and Hand-e
33rd Annual Adrian E. Flatt Residents & Fellows Conference in Hand Surgery


Wednesday, September 9, 2015
7:00 AM - 4:15 PM
Washington State Convention Center, Room 2AB


Chair: John V. Ingari, MD
Vice-Chair: Jerry I. Huang, MD

Sponsored by the American Foundation for Surgery of the Hand.

Learn more about scholarships for residents and fellows to attend the Annual Meeting.


The Adrian E. Flatt Residents and Fellows Conference in Hand Surgery is specifically geared toward hand surgery fellows and residents in orthopaedic, plastic and general surgery.  The day includes lively debates by our faculty about areas of controversy within hand surgery,  information pertaining to the types of clinical practices ranging from academic to private practice, a quiz for residents and fellows and a scientific program where residents and fellows can present their research. Participants are invited to submit and present their papers on subjects within the specialty of hand and upper extremity surgery.  Filled with dialogue and information exchange, this conference is a valuable resource for all attendees.

Learning Objectives

  • Discuss and critique presentations of clinical advances and research findings in hand and upper extremity surgery.
  • Use the information presented in this educational forum to advance office practice and the treatment of patients.


The ASSH designates this live activity for a maximum of 8.00 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Fellow or Resident

ASSH Member

ASSH Senior Member

Non-Member Physician

Allied Health

International ASSH Member

International Non-member


7:00 – 7:30 AM

7:30 – 7:35 AM
John V. Ingari, MD

7:35 – 7:45 AM
Introductory Remarks
William B. Seitz, Jr, MD, President, American Society for Surgery of the Hand

7:45 – 8:15 AM
Paper Session I: 5 min each, 5 papers
Moderators: Mark R. Bagg, MD and Mark A. Trzeciak, DO

Paper 01: Body Mass Index as a Continuous Variable in Shoulder Arthroplasty
Eric Wagner, MD
Matthew Houdek, MD
W. Scott Harmsen, MS
Robert Cofield, MD
John W. Sperling, MD, MBA
Bassem T. Elhassan, MD

Paper 02: Attenuation of Robust Glial Scar Formation after Chronic Nerve Compression Injury Can Facilitate Functional Recovery
Minal Tapadia, MD, JD, MA
James Jung, BS
Diana Zhu, BA
Weiping  Wang, PhD
Tahseen Mozaffar, MD
Ranjan Gupta, MD

Paper 03: Lateral Femoral Condyle Flap: Anatomic Dissections and Case Report
Victor Wong, MD
Heinz K. Buerger, MD
Matthew L. Iorio, MD
James P. Higgins, MD

Paper 04: Diagnosis of Occult Scaphoid Fractures: A Cost Effectiveness Analysis
John Karl, MD, MPH
Eric Swart, MD
Robert J. Strauch, MD

Paper 05: A Novel Telemedicine System for Care of Statewide Hand Trauma
John Bracey, MD
Mark Tait, MD

8:15 – 8:25 AM
Moderator Discussion/Panel Questions

8:25 – 8:55 AM
Paper Session II: 5 min each, 5 papers
Moderators: Andrew Chen, MD and Joseph E. Imbriglia, MD

Paper 06: Postural Stability in Older Adults with a Distal Radius Fracture
Craig Louer, MD
Sean Boone, BA
Andre Guthrie, BA
Ryan Patrick Calfee, MD
Lindley Wall, MD

Paper 07: The Vascular Anatomy Relevant to Distal Biceps Tendon Repair
David Zeltser, MD
Robert J. Strauch, MD

Paper 08: Baseline Characteristics of the Median Nerve on Ultrasound Examination.
Tiffany Pan, MD
RJ White, BS
Caiyan  Zhang, MS
William C. Hagberg, MD
Joseph Imbriglia, MD
John Fowler, MD

Paper 09: Mini-Flouroscopy Radiation Exposure: Does Flouroscope Position Make a Difference?
Hassan Shah, MD
C. Edward Hoffler, II, PhD MD
Nayoung Kim, BS
Asif Ilyas, MD

Paper 10: Complications and Comorbidities in Syndactyly Reconstruction: National Trends from 2012 and 2013
Rajiv Parikh, MD
Ketan Sharma, MD, MPH
Grant M. Kleiber, MD

8:55 – 9:05 AM
Moderator Discussion/Panel Questions

9:05 – 9:20 AM
Paper Session III: (Bell Rounds) 2 min per paper, 5 papers, 5 min discussion
Moderators: Andrea S. Bauer, MD and Jaimie T. Shores, MD

Paper 11: Regional Ulnar Nerve Kinematics: Simple Decompression versus Anterior Subcutaneous Transposition in Cubital Tunnel Syndrome
Ian Foran, MD
Kenneth Vaz, MD
Eric Hetnzen, MD, PhD
Sameer B. Shah, PhD

Paper 12: A Critical Appraisal of Vascularized Bone Grafting for Scaphoid Nonunion:  A Systematic Review of Surgical and Functional Outcomes
Ram Alluri, MD
Hyuma  Leland, MD
Matthew L. Iorio, MD
Alidad Ghiassi, MD
Joseph Carey, MD
Ketan M. Patel, MD

Paper 13: Do Children with C5-C6 Birth Brachial Plexus Palsy Have Normal Hand Function?
Derek Bernstein, MD
Gloria R. Gogola, MD

Paper 14: A Custom iOS Application Provides Improved Efficiency and Similar Precision to Mechanical Goniometer for Finger Motion Measurement
Jeremy Smalley, MD
Eric William  Angermeier, MD
William R. Barfield, PhD
Kyle Pentti Kokko, MD, PhD

