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FRIDAY JANUARY 15, 2016
6:30 am - 8:00 am
Continental Breakfast with Exhibitors
6:30 am - 8:00 am
MOC Instructional Course
114
Basal Joint
(ABPS MOC-PS®-approved)
Chair: William W. Dzwierzynski, MD
Instructor: Peter M. Murray, MD; Mark Rekant, MD
(ABPS MOC-PS®-approved)
Chair: William W. Dzwierzynski, MD
Instructor: Peter M. Murray, MD; Mark Rekant, MD
Arthritis of the metacarpal-trapezial joint of the thumb is one of the most common arthritic condition of the hand, affecting 10% of the population. Pathophysiology and treatment options will be discussed.
Objectives: Following this session, the participant will be able to:
- Describe the anatomy of the basal joint complex of the thumb.
- Recognize the pathology that causes arthritis of the thumb.
- Discuss non-operative approaches to basal joint arthris pain.
- Discuss surgical options for basal joint arthritis.
7:00 am - 8:00 am
AAHS/ASPN Instructional Courses
115
Nerve Transfers: New Techniques and New Applications
Chair: Robert Spinner, MD
Instructors: Thomas H.H. Tung, MD; Justin M. Brown, MD; Christine Novak, PT, PhD
Chair: Robert Spinner, MD
Instructors: Thomas H.H. Tung, MD; Justin M. Brown, MD; Christine Novak, PT, PhD
This course will highlight the expanding role of nerve transfers in peripheral nerve surgery. Once limited to preganglionic brachial plexus injuries, peripheral nerve surgeons are now using nerve transfers in innovative ways: these include at distal sites and in unusual clinical scenarios, such as in reconstruction following spinal cord injury or peripheral nerve tumors/lesions.
Objectives: Following this session, the participant will be able to:
- Highlight the principles and advantages/disadvantages of nerve transfers over other techniques, such as nerve grafts or tendon transfers.
- Discuss new surgical techniques of distal nerve transfers and new indications for their use.
- Summarize outcomes of common nerve transfers.
116
Diagnostic And Interventional Ultrasound of the Wrist and Hand
Chair: Brian Jurbala, MD
Instructors: Nandu Rawool, MD; John Fowler, MD
Chair: Brian Jurbala, MD
Instructors: Nandu Rawool, MD; John Fowler, MD
This hour long course will briefly discuss basics of diagnostic and interventional ultrasound as they apply to a hand surgery practice and include; ultrasound diagnosis of common hand, wrist and elbow disorders and basic interventional techniques, such as ultrasound guided injections.
Objectives: Following this session, the participant will be able to:
- Recognize basic terminology and technical considerations when performing diagnostic ultrasound.
- Discuss advantages and limitations of diagnostic ultrasound
- Recognize normal anatomy and common pathology of the hand, wrist and elbow on ultrasound.
- Identify ultrasound guided interventional techniques.
117
Complications of Distal Radius Fractures: How to Avoid and Solve Pitfalls
Chair: Hermann Krimmer, MD
Instructors: Max Hearle, MD, PhD; Berthold Bickert, MD; Alejandro Badia, MD; Lynne Feehan, PT PhD, CHT
Chair: Hermann Krimmer, MD
Instructors: Max Hearle, MD, PhD; Berthold Bickert, MD; Alejandro Badia, MD; Lynne Feehan, PT PhD, CHT
This course will discuss the management of distal radius fractures including how to prevent secondary dislocation, plate position, plate design and the management of failed surgery.
Objectives: Following this session, the participant will be able to:
- Recognize how to prevent secondary dislocation.
- Discuss principles of plate position and plate design with regard to tendon ruptures.
- Discuss the management of failed surgery.
118
Targeted Muscle Reinnervation
Chair: Paul S. Cederna, MD
Instructors: Greg Dumanian, MD; Jason Ko, MD; Richard J. Redett, III, MD
Chair: Paul S. Cederna, MD
Instructors: Greg Dumanian, MD; Jason Ko, MD; Richard J. Redett, III, MD
The focus of this instructional course will be to discuss the basic techniques of targeted muscle reinnervation for the control of upper extremity prosthetic devices. We will examine the indications for targeted muscle reinnervation, the operative techniques to optimize functional outcome, and the various approaches for various amputation levels. We will also examine the role of targeted reinnervation to provide sensory feedback from prosthetic devices. The types of sensory feedback that can be provided with targeted reinnervation, and the benefits of this approach over sensory substitution approaches will be examined. Experts in the field of reconstructive surgery, physical medicine and rehabilitation, and recovery of function following limb loss will participate as panelists. This is sure to be a highly valuable instructional course which will not only discuss the current state-of-the-art but will also look into the future of targeted reinnervation to provide high fidelity motor control and sensory feedback.
Objectives: Following this session, the participant will be able to:
- Discuss the indications for targeted reinnervation, eligibility criteria, and operative approaches for targeted reinnervation inpatients sustaining upper extremity amputations.
- Recognize the use of targeted reinnervation for recording efferent motor action potentials for prosthetic control.
- Recognize the use of targeted reinnervation for stimulating afferent sensory action potentials for sensory feedback.
- Identify challenges for restoration of function following limb loss and the role of targeted reinnervation to enhance that function.
- Discuss the importance of sensory feedback to optimize functional recovery while using a prosthetic limb.
119
Scratch Collapse Test
Chair: Lorna Canavan Kahn, PT, CHT
Instructors: Susan E. Mackinnon, MD;
Christine H. Cheng, MD, MPH
Chair: Lorna Canavan Kahn, PT, CHT
Instructors: Susan E. Mackinnon, MD;
Christine H. Cheng, MD, MPH
The Scratch Collapse Test has emerged as a useful adjunct in the clinical assessment of patients with compression neuropathy. This course will review the evolution and clinical applications of the Scratch Collapse Test, and will detail the many nuances of performing the test through demonstration. The use of the "hierarchical" Scratch Collapse Test for evaluating complex patients with multi-level compression neuropathy will also be covered.
Objectives: Following this session, the participant will be able to:
- Explain how the Scratch Collapse Test can help evaluate patients with compression neuropathy in relation to traditional tests, such as the Tinel's test.
- Discuss technical nuances of performing the Scratch Collapse Test.
- Describe the application of ethyl chloride, a topical anaesthetic, with the Scratch Collapse test to facilitate the clinical evaluation of complex patients with multi-level compression and diffuse pain.
8:00 am - 8:15 am
ASPN President and Program Chair Welcome
(Not for Credit)
Thomas H.H. Tung, MD; ASPN President
Ida K. Fox, MD; ASPN Program Chair
(Not for Credit)
Thomas H.H. Tung, MD; ASPN President
Ida K. Fox, MD; ASPN Program Chair
8:15 am - 9:15 am
Scientific Paper Session I
Moderators: Lynda Yang, MD; Gregory H. Borschel, MD
Moderators: Lynda Yang, MD; Gregory H. Borschel, MD
1. Accelerating Mammalian Nerve Regeneration with Electrical Stimulation
Michael P. Willand, PhD1; Margaret Fahnestock, PhD2; Gregory H. Borschel, MD1; Tessa Gordon, PhD1
1The Hospital for Sick Children, Toronto, ON, Canada; 2McMaster University, Hamilton, ON, Canada
Michael P. Willand, PhD1; Margaret Fahnestock, PhD2; Gregory H. Borschel, MD1; Tessa Gordon, PhD1
1The Hospital for Sick Children, Toronto, ON, Canada; 2McMaster University, Hamilton, ON, Canada
2. Digestion of Glial Scar Following Chronic Nerve Compression Injury Can Improve Functional Outtcomes
Michele Luu, BS; Minal Tapadia, JD, MD, MA; James Jung, MD; Diana Zhu, BS; Jared Su, BS; Tahseen Mozaffar, MD; Ranjan Gupta, MD
University of California, Irvine, Irvine, CA
Michele Luu, BS; Minal Tapadia, JD, MD, MA; James Jung, MD; Diana Zhu, BS; Jared Su, BS; Tahseen Mozaffar, MD; Ranjan Gupta, MD
University of California, Irvine, Irvine, CA
3. A Bronze Standard: Nerve Autografts and Schwann Cell Senescence
Gwendolyn Hoben, MD, PhD; Xueping Ee, MD, MS; Lauren Schellhardt, BA; Ying Yan, MD, PhD; Daniel Hunter, RA; Moore Amy, MD; Snyder-Warwick Alison, MD; Sheila Stewart, PhD; Susan E. Mackinnon, MD
Washington University School of Medicine, Saint Louis, MO
Gwendolyn Hoben, MD, PhD; Xueping Ee, MD, MS; Lauren Schellhardt, BA; Ying Yan, MD, PhD; Daniel Hunter, RA; Moore Amy, MD; Snyder-Warwick Alison, MD; Sheila Stewart, PhD; Susan E. Mackinnon, MD
Washington University School of Medicine, Saint Louis, MO
4. Functional Outcome after Reconstruction of a Long Nerve Gap in Rabbits Using Optimized Decellularized Nerve Allografts
Liselotte F. Bulstra, MD1; Caroline A. Hundepool, MD1; Patricia F. Friedrich, MD1; Allen T. Bishop, MD1; Steven E.R. Hovius, MD2; Alexander Y. Shin, MD1
1Mayo Clinic, Rochester, MN; 2Erasmus University Medical Center, Rotterdam, Netherlands
Liselotte F. Bulstra, MD1; Caroline A. Hundepool, MD1; Patricia F. Friedrich, MD1; Allen T. Bishop, MD1; Steven E.R. Hovius, MD2; Alexander Y. Shin, MD1
1Mayo Clinic, Rochester, MN; 2Erasmus University Medical Center, Rotterdam, Netherlands
8:31 am - 8:36 am
Discussion
5. Sirtuins Protect the NMJ from Age-Related Morphological Changes
