1:30 - 2:15 PM
Symposium 14: Outcomes Research in Hand Surgery
2:50 - 3:35 PM
Symposium 15: Operations I No Longer Perform
Symposium 10
An Evidence Based Approach to Scaphoid Fractures
Saturday, September 5
8:00 – 8:45 AM
MODERATOR
A. Lee Osterman, MD, Villanova, PA
FACULTY
Alexander Y. Shin, MD, Rochester, MN
Terri Skirven, CHT, OTR, Philadelphia, PA
Joseph F. Slade, III, MD, Guilford, CT
T. Greg Sommerkamp, MD, Edgewood, KY
OVERVIEW
This symposium will include percutaneous and arthroscopic fixation, the use of adjuvant healing stimulants, and scaphoid mobilization splinting reflect the evolution of scaphoid fracture care. Faculty will define the roles of these newer technologies in the context of cast immobilization and open reduction. Topics such as defining imaging parameters of scaphoid fracture diagnosis and healing, as well as protocols for post injury function and rehabilitation, round out this evidence based symposium.
EDUCATION GOALS
- Define indications for closed, arthroscopic, and open treatment of scaphoid fractures
- Provide practical tips on the various treatments including their limitations and complications
- Outline the role of bone grafting, BMP's, and gels in the acute scaphoid fracture
- Recognize methods to assess fracture healing
- Describe a rehabilitation protocol for scaphoid fractures that includes mobilization splinting
PROGRAM
8:00 – 8:03 AM
Introduction
A. Lee Osterman, MD, Villanova, PA
8:03 – 8:09 AM
Indications for Scaphoid Surgery and Adjuvant Use
Joseph F. Slade, III, MD, Guilford, CT
8:09 – 8:13 AM
Discussion
8:13– 8:19 AM
Percutaneous Approach
T. Greg Sommerkamp, MD, Edgewood, KY
8:19 – 8:24 AM
Discussion
8:24 – 8:30 AM
Radiographic Parameters of Scaphoid Fracture Diagnosis and Healing
Alexander Y. Shin, MD, Rochester, MN
8:30 – 8:35
Discussion
8:35 – 8:41 AM
Scaphoid Mobilization Splinting and Rehabilitation
Terri Skirven, CHT, OTR, Philadelphia, PA
8:41 – 8:45 AM
Discussion
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Symposium 11
Update on Tetraplegia for the Hand Surgeon
Saturday, September 5
8:00 – 8:45 AM
MODERATOR
Ann E. Van Heest, MD, Minneapolis, MN
FACULTY
Michael S. Bednar, MD, Maywood, IL
Vincent R. Hentz, MD, Palo Alto, CA
Scott H. Kozin, MD, Philadelphia, PA
OVERVIEW
A panel of experienced hand surgeons will discuss the reconstruction of the paralytic hand due to spinal cord injury. Topics covered will include tendon transfers for opposition versus lateral pinch, flexor and extensor phases of reconstruction, and long term outcomes.
EDUCATION GOAL
By attending this symposium, participants will leave with a better understanding of current controversies for hand reconstructions for patients with tetraplegia. Questions to be discussed include: Who is a candidate for tendon transfer surgery?; What reconstruction should be performed for pinch reconstruction?; Is a separate flexor and extensor phase necessary and what are the timing options?; and What are the long term outcomes of tetraplegic hand reconstructions?
PROGRAM
8:00 – 8:05 AM
Introduction
Ann E. Van Heest, MD, Minneapolis, MN
8:05 – 8:15 AM
Pinch Transfers
Scott H. Kozin, MD, Philadelphia, PA
8:15 – 8:25 AM
Extensor/Flexor Phase Reconstruction Controversies
Michael S. Bednar, MD, Maywood, IL
8:25 – 8:35 AM
Long Term Outcomes
Vincent R. Hentz, MD, Palo Alto, CA
8:35 – 8:45 AM
Case Study / Panel Discussion
Case Study Leader: Ann E. Van Heest, MD
Panel: Scott H. Kozin, MD, Michael S. Bednar, MD, Vincent R. Hentz, MD
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Symposium 12
Young Turks vs. Old Masters
Saturday, September 5
9:20 – 10:05 AM
MODERATOR
Arnold-Peter C. Weiss, MD, Providence, RI
FACULTY
Tyson K. Cobb, MD, Davenport, IA
Charles J. Eaton, MD, Jupiter, FL
William B. Kleinman, MD, Indianapolis, IN
Scott P. Steinmann, MD, Rochester, MN
Peter J. Stern, MD, Cincinnati, OH
Andrew J. Weiland, MD, New York, NY
OVERVIEW
This symposium will present three topics in hand surgery which are undergoing some evolution in treatment technique: Cubital Tunnel Syndrome, Thumb Carpometacarpal Arthritis, and Dupuytren’s Disease. The pros and cons of various treatment methods, both traditional and those more recently discovered will be presented by experts, along with pearls of wisdom to avoid pitfalls. The program will include with a point/counterpoint discussion.
EDUCATION GOALS
Understand the essential technical tricks to obtain successful outcomes using either method of each problem presented.
Understand the relative advantages and disadvantages of all six presented methods of treatment.
