Hand Fracture Treatment: Simple to Complex

 Co-Chairs: Mark S. Cohen, MD and Mark E. Baratz, MD

Published by: American Society for Surgery of the Hand

Course Objectives:

Review treatment options for simple and complex hand fractures including articular injuries.


Review minimally invasive surgical options such as percutaneous screw placement for hand and scaphoid fractures and tension band fixation of unstable periarticular injuries.

Review options for soft–tissue loss about the hand, including local flaps.

Review reconstructions for severe interphalangeal joint injuries and scaphoid non–unions including carpal autografts and vascularized bone grafts.

This course covers by lecture and cadaveric prosection, current concepts in the treatment of hand fractures. Topics include: phalanx and metacarpal fractures, joint injuries from the carpometacarpal level to the distal interphalangeal joint as well as current treatment options for scaphoid fractures. Demonstrations include: minimally invasive surgical techniques of fracture fixation, soft–tissue coverage options about the hand, reconstructive options for severe proximal interphalangeal joint injuries including carpal autografts, and minimally invasive fixation techniques and vascularized bone grafts for the scaphoid. Panel discussions included.

Disc 1 (1 hour, 58 minutes runtime)

Metacarpal Fractures
Phalanx Fractures
Prosection: Flaps About the Hand
Panel Cases
CMC Joint Fractures
MCP Joint Fractures
Prosection: Articular Fracture Tension Band Fixation
Panel Cases (2)

Disc 2 (1 hour, 43 minute runtime)

PIP Joint Fractures
DIP Joint Fractures
Prosection: PIP Hemate Arthroplasty
Panel Cases
Scaphoid Fractures
Prosection: Percutaneous Scaphoid Fixation
Prosection: Vascularized Scaphoid Grafting