Alison Snyder-Warwick, MD; Albina Jablonka-Shariff, PhD
Washington University School of Medicine, Saint Louis, MO
Alison Snyder-Warwick, MD; Albina Jablonka-Shariff, PhD
Washington University School of Medicine, Saint Louis, MO
6. Sensory Supercharge Fails to Improve Muscle Recovery After Injury
Louis H. Poppler, MD, MSCI; Lauren Schellhardt, BA; Ying Yan, MD, PhD; Dan A. Hunter, RA; Susan E. Mackinnon, MD; Matthew D. Wood, PhD; Amy M. Moore, MD
Washington University School of Medicine, Saint Louis, MO
Louis H. Poppler, MD, MSCI; Lauren Schellhardt, BA; Ying Yan, MD, PhD; Dan A. Hunter, RA; Susan E. Mackinnon, MD; Matthew D. Wood, PhD; Amy M. Moore, MD
Washington University School of Medicine, Saint Louis, MO
7. Suitable Application of End-to-Side Neurorrhaphy as Schwann Cells Provider to Acellular Nerve Graft
Hidekazu Yoshizawa, MD; Ayato Hayashi, MD; Daiki Senda, MD; Hiroshi Mizuno, MD
Juntendo University of School of Medicine, Tokyo, Japan
Hidekazu Yoshizawa, MD; Ayato Hayashi, MD; Daiki Senda, MD; Hiroshi Mizuno, MD
Juntendo University of School of Medicine, Tokyo, Japan
8. End-to-Side Neurorrhaphy as Schwann Cells Provider To Acellular Nerve Graft and its Effect
Ayato Hayashi, MD; Hidekazu Yoshizawa, MD; Daiki Senda, MD; Hiroshi Mizuno, MD
Juntendo University of School of Medicine, Tokyo, Japan
Ayato Hayashi, MD; Hidekazu Yoshizawa, MD; Daiki Senda, MD; Hiroshi Mizuno, MD
Juntendo University of School of Medicine, Tokyo, Japan
8:52 am - 8:57 am
Discussion
9. Evaluation of Unmyelinated Axon Regeneration Following Peripheral Nerve Injury: An Alternative to Electron Microscopy
J. Mike Hendry, MD1; M. Cecilia Alvarez-Veronesi2; Cameron Chiang1; Tessa Gordon, PhD2; Gregory Borschel, MD2
1University of Toronto, Toronto, ON; 2The Hospital for Sick Children, Toronto, ON, Canada
J. Mike Hendry, MD1; M. Cecilia Alvarez-Veronesi2; Cameron Chiang1; Tessa Gordon, PhD2; Gregory Borschel, MD2
1University of Toronto, Toronto, ON; 2The Hospital for Sick Children, Toronto, ON, Canada
10. Intravital Confocal Spectral Microscopy With Solvatochromic Dyes for the Detection Of Subtle Changes in Schwann Cell Myelin Lipid Composition: Implications for the Study of Remyelination
Joey Grochmal, MD; Wulin Teo, MD; Raveena Dhaliwal, MD; Hardeep Ghambir, PhD; Jo Stratton, MD; Ranjan Kumar, MD; Jan van Minnen, MD; Peter K. Stys, MD; Rajiv Midha, MD, MSc, FRCS(C)
University of Calgary, Calgary, AB, Canada
Joey Grochmal, MD; Wulin Teo, MD; Raveena Dhaliwal, MD; Hardeep Ghambir, PhD; Jo Stratton, MD; Ranjan Kumar, MD; Jan van Minnen, MD; Peter K. Stys, MD; Rajiv Midha, MD, MSc, FRCS(C)
University of Calgary, Calgary, AB, Canada
11. A Glial Cell Line Derived Neurotrophic Factor Delivery System Enhances Nerve Regeneration Across Acellular Nerve Allografts
Kasra Tajdaran, MASc1; Matthew D. Wood, PhD2; Molly Shoichet, PhD1; Tessa Gordon, PhD3; Gregory H. Borschel, MD3
1University of Toronto, Toronto, ON, Canada; 2Washington University School of Medicine, Saint Louis, MO; 3The Hospital for Sick Children, Toronto, ON, Canada
Kasra Tajdaran, MASc1; Matthew D. Wood, PhD2; Molly Shoichet, PhD1; Tessa Gordon, PhD3; Gregory H. Borschel, MD3
1University of Toronto, Toronto, ON, Canada; 2Washington University School of Medicine, Saint Louis, MO; 3The Hospital for Sick Children, Toronto, ON, Canada
9:09 am - 9:15 am
Discussion
9:15 am - 10:00 am
Scientific Paper Session II
Moderators: Gedge D. Rosson, MD; Bauback Safa, MD
Moderators: Gedge D. Rosson, MD; Bauback Safa, MD
12. Effects of Selective Nerve Transfers on the Mammalian Motor Unit
Konstantin D. Bergmeister, MD; Martin Aman, MD; Krisztina Manzano-Szalai, PhD; Otto Riedl, MD; Stefan Salminger, MD;Oskar C. Aszmann, MD
Medical University of Vienna, Vienna, Austria
Konstantin D. Bergmeister, MD; Martin Aman, MD; Krisztina Manzano-Szalai, PhD; Otto Riedl, MD; Stefan Salminger, MD;Oskar C. Aszmann, MD
Medical University of Vienna, Vienna, Austria
13. Use of Electrodiagnostic Testing Prior to Nerve Transfer Surgery in the Setting of Cervical Spinal Cord Injury
Emily M. Krauss, MD1; Craig M. Zaidman, MD1; Gerald K. Wolff, MD, FRCPC2; Christine B. Novak, PT, PhD3; Neringa Juknis, MD1; Rimma Ruvinskaya, MD1; Susan E. Mackinnon, MD1; Ida K. Fox, MD1
1Washington University School of Medicine, Saint Louis, MO; 2University of Ottawa, Ottawa, ON, Canada; 3University of Toronto, Toronto, ON, Canada
Emily M. Krauss, MD1; Craig M. Zaidman, MD1; Gerald K. Wolff, MD, FRCPC2; Christine B. Novak, PT, PhD3; Neringa Juknis, MD1; Rimma Ruvinskaya, MD1; Susan E. Mackinnon, MD1; Ida K. Fox, MD1
1Washington University School of Medicine, Saint Louis, MO; 2University of Ottawa, Ottawa, ON, Canada; 3University of Toronto, Toronto, ON, Canada
14. Histomorphometric Analysis of Recipient Nerve Tissue in the Setting of Late Nerve Transfer after Cervical Spinal Cord Injury
Gwendolyn Hoben, MD, PhD1; Dan A. Hunter, RA1; Christine B. Novak, PT, PhD2; Kristen Davidge, MD, MSc2; Neringa Juknis, MD1; Rimma Ruvinskaya, MD1; Susan E. Mackinnon, MD1; Ida K. Fox, MD1
1Washington University School of Medicine, Saint Louis, MO; 2University of Toronto, Toronto, ON, Canada
Gwendolyn Hoben, MD, PhD1; Dan A. Hunter, RA1; Christine B. Novak, PT, PhD2; Kristen Davidge, MD, MSc2; Neringa Juknis, MD1; Rimma Ruvinskaya, MD1; Susan E. Mackinnon, MD1; Ida K. Fox, MD1
1Washington University School of Medicine, Saint Louis, MO; 2University of Toronto, Toronto, ON, Canada
15. Evaluation of Infraspinatus Reinnervation and Function Following Spinal Accessory Nerve to Suprascapular Nerve Transfer in Adult Traumatic Brachial Plexus Injuries
Heather L. Baltzer, MD; Eric Wagner, MD; Michelle, F. Kircher, RN; Robert J. Spinner, MD; Allen T. Bishop, MD; Alexander Y. Shin, MD
Mayo Clinic, Rochester, MN
Heather L. Baltzer, MD; Eric Wagner, MD; Michelle, F. Kircher, RN; Robert J. Spinner, MD; Allen T. Bishop, MD; Alexander Y. Shin, MD
Mayo Clinic, Rochester, MN
9:31 am - 9:36 am
Discussion
16. A Dermal-Based Interface for Providing Sensory Feedback through Residual Peripheral Nerves of Amputees
Alixandra L. VanBelkum, BA1; Ian C. Sando, MD1; Gregory R. Gerling, PhD2; Daniel C. Ursu, MS1; Yaxi Hu, MD3; Elizabeth A. Mays, BSE1; Paul S. Cederna, MD1; Melanie G. Urbanchek, PhD1
1University of Michigan, Ann Arbor, MI; 2University of Virginia, Charlottesville, VA, 3University Medical Center Groningen, Groningen, Netherlands
Alixandra L. VanBelkum, BA1; Ian C. Sando, MD1; Gregory R. Gerling, PhD2; Daniel C. Ursu, MS1; Yaxi Hu, MD3; Elizabeth A. Mays, BSE1; Paul S. Cederna, MD1; Melanie G. Urbanchek, PhD1
1University of Michigan, Ann Arbor, MI; 2University of Virginia, Charlottesville, VA, 3University Medical Center Groningen, Groningen, Netherlands
17. Efficient Imaging: Examining the Value of Ultrasound in the Diagnosis of Traumatic Adult Brachial Plexus Injuries, A Systematic Review
Maleka Ramji, BSc, MD; Brian Chin, BHSc; James R. Bain, MD, MSc, FRCSC
McMaster University, Hamilton, ON, Canada
Maleka Ramji, BSc, MD; Brian Chin, BHSc; James R. Bain, MD, MSc, FRCSC
McMaster University, Hamilton, ON, Canada
18. Magnetic Resonance Imaging of Peripheral Nerve: Recent Technical Advances
Justin M. Brown, MD1; Mark A. Mahan, MD2; Graeme M. Bydder, MB1; Paolo Felisaz, MD1; Nikolaus Szeverenyi, MD1; Robert Nikolov, MD1; Jiang Du, MD1
1University of California, San Diego, San Diego, CA; 2University of Utah, Salt Lake City, UT
Justin M. Brown, MD1; Mark A. Mahan, MD2; Graeme M. Bydder, MB1; Paolo Felisaz, MD1; Nikolaus Szeverenyi, MD1; Robert Nikolov, MD1; Jiang Du, MD1
1University of California, San Diego, San Diego, CA; 2University of Utah, Salt Lake City, UT
19. Long Term Outcome after Treatment of Pediatric Lipofibromatous Hamartoma of the Median Nerve at the Wrist
Megan Anne Conti Mica, MD; Steven L. Moran, MD
Mayo Clinic, Rochester, MN
Megan Anne Conti Mica, MD; Steven L. Moran, MD
Mayo Clinic, Rochester, MN
20. Anatomic Characteristics of Supraorbital and Supratrochlear Nerves Relevant to their Use in Corneal Neurotization
Leahthan F. Domeshek, MD; Daniel Hunter, RA; Alison K. Snyder-Warwick, MD
Washington University School of Medicine, St Louis, MO
Leahthan F. Domeshek, MD; Daniel Hunter, RA; Alison K. Snyder-Warwick, MD
Washington University School of Medicine, St Louis, MO
9:56 am - 10:00 am
Discussion
10:00 am - 10:30 am
Coffee Break with Exhibitors
10:30 am - 11:30 am
Concurrent AAHS/ASPN Scientific Abstract Session
Moderators: Joy Macdermid, BScPT, PhD; Jonathan Isaacs, MD; Gregory M. Bunke, MD; Shelley S. Noland, MD
Moderators: Joy Macdermid, BScPT, PhD; Jonathan Isaacs, MD; Gregory M. Bunke, MD; Shelley S. Noland, MD
91. Nerveregeneration after Reconstruction with Processed Human, Decellularized Allografts - First German Experiences in the Use of the Avance® Nerve Graft
Nerveregeneration after Reconstruction with Processed Human, Decellularized Allografts - First German Experiences in the Use of the Avance® Nerve Graft
Kristian Weissenberg, MD1; Eirini Liodaki, MD2; Catharina Elisabeth Strauss, MD1; Felix Stang, MD2; Peter Mailänder, MD, PhD2; Frank Siemers, MD, PhD1
Nerveregeneration after Reconstruction with Processed Human, Decellularized Allografts - First German Experiences in the Use of the Avance® Nerve Graft
Kristian Weissenberg, MD1; Eirini Liodaki, MD2; Catharina Elisabeth Strauss, MD1; Felix Stang, MD2; Peter Mailänder, MD, PhD2; Frank Siemers, MD, PhD1