Paper 15: Long-term Knee Morbidity after Harvest of Medial Femoral Condyle Flaps for Carpal Reconstruction
Victor Wong, MD
Heinz K. Burger, MD
Christian Windhofer, MD
James P. Higgins, MD

9:20 – 9:55 AM
Debate 1: How I repair a 15 mm nerve gap repair: A three-way debate (10 min presentations)
Allograft: Joshua M. Abzug, MD
Autograft: Jonathan E. Isaacs, MD
Conduit: Jaimie T. Shores, MD
9:55 – 10:20 AM  
Coffee Break

10:25 – 10:40 AM
Paper Session IV: (Bell Rounds) 2 mins per paper, 5 papers, 5 min discussion
Moderators: Asif M. Ilyas, MD and Dawn M. Laporte MD

Paper 16: Unilateral Digital Artery Based Extended Lateral V-Y Advancement Flap for Covering Fingertip Wounds
Kevin Himschoot, MD
Matthew Williams, BS

Paper 17: Use of WALANT in Carpal Tunnel Release Decreases Operating Room Time
Chase Maloy, MD
Toni Lin, MD
Jimmy Beasley, Jr.

Paper 18: Tourniquet Pressure: Does it need to be at 250 mmHg?
Shumaila Sarfani, B.A.

Paper 19: Smartphone Photography as a Tool to Measure Elbow Range of Motion
Eric Wagner, MD
Alexander Y. Shin, MD

Paper 20: Effect of high-glucose condition on rat tenocytes
Yasuhiro Ueda, MD
Atsuyuki Inui, MD
Takeshi Kokubu, MD
Mifune Yutaka, MD
Ryosuke Sakata, MD
Fumiaki Takase, MD

10:45 – 11:00 AM
Government Affairs Committee
Mark A. Deitch, MD

11:00 – 11:10 AM
Evidence Based Medicine Committee 
Noah M. Raizman, MD, MFA

11:10 – 11:30 AM
Ethics and Professionalism Committee 
Phillip E. Blazar, MD

11:30 AM – 12:15 PM
The Richard Smith Lecture
How to Maintain Passion for the Game when the Goal Posts Keep Moving:
A Teacher's Perspective from 30,000 Feet
Introduction by William H. Seitz Jr., MD
William B. Kleinman, MD

12:15 – 1:00 PM
Lunch with the Past Presidents (Room 3AB)
Joseph E. Imbriglia, MD
Dean S. Louis, MD
Robert M. Szabo, MD, MPH
Richard H. Gelberman, MD

1:00 – 1:35  PM
Debate II: “The Best Surgery for the Thumb CMC Joint,” a two-way debate (10 min presentations)
LRTI: Asif Ilyas, MD
Trapeziectomy, partial to complete: Tyson Cobb, MD

1:40 – 1:55 PM
Paper Session V: (Bell Rounds) 2 min per paper, 5 papers, 5 min discussion
Moderators: Rey N. Ramirez, MD and David R. Steinberg, MD

Paper 21: Comparisons of Bone Graft Harvesting from the Olecranon Process and the Distal Radius
Alan Micev, MD
William Slikker, III, MD

Paper 22: Retrospective Analysis of Distal Ulna Fractures Associated with Distal Radius Fractures in Women 50 years and Older: Clinical, Radiographic, and Patient Related Outcomes
Laura Sims, BSc., MD
Samuel A.  Stewart, PhD
Geoffrey H.F. Johnston, MD

Paper 23: Description and Validation of a Non-invasive Ultrasound Technique to Measure Motor Nerve Recovery in Rabbits
Liselotte Bulstra, MD
Caroline A.  Hundepool, MD
Patricia F. Friedrich, AAS
Steven E.R. Hovius, MD,PhD
Allen T. Bishop, MD
Alexander Y. Shin, MD

Paper 24: Full versus Partial Fixation in Osteoporotic Distal Radius Fractures
Peter Mansuripur, MD
Dale Cassidy, MD
Patrick M. Kane, MD
Joseph J. Crisco, PhD
Augusta Whitney, MD
Edward  Akelman, MD

Paper 25: The Modern Role of Botulinum Toxin During Treatment of Children with Brachial Plexus Birth Palsy
Dustin Greenhill, MD
Scott H. Kozin, MD
Dan A. Zlotolow, MD

2:00 – 2:30 PM
Panel Discussion: “Choosing the Best Practice Model for Me”
Private Academics: Mark R. Bagg, MD (5 min)
Pure Academics: Raymond A. Pensy, MD (5 min)
Private Practice:  Steve M. Topper, MD  (5min)
The Employed Model:  John V. Ingari, MD   (5 min)

2:30 – 2:40 PM 
Audience Questions of the Panel

2:40 – 3:00 PM
Coffee Break

3:00 – 3:15 PM
Volunteerism: Touching Hands 
William Slikker, III, MD

3:15 – 3:25 PM
Business of Hand Surgery
James M. Saucedo, MD, MBA

3:25 3:35 PM
Young Members Steering Committee
Gregory Merrell, MD

3:35 – 4:05 PM
Jeopardy for All:  Audience Interactive Cases/Questions
Steve C. Haase, MD and Fraser J. Leversedge, MD

4:05 – 4:15 PM
Joseph Boyes Award Announcement and Conclusion
John. V. Ingari, MD

Reception will follow.

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© 2015 American Society for Surgery of the Hand