PROGRAM
9:20 – 9:25 AM
Introduction – Setting the Stage
Arnold-Peter C. Weiss, MD, Providence, RI
9:25 – 9:30 AM
Endoscopic Cubital Tunnel Release
Tyson K. Cobb, MD, Davenport, IA
9:30 – 9:35 AM
Open Cubital Tunnel Release
William B. Kleinman, MD, Indianapolis, IN
9:35 – 9:40 AM
Arthroscopic Thumb CMC Arthroplasty
Scott P. Steinmann, MD, Rochester, MN
9:40 – 9:45 AM
Open Thumb CMC Arthroplasty
Andrew J. Weiland, MD, New York, NY
9:45 – 9:50 AM
Needle Aponeurotomy – Dupuytren’s
Charles J. Eaton, MD, Jupiter, FL
9:50 – 9:55 AM
Formal Dupuytren’s Excision
Peter J. Stern, MD, Cincinnati, OH
9:55 – 10:05 AM
“Can’t Resist Last Licks” and Summary
Arnold-Peter C. Weiss, MD, Providence, RI
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Symposium 13
The Stiff Elbow in the Young Adult – An Unsolved Problem
Saturday, September 5, 2009
9:20 – 10:05 AM
MODERATOR
Douglas P. Hanel, MD, Seattle, WA
FACULTY
Michael R. Hausman, MD, New York, NY
Leonid I. Katolik, MD, King of Prussia, PA
Marc J. Richard, MD, Durham, NC
OVERVIEW
The stiff elbow is a common and particularly vexing problem, with no distinct guidelines for initiating operative treatment or adjunctive therapy. This symposium will address the indications and execution of treatment for the young adult with a stiff elbow. Particular attention will be paid to the indications and contraindications for the various methods presented, as well as limitations of treatment, pitfalls and technical pearls.
EDUCATION GOALS
“Take Home Messages” to be answered in this symposium:
Who should and who should not be treated for stiff elbow symptoms?
What is the role of arthroscopy?
How are open techniques performed?
What is the role for prophylactic measures such as radiation, nonsteroidals and various forms of splinting?
What should you expect for your patients at the completion of treatment?
PROGRAM
9:20 – 9:25 AM
Introduction and Indications for Treatment of the Stiff Elbow
Douglas P. Hanel, MD, Seattle, WA
9:25 – 9:35 AM
The Role of Arthroscopy in the Management of the Stiff Elbow
Michael R. Hausman, MD, New York, NY
9:35 – 9:45 AM
Open Release Techniques
Leonid I. Katolik, MD, King of Prussia, PA
9:45 - 9:55 AM
Prevention of Heterotopic Ossification - Science or Witchcraft
Marc J. Richard, MD, Durham, NC
9:55 – 10:05 AM
Discussion and Questions:
- When do you use adjunctive radiation therapy?
- Are NSAIDS helpful in your practice?
- Are dynamic or static progressive splints helpful in your practice?
- Any Hidden Secrets?
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Symposium 14
Outcomes Research in Hand Surgery
Saturday, September 5
1:30 – 2:15 PM
MODERATOR
Michael W. Keith, MD, Cleveland, OH
FACULTY
Joy C. MacDermid, PhD, CHT, London, ON, Canada
David C. Ring, MD, Boston, MA
OVERVIEW
Leaders in evidence based medicine will describe the current, advanced state of outcomes studies, evidence creation, publication, review, and health policy.
EDUCATION GOALS
Listeners will learn the language of practical EBP of hand surgery and hand therapy
Readers will understand the organization of the process of summarizing and improving evidence
Discussants will clarify the directions for future research, implementation of a practice EBM plan
PROGRAM
1:30 – 1:40 PM
Introduction – Where is EBP Today?
Michael W. Keith, MD, Cleveland, OH
1:40 – 1:50 PM
How are Patients Studied Today?
Joy C. MacDermid, PhD, CHT, London, ON, Canada
1:50 – 2:00 PM
How are Publications Created and Judged to be Part of the Evidence Base Today?
David C. Ring, MD, Boston, MA
2:00 – 2:15 PM
Discussion
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Symposium 15
Operations I No Longer Perform
Saturday, September 5
2:50 – 3:35 PM
MODERATOR
Peter J. Stern, MD, Cincinnati, OH
FACULTY
Charles J. Eaton, MD, Jupiter, FL
Paul Feldon, MD Boston, MA
Richard H. Gelberman, MD, St. Louis, MO
Alexander Y. Shin, MD, Rochester, MN
OVERVIEW
Over time, procedures once believed to be tried and true have been challenged by colleagues and in the peer review literature. This symposium will address four such procedures that have been questioned or come ‘under fire’ in recent years. Questions will be posed to the panelists regarding procedures they have either described or are regarded as an authority on.
EDUCATION GOALS
- Identify the status of wafer procedure for ulnar abutment
- Describe current indications for in situ ulnar nerve decompression at elbow
- Discuss indications and results of fasciotomy for Dupuytren’s disease
- Recongnize current indications for 1,2 ICSRA bone grafting for scaphoid nonunion with or without osteonecrosis.
PROGRAM
2:50 – 2:53 PM
Introduction
Peter J. Stern, MD, Cincinnati, OH
2:53 – 2:58 PM
The Wafer Procedure
Paul Feldon, MD Boston, MA
2:58 – 3:02 PM
Questions and Answers
3:02 – 3:07 PM
Anterior Ulnar Nerve Transposition
Richard H. Gelberman, MD, St. Louis, MO
3:07 – 3:11 PM
Questions and Answers
3:11 – 3:16 PM
Fasciectomy for Dupuytren’s Disease
Charles J. Eaton, MD, Jupiter, FL
3:16 – 3:20 PM
Questions and Answers
3:20 – 3:25 PM
1.2 ICSRA Graft for Scaphoid Nonunion with Osteonecrosis
Alexander Y. Shin, MD, Rochester, MN
3:25 – 3:29 PM
Questions and Answers
3:29 – 3:35 PM
Wrap Up / Audience Q&A
Peter J. Stern, MD, Cincinnati, OH
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