92. The Effects of Carpal Tunnel Syndrome and its Release on Sleep
The Effects of Carpal Tunnel Syndrome and its Release on Sleep
Chad M. Turner, MD; Thomas J. Fischer, MD
The Effects of Carpal Tunnel Syndrome and its Release on Sleep
Chad M. Turner, MD; Thomas J. Fischer, MD
93. When Are Static/Moving Two Point Discrimination and Semmes-Weinstein Monofilament Tests Reliable in Children?
When Are Static/Moving Two Point Discrimination and Semmes-Weinstein Monofilament Tests Reliable in Children?
Timothy Patrick Lancaster, BS, Karan Dua, MD; Joshua M. Abzug, MD
When Are Static/Moving Two Point Discrimination and Semmes-Weinstein Monofilament Tests Reliable in Children?
Timothy Patrick Lancaster, BS, Karan Dua, MD; Joshua M. Abzug, MD
94. Interhemispheric Plasticity in Response to Peripheral Nerve Injury
Interhemispheric Plasticity in Response to Peripheral Nerve Injury
Thomas Hansson, MD, PhD; Lotta Fornander, MD; Torbjörn Nyman, MD
Interhemispheric Plasticity in Response to Peripheral Nerve Injury
Thomas Hansson, MD, PhD; Lotta Fornander, MD; Torbjörn Nyman, MD
95. Validity of the DASH Questionnaire in Upper Extremity Nerve Injury
Validity of the DASH Questionnaire in Upper Extremity Nerve Injury
Christine B. Novak, PT, PhD
Validity of the DASH Questionnaire in Upper Extremity Nerve Injury
Christine B. Novak, PT, PhD
10:40 am - 10:45 am
Panel Discussion
96. Level I Evidence: How Much Volume of Local and How Long Should You Wait for an Effective Median Nerve Block?
Level I Evidence: How Much Volume of Local and How Long Should You Wait for an Effective Median Nerve Block?
Lyndsay M. Lovely, BSc, MSc(OT) 1; Donald H. Lalonde, BSc, MSc, MD2
Level I Evidence: How Much Volume of Local and How Long Should You Wait for an Effective Median Nerve Block?
Lyndsay M. Lovely, BSc, MSc(OT) 1; Donald H. Lalonde, BSc, MSc, MD2
97. Demographics and Outcomes of Radial Tunnel Syndrome Release: A Single Surgeon's Experience of 97 Cases
Demographics and Outcomes of Radial Tunnel Syndrome Release: A Single Surgeon's Experience of 97 Cases
Ryan W. Schmucker, MD; Shaun D. Mendenhall, MD; Timothy H. Daugherty, MD; James N. Winters, MD; Jordan J. Myhre, BS, BA; Michael W. Neumeister, MD
Demographics and Outcomes of Radial Tunnel Syndrome Release: A Single Surgeon's Experience of 97 Cases
Ryan W. Schmucker, MD; Shaun D. Mendenhall, MD; Timothy H. Daugherty, MD; James N. Winters, MD; Jordan J. Myhre, BS, BA; Michael W. Neumeister, MD
98. Tendon Transfers for Radial Nerve Palsy in Brachial Plexus Injuries
Tendon Transfers for Radial Nerve Palsy in Brachial Plexus Injuries
Ali Izadpanah, MD; Allen Bishop, MD; Robert Spinner, MD; Michelle, F. Kircher, RN; Alexander Y. Shin, MD
Tendon Transfers for Radial Nerve Palsy in Brachial Plexus Injuries
Ali Izadpanah, MD; Allen Bishop, MD; Robert Spinner, MD; Michelle, F. Kircher, RN; Alexander Y. Shin, MD
99. The Nerve of Henle. An Anatomic and Sympathetic Study of the Ulnar Innervation
The Nerve of Henle. An Anatomic and Sympathetic Study of the Ulnar Innervation
Eduardo Pablo Zancolli, MD1; Diego Piazza, MD2; Carlos Lozano, MD3; Christina Kaufman, PhD3; Jim Kleinert, MD3; Luis Scheker3; Eduardo Zancolli, MD4
The Nerve of Henle. An Anatomic and Sympathetic Study of the Ulnar Innervation
Eduardo Pablo Zancolli, MD1; Diego Piazza, MD2; Carlos Lozano, MD3; Christina Kaufman, PhD3; Jim Kleinert, MD3; Luis Scheker3; Eduardo Zancolli, MD4
100. Predictors of Return to Work After Carpal Tunnel Release in a Workers' Compensation Population
Predictors of Return to Work After Carpal Tunnel Release in a Workers' Compensation Population
Jenniefer Y. Kho, MD; Michael Gaspar, MD; Patrick Kane, MD; Sidney M. Jacoby, MD; Eon K. Shin, MD
Predictors of Return to Work After Carpal Tunnel Release in a Workers' Compensation Population
Jenniefer Y. Kho, MD; Michael Gaspar, MD; Patrick Kane, MD; Sidney M. Jacoby, MD; Eon K. Shin, MD
10:55 am - 11:00 am
Panel Discussion
101. Comparison of Ulnar Intrinsic Function following Supercharged End-to-Side AIN Transfer to Ulnar Motor Nerve: A Matched Cohort of Study High Ulnar Nerve Injury Patients
Comparison of Ulnar Intrinsic Function following Supercharged End-to-Side AIN Transfer to Ulnar Motor Nerve: A Matched Cohort of Study High Ulnar Nerve Injury Patients
Heather L. Baltzer, MD; Alice Woo, MD; Christine Oh, MD; Steven L. Moran, MD
Comparison of Ulnar Intrinsic Function following Supercharged End-to-Side AIN Transfer to Ulnar Motor Nerve: A Matched Cohort of Study High Ulnar Nerve Injury Patients
Heather L. Baltzer, MD; Alice Woo, MD; Christine Oh, MD; Steven L. Moran, MD
102. Virally Mediated Brachial Plexus Neuritis: A Case Series and Surgical Algorithm
Virally Mediated Brachial Plexus Neuritis: A Case Series and Surgical Algorithm
Anthony Thanh Vu, MD; Emily Louden, MPH; Melissa Miller, RN, BSN; Ann Schwentker, MD; Kevin Yakuboff, MD
Virally Mediated Brachial Plexus Neuritis: A Case Series and Surgical Algorithm
Anthony Thanh Vu, MD; Emily Louden, MPH; Melissa Miller, RN, BSN; Ann Schwentker, MD; Kevin Yakuboff, MD
103. Risk Factors for Revision After In-Situ Ulnar Nerve Decompression with or without Medial Epicondylectomy in Patients with Idiopathic Cubital Tunnel Syndrome
Risk Factors for Revision After In-Situ Ulnar Nerve Decompression with or without Medial Epicondylectomy in Patients with Idiopathic Cubital Tunnel Syndrome
Michael P. Gaspar, MD; Patrick M. Kane, MD; Dechporn Putthiwara, MD; Sidney M. Jacoby, MD; A. Lee Osterman, MD
Risk Factors for Revision After In-Situ Ulnar Nerve Decompression with or without Medial Epicondylectomy in Patients with Idiopathic Cubital Tunnel Syndrome
Michael P. Gaspar, MD; Patrick M. Kane, MD; Dechporn Putthiwara, MD; Sidney M. Jacoby, MD; A. Lee Osterman, MD
104. Recovering Extension Function Using a Modified Contralateral C7 Neurotization in BPAI Patients
Recovering Extension Function Using a Modified Contralateral C7 Neurotization in BPAI Patients
Su Jiang, MD
Recovering Extension Function Using a Modified Contralateral C7 Neurotization in BPAI Patients
Su Jiang, MD
105. Functional Outcomes of Nerve Grafting and Triple Nerve Transfers For Upper Trunk Obstetrical Brachial Plexus Injuries
Functional Outcomes of Nerve Grafting and Triple Nerve Transfers For Upper Trunk Obstetrical Brachial Plexus Injuries
Kathleen O'Grady, MD1; Hollie Power, MD2; Jaret Olson, MD2; Michael Morhart, MD, FRCSC2; Rob Harrop3; Joe Watt2; K. Ming Chan, MD, FRCPC2
Functional Outcomes of Nerve Grafting and Triple Nerve Transfers For Upper Trunk Obstetrical Brachial Plexus Injuries
Kathleen O'Grady, MD1; Hollie Power, MD2; Jaret Olson, MD2; Michael Morhart, MD, FRCSC2; Rob Harrop3; Joe Watt2; K. Ming Chan, MD, FRCPC2
106. Assessment of the Psychometric Properties of the Brachial Assessment Tool (BrAT) a New Patient-reported Outcome Measure for Adult Traumatic Brachial Plexus Injury
Assessment of the Psychometric Properties of the Brachial Assessment Tool (BrAT) a New Patient-reported Outcome Measure for Adult Traumatic Brachial Plexus Injury
Bridget Hill, MD1; Julie Pallant, MD2; Gavin Williams, MD3; Scott Ferris, MD4; John Olver, MD3; Andrea Bialocerkowski, MD1
Assessment of the Psychometric Properties of the Brachial Assessment Tool (BrAT) a New Patient-reported Outcome Measure for Adult Traumatic Brachial Plexus Injury
Bridget Hill, MD1; Julie Pallant, MD2; Gavin Williams, MD3; Scott Ferris, MD4; John Olver, MD3; Andrea Bialocerkowski, MD1
11:24 am - 11:30 am
Panel Discussion
12:30 pm - 2:00 pm
ASPN Poster Session (Light lunch provided)
Moderators: Allan J. Belzberg, MD; Kirsty Boyd, MD
Moderators: Allan J. Belzberg, MD; Kirsty Boyd, MD
P1. Interdisciplinary Treatment of Post-Concussion Headaches
Ivica Ducic, MD, PhD1; Jeremy C Sinkin, MD2; Kevin Crutchfield, MD3
1The George Washington University, McLean, VA; 2Medstar Georgetown University Hospital, Washington, DC; 3LifeBridge Health, Sinai Hospital, Baltimore, MD
Ivica Ducic, MD, PhD1; Jeremy C Sinkin, MD2; Kevin Crutchfield, MD3
1The George Washington University, McLean, VA; 2Medstar Georgetown University Hospital, Washington, DC; 3LifeBridge Health, Sinai Hospital, Baltimore, MD
P2. Benefits of Open Anterior Release of the Superior Transverse Scapular Ligament for Decompression of the Suprascapular Nerve during Brachial Plexus Surgery
Kate Elzinga, MD; Michael Morhart, MD, FRCSC; Jaret Olson, MD, FRCSC
University of Alberta, Edmonton, AB, Canada
Kate Elzinga, MD; Michael Morhart, MD, FRCSC; Jaret Olson, MD, FRCSC
University of Alberta, Edmonton, AB, Canada
P3. Prevention of Above Knee Amputation Stump Neuroma and Reduction of Phantom Pain Risk; Proximal Sciatic Nerve Neurolysis and End-to-End Coaptation with Degradable Nerve Protector
John R Barbour, MD
Georgetown University, Washington, DC
John R Barbour, MD
Georgetown University, Washington, DC
P4. Intraneural Ganglion of the Sural Nerve: A Case Report and Systematic Review
Ryckie G Wade, MBBS, MclinEd; Xueli Jia, PhD, MRCSEd; Philip Robinson, MBChB, FRCR; Ian M Smith, MSc, FRCS
