve injury.
  • Prescribe and use electrodiagnostic testing to help indicate which patients are operative candidates.
  • Compare different techniques for reconstructing nerve gaps.
  • Identify recent innovations and emerging technologies related to nerve regeneration.
Audience Level: Advanced
Keywords: Nerve injury, repair, reconstruction, grafts, transfer
Category: Nerve
CME: The ASSH designates this live activity for a maximum of 4.00 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The ASSH is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Richard A. Bernstein, MD
Jayme A. Bertelli, MD, PhD
Thomas M. Brushart, MD
Joseph Feinberg, MD
Ida K. Fox, MD
Ranjan Gupta, MD
Jonathan E. Isaacs, MD
Susan E. Mackinnon, MD
Steven L. Moran, MD
Peter M. Murray, MD
George P. Nanos, III, MD
Alexander Y. Shin, MD
Robert J. Spinner, MD
John S. Taras, MD
Thomas H. Tung, MD
Angela A. Wang, MD
Scott W. Wolfe, MD


​12:30 ​Introduction ​Allen T. Bishop, MD,
Steve K. Lee, MD
​12:33 ​Pathoanatomy and Pathophysiology of Nerve Injury: What Happens to the Nerve and Distal End Organs with Time?
Timing of Intervention: When to Repair vs. Reconstruct
​Thomas M. Brushart, MD
​12:45 ​Electrodiagnostics of Nerve Injury: How Can We Use EDS to Help Us Treat these Injuries? ​Joseph Feinberg, MD
​12:55 ​Techniques of Nerve Repair:
How to Best Coapt: Suture (Epineural vs. Group Fascicular Repair);
Use of Fibrin Glue, Short Conduits with Intentional Small Gap?;
Strategies to Avoid Tension – Transposition
​Allen T. Bishop, MD
​1:05 ​Outcomes of Major Nerve Injury Repair and Reconstruction for Median, Ulnar, Radial Nerves and Factors Influencing Outcome Angela A. Wang, MD​
Moderator: Steve K Lee, MD
​1:15 ​Case Presentation: How to Fill a Gap? ​Steve K. Lee, MD
​1:17 ​Autograft, Vascularized Autograft: How Far Can You Graft? ​Scott W. Wolfe, MD
​1:25 ​Conduits: Discussion of Types ​John S. Taras, MD
​1:30 ​Allografts: Fresh and Processed ​Steven L. Moran, MD
​1:35 ​Discussion, Q&A



​1:45 ​Nerve Injuries Related to Fractures: Humerus and Forearm ​Richard A. Bernstein, MD
​1:55 ​Nerve Injury with Gunshot Wounds and War Injuries ​George P. Nanos, III, MD
​2:05 ​Iatrogenic Nerve Injuries About the Shoulder ​Alexander Y. Shin, MD
​2:15 ​Peroneal Nerve Injuries ​Steve K. Lee, MD


Moderator: Allen Bishop, MD

​2:25 ​Brachialis to AIN ​Thomas H. Tung, MD
​2:32 ​AIN to Ulnar Motor ​Susan E. Mackinnon, MD
​2:39 ​Supinator to PIN ​Jayme A. Bertelli, MD, PhD


Debate & Lectures

2:45 ​Debate: Nerve Transfer (Tung) vs. Tendon Transfer (Bishop) ​Thomas H. Tung, MD Allen T. Bishop, MD
2:55 ​Nerve Transfers to Regain Sensibility ​Ranjan Gupta, MD
3:05 ​End to Side, Reverse End to Side, Super Charge: the Science Behind It and Clinical Experience ​Jonathan E. Isaacs, MD
3:15 ​Neuromas: Repair, Bury into Muscle, Bury in Bone, Cryoablation?  Role of Nerve Wraps: Vein Wrap, Bovine Collagen, Porcine Submucosa? ​Steve K. Lee, MD
3:25 ​Neural Sheath Tumors: How to Treat Benign, Malignant and Biopsy ​Peter M. Murray, MD
3:35 ​Zebras: Parsonage Turner Syndrome, Neuropathic Amyotrophy and Intraneural Ganglia ​Robert J. Spinner, MD
3:45 ​Nerve Transfers in Tetraplegia: the New Horizon ​Ida K. Fox, MD
3:55 ​Biological Strategies for Nerve Regeneration: Where Are We Now, and Where Are We Going? Schwann Cells, Growth Factors, Motor Endplate, Electrical Stimulation, Scaffolds and Tissue Engineering ​Susan E. Mackinnon, MD
4:05 ​Discussion, Q&A ​Allen T. Bishop, MD and Steve K. Lee, MD


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