Leeds General Infirmary, Leeds, United Kingdom
Ryckie G Wade, MBBS, MclinEd; Xueli Jia, PhD, MRCSEd; Philip Robinson, MBChB, FRCR; Ian M Smith, MSc, FRCS
Leeds General Infirmary, Leeds, United Kingdom
P5. Application of Schwann Cells in Nerve Conduits for Nerve Defect Repair: Practical and Translational Considerations
Bin Chu, MD1; Robert J Spinner, MD2; Michael J Yaszemski, MD, PhD2; Anthony J Windebank, MD2; Huan Wang, MD, PhD2
1Huashan Hospital, Fudan University, Shanghai, China; 2Mayo Clinic, Rochester, MN
Bin Chu, MD1; Robert J Spinner, MD2; Michael J Yaszemski, MD, PhD2; Anthony J Windebank, MD2; Huan Wang, MD, PhD2
1Huashan Hospital, Fudan University, Shanghai, China; 2Mayo Clinic, Rochester, MN
P6. Brief Electrical Stimulation Promotes Nerve Regeneration Following in-Continuity Nerve Injury
Yuval Shapira, MD; Rajiv Midha, MD, MSc, FRCS(C)
University of Calgary, Calgary, AB, Canada
Yuval Shapira, MD; Rajiv Midha, MD, MSc, FRCS(C)
University of Calgary, Calgary, AB, Canada
P7. The Result of Treatment of Thoracic Outlet Syndrome
Yoonbae Kong, MBBS; Seok-Hwan Song, PhD; Yoon-Min Lee, MS
Yeouido St Mary Hospital, Seoul, South Korea
Yoonbae Kong, MBBS; Seok-Hwan Song, PhD; Yoon-Min Lee, MS
Yeouido St Mary Hospital, Seoul, South Korea
P8. Application of Epineural Sheath Conduit Supported with Bone Marrow Stromal Cells for Peripheral Nerve Regeneration and Prevention of Denervation Atrophy in Diabetic Rat Model
Miroslaw Lukaszuk, MD1; Joanna Cwykiel, MSc2; Maria Siemionow, MD, PhD, DSc2
1Plastic Surgery, Cleveland Clinic, Cleveland, OH; 2University of Illinois at Chicago, Chicago, IL
Miroslaw Lukaszuk, MD1; Joanna Cwykiel, MSc2; Maria Siemionow, MD, PhD, DSc2
1Plastic Surgery, Cleveland Clinic, Cleveland, OH; 2University of Illinois at Chicago, Chicago, IL
P9. Role of Epineurium on Neuroma Formation
Bilge Kagan Aysal, MD1; Huseyin Karagoz, MD, PhD1; Cihan Sahin, MD1; Fikret Eren, MD1; Bora Ozel, MD1; Gizem Narli, MD1; Zafer Kucukodaci, MD1; Erdal Karaoz, PhD2
1Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey; 2Regenerative Medicine and Stem Cell Research Center, LIV Hospital, Istanbul, Turkey
Bilge Kagan Aysal, MD1; Huseyin Karagoz, MD, PhD1; Cihan Sahin, MD1; Fikret Eren, MD1; Bora Ozel, MD1; Gizem Narli, MD1; Zafer Kucukodaci, MD1; Erdal Karaoz, PhD2
1Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, Turkey; 2Regenerative Medicine and Stem Cell Research Center, LIV Hospital, Istanbul, Turkey
P10. Chronic Electrical Muscle Stimulation (EMS) Following Nerve Injury and Repair Does Not Diminish Synkinetic Reinnervation
Michael P Willand, PhD1; Joseph Catapano, MD2; Tessa Gordon, PhD1; Gregory H Borschel, MD1
1The Hospital for Sick Children, Toronto, ON, Canada; 2University of Toronto, Toronto, ON, Canada
Michael P Willand, PhD1; Joseph Catapano, MD2; Tessa Gordon, PhD1; Gregory H Borschel, MD1
1The Hospital for Sick Children, Toronto, ON, Canada; 2University of Toronto, Toronto, ON, Canada
P11. Neuropathological Characteristics of Brachial Plexus Avulsion Injury With and Without Concomitant Spinal Cord Injury
Zarina S Ali, MD1; Victoria E Johnson, MBChB, PhD1; William Stewart, MBChB, PhD2; Eric L Zager, MD1; Gregory G Heuer, MD, PhD1; Maura T Weber, BA1; Arka Mallela, MS1; Douglas H Smith, MD1
1University of Pennsylvania, Philadelphia, PA; 2The University of Glasgow, Glasgow, United Kingdom
Zarina S Ali, MD1; Victoria E Johnson, MBChB, PhD1; William Stewart, MBChB, PhD2; Eric L Zager, MD1; Gregory G Heuer, MD, PhD1; Maura T Weber, BA1; Arka Mallela, MS1; Douglas H Smith, MD1
1University of Pennsylvania, Philadelphia, PA; 2The University of Glasgow, Glasgow, United Kingdom
P12. Motor Nerve to the Masseter: A Pediatric Anatomic Study
Neil Sachanandani, MD1; Gregory Borschel, MD2; Ronald Zuker, MD2; Alison Snyder-Warwick, MD1
1University School of Medicine, Saint Louis, MO; 2The Hospital for Sick Children, Toronto, ON, Canada
Neil Sachanandani, MD1; Gregory Borschel, MD2; Ronald Zuker, MD2; Alison Snyder-Warwick, MD1
1University School of Medicine, Saint Louis, MO; 2The Hospital for Sick Children, Toronto, ON, Canada
P13. Enhancement of Nerve Regeneration After Delayed Repair With Controlled Release of Neurotrophic Factors
Kasra Tajdaran, MASc1; Matthew D Wood, PhD2; Molly Shoichet, PhD1; Tessa Gordon, PhD3; Gregory H Borschel, MD3
1University of Toronto, Toronto, ON, Canada; 2Washington University School of Medicine, Saint Louis, MO; 3The Hospital for Sick Children, Toronto, ON, Canada
Kasra Tajdaran, MASc1; Matthew D Wood, PhD2; Molly Shoichet, PhD1; Tessa Gordon, PhD3; Gregory H Borschel, MD3
1University of Toronto, Toronto, ON, Canada; 2Washington University School of Medicine, Saint Louis, MO; 3The Hospital for Sick Children, Toronto, ON, Canada
P14. Evaluation of a Surgical Technique to Rapidly Restore Axonal Continuity using High-Resolution DTI
David Colton Riley, BS; Ravinder Bamba; Nathaniel Kelm; Bruce Shack, MD; Wesley P Thayer, MD, PhD
Vanderbilt University, Nashville, TN
David Colton Riley, BS; Ravinder Bamba; Nathaniel Kelm; Bruce Shack, MD; Wesley P Thayer, MD, PhD
Vanderbilt University, Nashville, TN
P15. Clinical Utility and Accuracy of High-Resolution Ultrasonography in the Diagnosis of Peripheral Nerve Lesions
Gabriel Beauchemin, MD; Johan Michaud, MD; Jenny C Lin, MD, PhD
University of Montreal, Montreal, QC, Canada
Gabriel Beauchemin, MD; Johan Michaud, MD; Jenny C Lin, MD, PhD
University of Montreal, Montreal, QC, Canada
P16. The Effect of Size Discrepancy of Human Epineural Conduit on the Functional Outcomes of Nerve Regeneration in Athymic Nude Rat Model A Preliminary Report
Marcin Strojny, MD; Rafal Gendek, MD, PhD; Joanna Cwykiel, MSc; Erzsebet Szilagyi, MD, PhD; Malgorzata Cyran, MD; Wojciech Malewski, MD; Huseyin Karagoz, MD, PhD; Maria Siemionow, MD, PhD, DSc
University of Illinois at Chicago, Chicago, IL
Marcin Strojny, MD; Rafal Gendek, MD, PhD; Joanna Cwykiel, MSc; Erzsebet Szilagyi, MD, PhD; Malgorzata Cyran, MD; Wojciech Malewski, MD; Huseyin Karagoz, MD, PhD; Maria Siemionow, MD, PhD, DSc
University of Illinois at Chicago, Chicago, IL
P17. Intraneural Ganglion Cysts: A Systematic Review and Reinterpretation of the World's Literature
Nicholas M Desy, MD1; Huan Wang, MD, PhD1; Mohanad A Ibrahim Elshiekh, MD2; Shota Tanaka, MD3; Tae Woong Choi, MD4; B Matthew Howe, MD1; Robert J Spinner, MD1
1Mayo Clinic, Rochester, MN; 2New York Methodist Hospital, Brooklyn, NY; 3The University of Tokyo, Tokyo, Japan; 4Korea University Anam Hospital, Seoul, South Korea
Nicholas M Desy, MD1; Huan Wang, MD, PhD1; Mohanad A Ibrahim Elshiekh, MD2; Shota Tanaka, MD3; Tae Woong Choi, MD4; B Matthew Howe, MD1; Robert J Spinner, MD1
1Mayo Clinic, Rochester, MN; 2New York Methodist Hospital, Brooklyn, NY; 3The University of Tokyo, Tokyo, Japan; 4Korea University Anam Hospital, Seoul, South Korea
P18. Carpal Tunnel Syndrome and Open Median Nerve Decompression: Innervation and Vascularisation of the Fat Tissue Overlying the Carpal Ligament and Consequences for Surgical Handling
Ildefonso Muñoz Romero, MD1; Robert Notenboom, MD, PhD2;Willem Pondaag, MD, PhD2;Martijn Malessy, MD, PhD2
1Neurological Center at the American British Cowdray Medical Center, Mexico, Mexico; 2Leiden University Medical Center, Leiden, Netherlands
Ildefonso Muñoz Romero, MD1; Robert Notenboom, MD, PhD2;Willem Pondaag, MD, PhD2;Martijn Malessy, MD, PhD2
1Neurological Center at the American British Cowdray Medical Center, Mexico, Mexico; 2Leiden University Medical Center, Leiden, Netherlands
P19. Learning Peripheral Nerve Surgery: Assessment of Educational Video Content with Use-Pattern Analytics and User Surveys
Amanda M Gryniewicz, MS; Andrew Yee, BS; Elspeth Hill, MD, MRes, PhD; Susan E Mackinnon, MD; Ida K Fox, MD
Washington University School of Medicine, Saint Louis, MO
Amanda M Gryniewicz, MS; Andrew Yee, BS; Elspeth Hill, MD, MRes, PhD; Susan E Mackinnon, MD; Ida K Fox, MD
Washington University School of Medicine, Saint Louis, MO
P20. Screening the Diabetic for Polyneuropathy Results from the Rotterdam Diabetic Foot Study
Willem D Rinkel, MD; Johan W van Neck, PhD; J Henk Coert, MD, PhD
Erasmus Medical University Center, St Franciscus Gasthuis, Rotterdam, Netherlands
Willem D Rinkel, MD; Johan W van Neck, PhD; J Henk Coert, MD, PhD
Erasmus Medical University Center, St Franciscus Gasthuis, Rotterdam, Netherlands
11:30 am - 12:30 pm
AAHS/ASPN Joint Panel: Failed Nerve Surgery: Management of Complications
Moderator: Steven L. Moran, MD
Panelists: Susan E. Mackinnon, MD; Allen L. Van Beek, MD
Moderator: Steven L. Moran, MD
Panelists: Susan E. Mackinnon, MD; Allen L. Van Beek, MD
During this course, the panelists will discuss the management of complications after peripheral nerve surgery procedures, including decompression, repair, and nerve transfers. The discussion will cover early recognition of complications as well as management strategies including watchful waiting, medical management, and finally, surgical management.
Objectives: Following this session, participants will be able to:
- Name categories of symptoms of patients with failed peripheral nerve surgery.
- Recognize failed nerve surgery and differentiate failure due to incorrect diagnosis versus improper surgical intervention (technical issues) and/or other reasons (patient related, therapy related, etc.).
- Discuss evaluation and management strategies to both avoid and subsequently manage "failures".
12:30 pm - 2:00 pm
ASPN Poster Session (Light lunch provided)
2:00 pm - 4:00 pm
Panel I: Basics of Nerve Injury Evaluation and Management
Moderator: Amy M. Moore, MD
Panelists: Jonathan Isaacs, MD; Gerald Wolff, MD; Kirsty Boyd, MD; Jonathan Cheng, MD; Lorna Canavan Kahn,PT, CHT
Moderator: Amy M. Moore, MD
Panelists: Jonathan Isaacs, MD; Gerald Wolff, MD; Kirsty Boyd, MD; Jonathan Cheng, MD; Lorna Canavan Kahn,PT, CHT
The purpose of this panel is to discuss an introduction to classifying peripheral nerve injuries and discuss classification-based principles of management, including basic physical examination of the nerve injured extremity, ordering and interpretation of electrodiagnostic studies, and highlights of useful peripheral nerve transfers to treat nerve injuries.
Jonathan Isaacs, MD
Interpreting Electrodiagnostic Studies In Nerve Injury
Gerald Wolff, MD; Kirsty Boyd, MD
Highlights of Useful Nerve Transfers In The Extremity
Johnathan Cheng, MD
Therapy Motor Reeducation
Lorna Canavan Kahn,PT, CHT
Objectives: Following this session, participants will be able to:
- Name the types of nerve injuries and explain how the nerve injury classification system guides management for operative versus nonoperative treatment.
- Explain nuances of the upper extremity motor exam, particularly with respect to evaluation of redundant functions that may serve as putative donor neuromuscular units.
- Differentiate recovering versus non-recovering muscles by both physical examination and electromyography test results.
- Discuss the specifics of ordering of electrodiagnostic studies in the setting of peripheral nerve injury including timing of tests, utility of nerve conduction studies, utility of electromyography and pearls of interpreting these test results.
- Recommend specific nerve transfer surgeries for the appropriate treatment of peripheral nerve and brachial plexus injuries.
Jonathan Isaacs, MD
Interpreting Electrodiagnostic Studies In Nerve Injury
Gerald Wolff, MD; Kirsty Boyd, MD
Highlights of Useful Nerve Transfers In The Extremity
Johnathan Cheng, MD
Therapy Motor Reeducation
Lorna Canavan Kahn,PT, CHT
SATURDAY JANUARY 16, 2016
6:30 am - 8:00 am
Continental Breakfast with Exhibitors
6:30 am - 8:00 am
MOC Instructional Course
201
Carpal Tunnel Syndrome
Chair: David T. Netscher, MD
Instructors: Amy M. Moore, MD; Ivica Ducic, MD; Nash Naam, MD
Chair: David T. Netscher, MD
Instructors: Amy M. Moore, MD; Ivica Ducic, MD; Nash Naam, MD
This MOC course will help satisfy the CME objectives and requirements for MOC in the carpal tunnel tracer module. It will provide an understanding of the pathogenesis, sensitivity and specificity of clinical evaluations and special tests; as well as the best evidence for treatment options. Finally, the course will evaluate treatment of some potential postoperative complications.
Objectives: Following this session, the participant will be able to:
- Discuss the pathogenesis of chronic nerve compression disorders.
- Interpret the significance of clinical findings and electrodiagnostic tests, especially with regard to selection of patients for surgery.
- Recognize the role of the various treatment options.
- Treat postoperative complications.
7:00 am - 8:00 am
AAHS/ASPN/ASRM Instructional Courses
202
Decision Making in Lymphatic Surgery
Chair: David W. Chang, MD; Babak J. Mehrara, MD
Instructors: Joseph H. Dayan, MD; Ming-Huei Cheng, MD; Mark L. Smith, MD
Chair: David W. Chang, MD; Babak J. Mehrara, MD
Instructors: Joseph H. Dayan, MD; Ming-Huei Cheng, MD; Mark L. Smith, MD
The advents of microsurgery, and more recently supermicrosurgery, have had a major impact on the evolution of physiologic procedures, such as vascularized lymph node transfer and LV bypass to treat lymphedema. We will discuss advances and new innovations in surgical techniques, patient selection, potential complications, and outcomes of these and other novel procedures to treat lymphedema.
Objectives: Following this session, the participant will be able to:
- Recognize the preoperative evaluation, intraoperative choices, and postoperative assessment of the patient with lymphedema.
203
Complications of Mangled Extremities
Chair: Michael W. Neumeister, MD
Instructors: Michael Sauerbier, MD, PhD; Milan Stevanovic, MD; Kimberly McVeigh, OT, CHT
Chair: Michael W. Neumeister, MD
Instructors: Michael Sauerbier, MD, PhD; Milan Stevanovic, MD; Kimberly McVeigh, OT, CHT
This panel will describe current approaches to addressing injuries to the upper extremity. The topics will include triage, emergency care, stabilization, debridement, soft tissue coverage, functional recovery, and solutions to complications that may arise in the treatments of these patients.
Objectives: Following this session, the participant will be able to:
- Recognize the fundamentals of managing mangled extremities.
- Discuss how to avoid complications in mangles extremities.
- Idnetigy possible solutions to complications of the mangled upper extremity.
204
Use of Peripheral Nerve Transfers in Tetraplegia, Transverse Myelitis and Other Central Nervous Syndrome Diseases
Chair: Ida K. Fox, MD
Instructors: Allan J. Belzberg, MD; Catherine Curtin, MD; Gerald Wolfe, MD; Christine Novak, PT, PhD
Chair: Ida K. Fox, MD
Instructors: Allan J. Belzberg, MD; Catherine Curtin, MD; Gerald Wolfe, MD; Christine Novak, PT, PhD
This course will discuss the novel application of peripheral nerve transfers to central nervous system disorders, primarily cervical spinal cord injury and transverse myelitis, as well as other potential applications.
Objectives: Following this session, the participant will be able to:
- Describe key differences in spinal cord injury versus peripheral nerve injury pathophysiology and type of treatment options available.
- Identify goals to improve function within the restraints of the options that are available.
- Discuss potential nerve transfer treatment options and list donor and recipient nerve combinations.
205
Sensory Innervated Flaps
Chair: Paul S. Cederna, MD
Instructors: Aldona Spiegel, MD; Peirong Yu, MD; Michel Saint-Cyr, MD; Michael JP Hong, MD
Chair: Paul S. Cederna, MD
Instructors: Aldona Spiegel, MD; Peirong Yu, MD; Michel Saint-Cyr, MD; Michael JP Hong, MD
Objectives: Following this session, the participant will be able to:
- Recognize situations in which a sensory innervated free flap is needed.
- Indicate the types of flaps available, and their expected outcomes.
206
Complications in Nerve Reconstruction
Chair: Thomas H.H. Tung, MD
Instructors: Mary Drake, OTR/L, CHT; Jonathan Cheng, MD
Chair: Thomas H.H. Tung, MD
Instructors: Mary Drake, OTR/L, CHT; Jonathan Cheng, MD
This course will identify and review common complications encountered during reconstructive nerve procedures including nerve repair, grafting, and transfers. Such complications include but are not limited to inadequate repair and grafting technique, suboptimal nerve regeneration and failure of functional return, inadequate nerve graft harvest and donor site morbidity.
Objectives: Following this session, the participant will be able to:
- Recognize common complications after nerve reconstruction and their management.
- Identify methods that help to minimize complications after nerve reconstruction.
- Discuss management options of complications after nerve reconstruction.
8:15 am - 8:30 am
AAHS/ASPN/ASRM President's Welcome (Not for Credit)
Michael W. Neumeister, MD; AAHS President
Thomas H. H. Tung, MD; ASPN President
Gregory R.D. Evans, MD; ASRM President
David H. Song, MD, FACS; ASPS President
Michael W. Neumeister, MD; AAHS President
Thomas H. H. Tung, MD; ASPN President
Gregory R.D. Evans, MD; ASRM President
David H. Song, MD, FACS; ASPS President
8:30 am - 9:30 am
AAHS/ASPN/ASRM Combined Panel: "Mind the Gap"
Moderator: Allen T. Bishop, MD
Panelists: Paul S. Cederna, MD William C. Pederson, MD; John V. Ingari, MD
Moderator: Allen T. Bishop, MD
Panelists: Paul S. Cederna, MD William C. Pederson, MD; John V. Ingari, MD
This panel will discuss the pros and cons of autogenous nerve graft vs. the alternatives (allograft, tubes, wraps). There will be an objective non-biased discussion of the indications, contraindications, and complications of each.
Objectives: Following this session, the participant will be able to:
- Review the limitations of nerve conduits and allografts.
- Discuss the morbidity of sural nerve harvest.
- Examine the best way to reconstruct a gap in the patient's nerve.
- Provide the best option for nerve reconstruction while avoiding favoritism.
9:30 am - 10:00 am
Coffee Break with Exhibitors
10:00 am - 11:00 am
 |
Joint Presidential Keynote Lecture Rick Searfoss, retired United States Air Force colonel, NASA astronaut and test pilot |
Colonel Rick Searfoss speaks on leadership, teamwork, and personal performance with authority born of in-depth personal experience. He has piloted two Space Shuttle missions and commanded a third, with over 939 hours in space and 5400 hours flying time in 61 different types of aircraft.
11:00 am - 12:00 pm
AAHS/ASPN/ASRM Joint Outstanding Paper Session
Moderators: William C. Pederson, MD; Michael Sauerbier, PhD, MD; Ida K. Fox, MD; Howard Langstein, MD
Moderators: William C. Pederson, MD; Michael Sauerbier, PhD, MD; Ida K. Fox, MD; Howard Langstein, MD
AAHS #1. Proximal Interphalangeal Arthroplasty for Osteoarthritis; a Comparison of Silicone, Pyrocarbon and Surface Replacing Arthroplasty
Eric Wagner, MD; John Weston, MD; Matthew Houdek, MD; Steven L. Moran, MD; Marco Rizzo, MD
Mayo Clinic, Rochester, MN
Eric Wagner, MD; John Weston, MD; Matthew Houdek, MD; Steven L. Moran, MD; Marco Rizzo, MD
Mayo Clinic, Rochester, MN
AAHS #2. Are Surgeons Price-Sensitive? A Randomized Controlled Study on Factors Driving Surgeon Implant Selection
Amy Wasterlain, MD1; Eitan Melamed, MD2; Raj Karia, MPH1; Kathryn Birenbaum, MD1; John T. Capo, MD1
1NYU Hospital for Joint Diseases, New York, NY; 2Johns Hopkins Bayview Medical Center, Baltimore, MD
Amy Wasterlain, MD1; Eitan Melamed, MD2; Raj Karia, MPH1; Kathryn Birenbaum, MD1; John T. Capo, MD1
1NYU Hospital for Joint Diseases, New York, NY; 2Johns Hopkins Bayview Medical Center, Baltimore, MD
11:10am - 11:20 am
Discussion
ASPN #1. Electrical Stimulation Enhances Axon Regeneration And Functional Recovery Following Cubital Tunnel Surgery In Humans - A Randomized Controlled Trial
Hollie A. Power, MD; Michael J. Morhart, MSc, MD; Jaret L. Olson, MD; K. Ming Chan, MD
University of Alberta, Edmonton, AB, Canada
Hollie A. Power, MD; Michael J. Morhart, MSc, MD; Jaret L. Olson, MD; K. Ming Chan, MD
University of Alberta, Edmonton, AB, Canada
ASPN #2. Neurolysis Outcomes in Leprosy Patients: Prospective Stufy of Sensory and Motor Changes Following “Double CRUSH” Decompressions
Eric Wan, BS; Gedge D Rosson, MD; A. Lee Dellon, MD
Johns Hopkins University, Towson, MD
Eric Wan, BS; Gedge D Rosson, MD; A. Lee Dellon, MD
Johns Hopkins University, Towson, MD
11:30 am - 11:40 am
Discussion
ASRM #1. Correlation between Indocyanine Green (ICG) Patterns and Real-time Elastography Images in Lower Extremity Lymphedema Patients
Nobuko Hayashi, MD; Takumi Yamamoto, MD; Akitatsu Hayashi, MD; Hidehiko Yoshimatu, MD
Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan
Nobuko Hayashi, MD; Takumi Yamamoto, MD; Akitatsu Hayashi, MD; Hidehiko Yoshimatu, MD
Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan
ASRM #2. A Single Institution Experience with 116 Consecutive Free-Flap and Pedicled Phalloplasties
Bauback Safa, MD, MBA, FACS1; Andrew J. Watt, MD1; Curtis Crane, MD2
1The Buncke Clinic, San Francisco, CA, 2Brownstein & Crane Surgical Services, Greenbrae, CA
Bauback Safa, MD, MBA, FACS1; Andrew J. Watt, MD1; Curtis Crane, MD2
1The Buncke Clinic, San Francisco, CA, 2Brownstein & Crane Surgical Services, Greenbrae, CA
11:50 am - 12:00 pm
Discussion
12:15 pm - 1:45 pm
Scientific Paper Session III (Working Lunch)
Moderators: Ann R. Schwentker, MD; Alison Snyder-Warwick, MD
Moderators: Ann R. Schwentker, MD; Alison Snyder-Warwick, MD
21. Morphometric Evaluation of the Corrugator Migraine Trigger Point
Ashley M. Stasiak, MD1; Theodore A. Kung, MD2; Kavitha Ranganathan, MD2; Eric E. Adelman, MD2; Jeffrey E. Janis, MD3; Paul S. Cederna, MD2
1University of Southern California, Los Angeles, CA; 2University of Michigan, Ann Arbor, MI; 3Ohio State University Wexner Medical Center, Columbus, OH
Ashley M. Stasiak, MD1; Theodore A. Kung, MD2; Kavitha Ranganathan, MD2; Eric E. Adelman, MD2; Jeffrey E. Janis, MD3; Paul S. Cederna, MD2
1University of Southern California, Los Angeles, CA; 2University of Michigan, Ann Arbor, MI; 3Ohio State University Wexner Medical Center, Columbus, OH
22. A Novel Surgical Approach to Chronic Temporal Headaches
Ziv Peled, MD
Peled Plastic Surgery, San Francisco, CA
Ziv Peled, MD
Peled Plastic Surgery, San Francisco, CA
23. Surgical Management of Peripheral Nerve Tumors within the Neurofibromatosis Population
Marc Soares, MD; Jordan Frey, MD; Jeffrey Allen, MD; Sheel Sharma, MD
New York University Medical Center, New York, NY
Marc Soares, MD; Jordan Frey, MD; Jeffrey Allen, MD; Sheel Sharma, MD
New York University Medical Center, New York, NY
24. Growth Associated Gene Expression Declines Concurrent with Reduced Regenerative Capacity in a Rat Model of Chronic Nerve Injury
Tessa Gordon, MD1; Wolfram Tetzlaff, MD2
1University of Alberta, Edmonton, Canada; 2University of British Columbia, Vancouver, BC, Canada
Tessa Gordon, MD1; Wolfram Tetzlaff, MD2
1University of Alberta, Edmonton, Canada; 2University of British Columbia, Vancouver, BC, Canada
12:31 pm - 12:36 pm
Discussion
25. Excellent Recovery in Motor Nerve Gaps Reconstructed Using Human Processed Nerve Allograft
Renata V. Weber, MD; Elizabeth Sieczka, MD; Emran S. Sheikh, MD
Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ
Renata V. Weber, MD; Elizabeth Sieczka, MD; Emran S. Sheikh, MD
Institute for Nerve, Hand and Reconstructive Surgery, Rutherford, NJ
26. Glenohumeral Dysplasia Following Neonatal Brachial Plexus Palsy: Presentation During Infancy And Predictive Features
Matthew Iorio, MD1; Menashe Sarah, MD2; Ramesh Iyer, MD2; Sarah Lewis2; Suzanne Steinman, MD2; Kathryn Whitlock, MD2; Raymond Tse, MD2
1Harvard Medical School, Boston, MA; 2Seattle Children's Hospital, Seattle, WA
Matthew Iorio, MD1; Menashe Sarah, MD2; Ramesh Iyer, MD2; Sarah Lewis2; Suzanne Steinman, MD2; Kathryn Whitlock, MD2; Raymond Tse, MD2
1Harvard Medical School, Boston, MA; 2Seattle Children's Hospital, Seattle, WA
27. Recovery of Hand Function After Surgical Reconstruction Of Brachial Plexus In Obpp
Mohamed Mostafa Kotb, MD
Assiut University Hospital, Assiut, Egypt
Mohamed Mostafa Kotb, MD
Assiut University Hospital, Assiut, Egypt
28. Motor Recovery After Birth-Related Brachial Plexus Resection and Grafting
Christine V. Schaeffer, BS; Darlene M. Sparkman, MD; Ann Schwentker, MD
University of Cincinnati College of Medicine, Cincinnati, OH
Christine V. Schaeffer, BS; Darlene M. Sparkman, MD; Ann Schwentker, MD
University of Cincinnati College of Medicine, Cincinnati, OH
12:52 pm - 12:57 pm
Discussion
29. Elbow Flexion Reconstruction by End-to-Side Neurorrhaphy in Phrenic Nerve Transfer
Mou-Xiong Zheng, MD; Wen-Dong Xu; Yun-Dong Shen; Jian-Guang Xu; Yu-Dong Gu
Washington University in St. Louis, St Louis, MO
Mou-Xiong Zheng, MD; Wen-Dong Xu; Yun-Dong Shen; Jian-Guang Xu; Yu-Dong Gu
Washington University in St. Louis, St Louis, MO
30. Can Mackinnon/Oberlin-II Double Fascicular Distal Nerve Transfer for Elbow Flexion Restoration Be Used for C5-C8 Acute Brachial Plexus Injuries?
Tommy Nai-Jen Chang, MD; Kee-Min Yeow, MD; Frank Fang, MD; Johnny Chuieng - Yi Lu, MD; David Chwei-Chin Chaung, MD
Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan
Tommy Nai-Jen Chang, MD; Kee-Min Yeow, MD; Frank Fang, MD; Johnny Chuieng - Yi Lu, MD; David Chwei-Chin Chaung, MD
Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan
31. A Longitudinal Study of Pain, Personality and Plasticity following Peripheral Nerve Injury
Dimitri J. Anastakis, MD1; Ruma Goswami, PhD2; Joel Katz, PhD1; Karen D. Davis, MD2
1University of Toronto, Toronto, ON, Canadal; 2Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada
Dimitri J. Anastakis, MD1; Ruma Goswami, PhD2; Joel Katz, PhD1; Karen D. Davis, MD2
1University of Toronto, Toronto, ON, Canadal; 2Toronto Western Research Institute, Toronto Western Hospital, Toronto, ON, Canada
32. Intra-individual Comparison between Open and Endoscopic Release in Bilateral Carpal Tunnel Syndrome: A Meta-Analysis
Kejia Hu, MD, MD; Wen-Dong Xu, MD
Huashan Hospital, Fudan University, Shanghai, China
Kejia Hu, MD, MD; Wen-Dong Xu, MD
Huashan Hospital, Fudan University, Shanghai, China
1:13 pm - 1:18 pm
Discussion
1:18 pm - 1:22 pm
33. Facial Paralysis Clinician Assessments: Weighing the Variables
Caroline A. Banks, MD1; Charles R. Hadlock, PhD2; Tessa Hadlock, MD1
1Harvard Medical School/Massachusetts Eye and Ear Infirmary, Boston, MA; 2Bentley University, Waltham, MA
Caroline A. Banks, MD1; Charles R. Hadlock, PhD2; Tessa Hadlock, MD1
1Harvard Medical School/Massachusetts Eye and Ear Infirmary, Boston, MA; 2Bentley University, Waltham, MA
34. Qualitative and Quantitative Analysis of Smile Excursion in Facial Reanimation: A Systematic Review and Meta-Analysis of One- Versus Two- Stage Procedures
Hamidreza Natghian, MD1; Jian Fransén, MD1; Shai Rozen, MD2; Andrés Rodriguez-Lorenzo, MD, PhD1
1Uppsala University, Uppsala, Sweden; 2UT Southwestern Medical Center, Dallas, TX
Hamidreza Natghian, MD1; Jian Fransén, MD1; Shai Rozen, MD2; Andrés Rodriguez-Lorenzo, MD, PhD1
1Uppsala University, Uppsala, Sweden; 2UT Southwestern Medical Center, Dallas, TX
35. A Novel Approach To Synkinesis - Targeted Conduction Blockade Using High Frequency Alternating Current
Nate Jowett, MD, MSc, FRCSC; Christopher J. Knox, BSc; Tessa A. Hadlock, MD
Harvard Medical School / Massachusetts Eye and Ear Infirmary, Boston, MA
Nate Jowett, MD, MSc, FRCSC; Christopher J. Knox, BSc; Tessa A. Hadlock, MD
Harvard Medical School / Massachusetts Eye and Ear Infirmary, Boston, MA
36. Medical Students and Physicians in Primary Care Specialties Perceptions of Plastic Surgeons as Peripheral Nerve Specialists
Andy Chao Hsuan Lee, BS; David B. Drake, MD; Brent R. Degeorge, MD, PhD
University of Virginia, Charlottesville, VA
Andy Chao Hsuan Lee, BS; David B. Drake, MD; Brent R. Degeorge, MD, PhD
University of Virginia, Charlottesville, VA
1:34 pm - 1:45 pm
Discussion
7:00 pm - 8:30 pm
ASPN/ASRM Welcome Reception
SUNDAY JANUARY 17, 2016
6:30 am - 7:30 am
Continental Breakfast
7:00 am - 8:00 am
ASPN Instructional Courses
301
Obstetrical Brachial Plexus —Management and Outcome
Chair: Martijn J.A. Malessy, MD
Instructors: Lynda Yang, MD, PhD
Chair: Martijn J.A. Malessy, MD
Instructors: Lynda Yang, MD, PhD
This course will review the advances in surgical management of Obstetrical Brachial Plexus Palsy. Through didactic presentations the pathophysiology, selection of infants for surgery, nerve surgical management and outcomes will be presented.
Objectives: Following this session, the participant will be able to:
Objectives: Following this session, the participant will be able to:
- Recognize the advances in surgical management of Obstetrical Brachial Plexus Palsy.
- Examine outcomes of in the advances in surgical management of Obstetrical Brachial Plexus Palsy.
302
Alternate Nerve Coaptation Techniques: End to Side, Supercharge, 'Ladder Rung'/Side-to-side Nerve Transfers: From Bench to Bedside
Chair: Matthew D. Wood, MD
Instructors: Tessa Gordon, MD; Gregory H. Borschel, MD; Amy M. Moore, MD
Chair: Matthew D. Wood, MD
Instructors: Tessa Gordon, MD; Gregory H. Borschel, MD; Amy M. Moore, MD
When faced with the dilemma of a proximal nerve injuries, the clinician must decide whether, in addition to performing a standard repair with grafting, he or she will also choose to perform a nerve transfer and which technique is most appropriate. In this course, both the clinical and experimental evidence will be reviewed in a round table discussion comparing end to side nerve transfers, supercharged end to side transfers (SETS), and Ladder Rung side to side transfers. Our panel of experts will review the current "state of the art" regarding these different techniques, the basic science principles as well as the practical clinical applications. Brief presentations by our panel will be followed by a workshop style discussion.
Objectives: Following this session, the participant will be able to:
- Discuss the basic science evidence behind current techniques of end to side nerve transfers.
- Examine practical aspects of clinical application of the current techniques to the reconstruction of proximal nerve injuries.
303
Management of Facial Nerve Injury and Paralysis
Chair: Alison K. Snyder-Warwick, MD
Instructors: Tessa A. Hadlock, MD; Gregory Borschel, MD
Chair: Alison K. Snyder-Warwick, MD
Instructors: Tessa A. Hadlock, MD; Gregory Borschel, MD
This course will describe innovative strategies for reconstruction of facial movements in both the clinical and laboratory settings.
Objectives: Following this session, the participant will be able to:
- Describe temporal considerations for reconstruction of acquired facial nerve deficiencies.
- Recognize different techniques for facial (re-)animation.
- Apply innovative strategies, both pre-clinical and clinical, to improve outcomes following facial paralysis.
304
Cubital Tunnel: From Initial Management to Failure and Revision
Chair: Susan E. Mackinnon, MD
Instructors: Megan Patterson, MD; Lorna Canavan Kahn, PT, CHT
Chair: Susan E. Mackinnon, MD
Instructors: Megan Patterson, MD; Lorna Canavan Kahn, PT, CHT
The current management of cubital tunnel syndrome from pre-op evaluation, conservative management, to primary surgery and revision surgery is discussed. The course will provide a clear description of the transmusculature ulnar nerve transposition that reliably yields excellent results without recurrences. It will also provide a strategy for revising failed cubital tunnel surgeries. The physical therapist' approach to conservative management and post-operative rehabilitation is discussed.
Objectives: Following this session, the participant will be able to:
- Evaluate patients with ulnar neuropathy and design a conservative approach for mild cubital tunnel syndrome.
- Recognize the indications for electrodiagnostic studies and their interpretation.
- Examine the surgical steps of the transmusculature transposition, and how to perform a revision ulnar nerve procedure, including indications for a supercharge end-to-side nerve transfer.
- Apply up-to-date post-operative rehabilitation techniques for primary, revision and SETS procedures.
8:15 am - 9:15 am
ASPN/ASRM Combined Panel: What I Know Now That I Wish I Knew Then
Moderator: William M. Kuzon, MD
Panelists: Robert C Russell, MD; Robert L. Walton, MD; Lawrence B. Colen, MD; Gregory R.D. Evans, MD; Nash H. Naam, MD
Moderator: William M. Kuzon, MD
Panelists: Robert C Russell, MD; Robert L. Walton, MD; Lawrence B. Colen, MD; Gregory R.D. Evans, MD; Nash H. Naam, MD
9:15 am - 9:45 am
ASPN/ASRM Combined Scientific Paper Session
Moderators: Stephen H. Colbert, MD; Michael Klebuc, MD
Moderators: Stephen H. Colbert, MD; Michael Klebuc, MD
ASPN #1. Pain after Breast Surgery Related to Intercostal Nerves
Eric H. Williams, MD1; Justin M. Broyles, MD2; Laurence Glickman, MD3; A. Lee Dellon, MD, PhD1
1Johns Hopkins University, Towson, MD; 2Dellon Institute for Peripheral Nerve Surgery, Towson, MD; 3Long Island Plastic Surgery, Long Island, NY
Eric H. Williams, MD1; Justin M. Broyles, MD2; Laurence Glickman, MD3; A. Lee Dellon, MD, PhD1
1Johns Hopkins University, Towson, MD; 2Dellon Institute for Peripheral Nerve Surgery, Towson, MD; 3Long Island Plastic Surgery, Long Island, NY
ASPN #2. Influence Of Surgical Video Education On Operative Efficiency And Competency In Novice Surgeons: A Randomized Controlled Trial
Amanda M. Gryniewicz, MS; Andrew Yee, BS; Elspeth Hill, MD, MRes, PhD; Kevin Z. Li, BA; Susan E. Mackinnon, MD; Ida K. Fox, MD
Washington University School of Medicine, Saint Louis, MO
Amanda M. Gryniewicz, MS; Andrew Yee, BS; Elspeth Hill, MD, MRes, PhD; Kevin Z. Li, BA; Susan E. Mackinnon, MD; Ida K. Fox, MD
Washington University School of Medicine, Saint Louis, MO
ASPN #3. Secondary Surgery following Gracilis Muscle Transplantation for Facial Paralysis in Children
Tommy Nai-Jen Chang, MD; Erin Klar; Emily S. Ho; Gregory H. Borschel, MD; Ronald M. Zuker, MD
The Hospital for Sick Children, University of Toronto, Toronto, Canada
Tommy Nai-Jen Chang, MD; Erin Klar; Emily S. Ho; Gregory H. Borschel, MD; Ronald M. Zuker, MD
The Hospital for Sick Children, University of Toronto, Toronto, Canada
ASRM #1. Extended Periarterial Sympathectomy: Evaluation of Outcomes
Collier Stephens Pace, MD; Wyndell Merritt, MD
VCU Medical Center, Richmond, VA, USA
Collier Stephens Pace, MD; Wyndell Merritt, MD
VCU Medical Center, Richmond, VA, USA
ASRM #2. Facial Nerve Axonal Analysis and Anatomic Localization of Donor Nerve –
Optimizing Axonal Load for Cross Facial Nerve Grafting in Facial Reanimation
Austin Hembd, MS1; Purushottam Nagarkar, MD1; Salim Saba, MD2; Dinah Wan, MD1; Brandon Isaacson, MD1; J. Walter Kutz, MD1; Sachin Gupta, MD1; Charles White, MD1; Shai Rozen, MD1
1UT Southwestern Medical Center, Dallas, TX; 2American University of Beirut
Austin Hembd, MS1; Purushottam Nagarkar, MD1; Salim Saba, MD2; Dinah Wan, MD1; Brandon Isaacson, MD1; J. Walter Kutz, MD1; Sachin Gupta, MD1; Charles White, MD1; Shai Rozen, MD1
1UT Southwestern Medical Center, Dallas, TX; 2American University of Beirut
ASRM #3. Sensory Recovery in Neurocutaneous Flaps for Heel Reconstruction Using
End-To-Side Neurrorhaphy
Xuecheng Cao, MD
Jinan Military General Hospital, Jinan, China
Jinan Military General Hospital, Jinan, China
9:42 am - 9:45 am
Discussion
9:45 am - 10:15 am
Coffee Break with Exhibitors
9:45 am - 10:15 am
Coffee Break with Exhibitors
10:15 am - 10:45 am
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ASPN Presidential Address (Not for Credit) From Animal Spirits and Ethereal Vibrations to the Nerve Flap and the ASPN Thomas H.H. Tung, MD, ASPN President
The peripheral nervous system has always been more of a mystery than many other physiologic systems. Our current understanding of peripheral nerve regeneration remains incomplete and many controversies still exist. Reaching the modern state of the art of peripheral nerve reconstruction has been complicated by many obstacles and detours. This presentation is about the basis of why we do what we do, how we got where we are, and the process of investigation and surgical experimentation that continues today. That the management and surgery of peripheral nerve injuries is still very much a “black box” to many specialists and experienced surgeons helped lead to the founding of our society. The ASPN celebrates its 25th anniversary and remains the premiere society in North America dedicated to the study of neural regeneration.
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10:45 am - 11:45 am
Scientific Paper Session IV
Moderators: Jason Ko, MD; Ivica Ducic, MD
Moderators: Jason Ko, MD; Ivica Ducic, MD
37. The Use of Processed Nerve Allografts for Management of Localized Pain in the Foot and Ankle
Jason M. Souza, MD; Chad A. Purnell, MD; Andrew W. Choi, BS; Gregory A. Dumanian, MD, FACS
Northwestern University, Feinberg School of Medicine, Chicago, IL
Jason M. Souza, MD; Chad A. Purnell, MD; Andrew W. Choi, BS; Gregory A. Dumanian, MD, FACS
Northwestern University, Feinberg School of Medicine, Chicago, IL
38. Short-term Outcomes of the Nerve "Dwindling" Procedure using Long Processed Nerve Allograft in Recurrent Lower Extremity Neuroma
Emily M. Krauss, MD, MSc; Amy M. Moore, MD; Aouod Agenor, MD; Susan E. Mackinnon, MD
Washington University School of Medicine, Saint Louis, MO
Emily M. Krauss, MD, MSc; Amy M. Moore, MD; Aouod Agenor, MD; Susan E. Mackinnon, MD
Washington University School of Medicine, Saint Louis, MO
39. The Management of Chronic Pain Caused by Peripheral Nerve Lesions: a Novel Application of Human Cadaveric Allografts
Jonathan I. Leckenby, MBBS, BSc, MRCS; Bettina Juon Personeni, MD; Curdin Furrer, MD; Esther Voeglin, MD
Inselspital University of Bern, Bern, Switzerland
Jonathan I. Leckenby, MBBS, BSc, MRCS; Bettina Juon Personeni, MD; Curdin Furrer, MD; Esther Voeglin, MD
Inselspital University of Bern, Bern, Switzerland
40. Regenerative Peripheral Nerve Interfaces for Neuroma Relief in Humans
Shoshana L. Woo, MD; Theodore A. Kung, MD; Paul S. Cederna, MD
University of Michigan, Ann Arbor, MI
Shoshana L. Woo, MD; Theodore A. Kung, MD; Paul S. Cederna, MD
University of Michigan, Ann Arbor, MI
11:01 am - 11:05 am
Discussion
41. Surgical Peripheral Nerve Decompression for the Treatment of Diabetic Neuropathy of the Foot - A Randomized Controlled Trial
Timothy Best, MD, MSc; Corliss A. Best, MSc; Alyssa A. Best, BSc, MSc; Luke Fera, MD, BSc
Northern Ontario School of Medicine, Sudbury, ON, Canada
Timothy Best, MD, MSc; Corliss A. Best, MSc; Alyssa A. Best, BSc, MSc; Luke Fera, MD, BSc
Northern Ontario School of Medicine, Sudbury, ON, Canada
11:09 am - 11:13 am
42. WITHDRAWN
43. Surgical Decompression for Peroneal Neuropathy after Total Joint Arthroplasty
Grant M. Kleiber, MD; Susan E. Mackinnon, MD
Washington University School of Medicine, St. Louis, MO
Grant M. Kleiber, MD; Susan E. Mackinnon, MD
Washington University School of Medicine, St. Louis, MO
44. Management of Terminal Nerve Endings In Below Knee Amputation to Prevent Neuroma Formation; Primary End-to-End Coaptation, Muscle Implantation, or Targeted Re-innervation
John R. Barbour, MD
Georgetown University, Washington, DC
John R. Barbour, MD
Georgetown University, Washington, DC
45. Prevention of Painful Neuroma and Phantom Limb Pain Following Transfemoral Amputation Through Concomitant Nerve Coaptation and Collagen Nerve Wrapping
James Economides, MD; Michael DeFazio, MD; John Barbour, MD
Georgetown University Hospital, Washington, DC
James Economides, MD; Michael DeFazio, MD; John Barbour, MD
Georgetown University Hospital, Washington, DC
11:25 am - 11:29 am
Discussion
46. Evaluation of Cold Sensitivity, Pain and Quality of Life after Upper Extremity Nerve Injury
Christine B. Novak, PT, MS, PhD(c) 1; Susan E. Mackinnon, MD2
1University of Toronto, Toronto, ON, Canada; 2Washington University School of Medicine, St. Louis, MO
Christine B. Novak, PT, MS, PhD(c) 1; Susan E. Mackinnon, MD2
1University of Toronto, Toronto, ON, Canada; 2Washington University School of Medicine, St. Louis, MO
47. Rethinking CRPS - Undiagnosed Peripheral Neuropathy
Emran Sheikh, MD1; Ednan Sheikh, MD2; Renata V Weber MD1
1Multi Disciplinary Specialists, Rutherford, NJ; 2NJ Pain & Spine, Rutherford, NJ
Emran Sheikh, MD1; Ednan Sheikh, MD2; Renata V Weber MD1
1Multi Disciplinary Specialists, Rutherford, NJ; 2NJ Pain & Spine, Rutherford, NJ
48. The Role of Elective Amputation In Patients With Traumatic Brachial Plexus Injury
Andrés A. Maldonado, MD, PhD; Michelle F. Kirchner, MD; Robert J. Spinner, MD; Allen T. Bishop, MD; Alexander Y. Shin, MD
Mayo Clinic, Rochester, MN
Andrés A. Maldonado, MD, PhD; Michelle F. Kirchner, MD; Robert J. Spinner, MD; Allen T. Bishop, MD; Alexander Y. Shin, MD
Mayo Clinic, Rochester, MN
11:41 am - 11:45 am
Discussion
11:45 am - 12:15 pm
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Invited Guest Speaker Ian Carroll, MD
Dr. Carroll earned his doctorate at Columbia College of Physicians & Surgeons and completed his residency and fellowship at Stanford University Medical Center in Anesthesiology and Pain Management. He earned a Master of Science in Clinical Epidemiology & Biostatistics at Stanford University Graduate School and is currently an Assistant Professor of Anesthesiology, Perioperative and Pain Medicine (Adult Pain) at the Stanford University Medical Center. Dr. Carroll's current research and interests include factors causing prolonged post-surgical pain and prolonged opioid use and Brainstem Mechanisms of Analgesia in Patients with Post-Surgical Nerve Pain: an fMRI study.
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12:15 pm - 1:00 pm
Panel II: Clinical Pain Management—What are the Operative Approaches? (Working Lunch)
Moderator: Catherine Curtin, MD
Panelists: Ian Carroll, MD; A. Lee Dellon, MD; Ivica Ducic, MD
Moderator: Catherine Curtin, MD
Panelists: Ian Carroll, MD; A. Lee Dellon, MD; Ivica Ducic, MD
This panel will follow the discussion of pain management by Dr. Ian Carroll and will concentrate on a case-based discussion of peripheral nerve pathophysiology patients presenting with pain and approaches, including medical and surgical, as well as other treatment strategies.
Objectives: Following this session, the participant will be able to:
- State the types of pain amenable to surgical intervention.
- Describe operative approaches that may provide pain management for the patient with a peripheral nerve issue.
- Contrast medical, surgical, and other pain management strategies for the specific clinical examples presented.
1:00 pm - 1:45 pm
Panel III: Surgeon as Perpetual Learner—Patient Cases I Have Learned the Most From
Moderator: Nash H. Naam, MD
Panelists: Susan E. Mackinnon, MD; Allen L. Van Beek, MD; Ron Zuker, MD
Moderator: Nash H. Naam, MD
Panelists: Susan E. Mackinnon, MD; Allen L. Van Beek, MD; Ron Zuker, MD
During this panel, the panelists will discuss lessons learned from their clinical practice. In particular, they will concentrate on case examples where patients may have had unexpected results and/or in the course of the surgeon's care illuminated a key concept or management strategy for the "surgeon learner".
Objectives: Following this session, the participant will be able to:
- Recognize ways in which individual patients can alter/affect future patient management strategies.
- Hypothesize how to integrate patient experiences and feedback into current clinical practice.
- Identify patterns of expert surgeons' self-directed learning patterns which are amenable to broader and more novice surgeon application.
1:45 pm - 2:00 pm
Closing Remarks & Awards
2:00 pm - 2:45 pm
ASPN Business Meeting (Not for Credit)