Program and Abstracts | Posters | Meeting Photos
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(ABPS MOC-PS®-approved)
Chair: Nicholas B. Vedder, MD
Instructors: Andrew Chen, MD; Jennifer Waljee, MD, MPH, MS; Miranda M. Materi, OTD, CHT
This instructional course will have an expert panel discussing the challenges associated with flexor tendon injuries, specifically focusing on complications of flexor tendon injuries and repair. Topics to be presented will include: rupture, adhesions with loss of motion, flexion contractures, and wound breakdown. It will be case based with an emphasis on tips and pearls to address these potentially devastating problems.
Objectives: Following this session, the participant will be able to:
- Identify fracture pattern and formulate a management plan.
- Discuss surgical approach and type of fixation when required.
- Recognize complications of treatment and suggest intervention.
- Explain the principles of splinting and rehabilitation after metacarpal fractures.
Chair: Catherine Curtin, MD
Instructors: Ida K. Fox, MD; Laura Martini, MD; Saba Kamal, OT
The patient who presents with neuropathic pain can cause much anxiety to their clinician. These patients are unhappy and the appropriate course forward can seem unclear. This one-hour course will provide the attendee an up to date guide to treatment of the patient with neuropathic pain. The diverse panel will approach this topic through presentation of various clinical cases. The discussion will focus on treatments including medications, surgery, therapy and newer technology
Objectives: Following this session, the participant will be able to:
- Provide a medication algorithm for treatment of a patient with neuropathic pain.
- Review surgical decision-making considerations, including when and specific procedures used to treat a patient with neuropathic pain.
- Describe nonsurgical treatment modalities, such as therapy and nerve stimulation.
Chair: Scott F. Duncan, MD, MPH, MBA
Instructors: Steven McCabe, MD; John D. Lubahn, MD; Pierluigi Tos, MD; Gayle K. Severance, MS, OTR/L, CHT
This course will review the reasons behind failed nerve decompressions. We will discuss why a "failure" is not always a failure, and how setting patient expectations is crucial. The role of EMG/NCV studies, blood work, MRI, and ultrasound will be discussed in working up these patients for medical and surgical treatments. The operative and non-operative options for various clinical scenarios will be examined, with the understanding that not all "failure" can be surgically rectified. Nonetheless, some bailout options will be reviewed and a few clinical cases presented to connect the attendee with real world situations that can help them in their practice.
Objectives: Following this session, the participant will be able to:
- Identify why nerve decompressions "fail", and why this may not truly be the case.
- Describe the workup for patients with persistent symptoms following nerve decompression.
- List treatment options, including when they should be pursued.
Chair: Jaimie T. Shores, MD
Instructors: Alexander M. Spiess, MD; Thomas B. Hughes, MD; Susan Weiss, OT, CHT
Case based discussion for the management of Dupuytren's contracture. This course will emphasize clinical management using each of the presenter's treatment algorithms, as well as post-intervention hand therapy considerations.
Objectives: Following this session, the participant will be able to:
- Describe at least 3 methods of treatment for MP joint and PIP joint Dupuytren's contracture management as well as post-intervention hand therapy indications
- Discuss the evidence available for comparison of treatments for MP and PIP joint Dupuytren's contracture.
- Discuss Medicare based cost of treatment for different Dupuytren's contracture treatments.
Chair: Peter J.L. Jebson, MD
Instructors: A. Lee Osterman, MD; R. Glenn Gaston, MD; Kimberly G. Kraft, PT, DPT
Carpal instability is a common condition that may present in various stages and is surrounded by controversy regarding the best treatment. This interactive course will be a case based presentation with small group interaction and discussion. It will cover diagnosis, including the role of advanced imaging, management of acute ligament injuries, including SL and perilunate, as well as less common conditions, including LT instability and midcarpal instability.
Objectives: Following this session, the participant will be able to:
- Identify the exam findings and imaging needed for managing conditions associated with ligamentous injuries in the wrist.
- Recognize the clinical manifestations of scapholunate and midcarpal instability.
- Discuss the various non-operative and operative treatment options in the patient with carpal instability.
- Describe rehabilitation protocols for treatment of ligamentous injuries in the wrist.
Chair: A. Lee Dellon, MD
Instructors: Sami Tuffaha, MD; Eric H. Williams, MD
The etiology of joint pain due to nerve injury and the diagnostic block approach will be reviewed for upper and lower extremity joints, including shoulder, elbow, wrist, knee and ankle. The surgical techniques and outcomes of partial joint denervation will be reviewed.
Objectives: Following this session, the participant will be able to:
- Discuss joint pain with a neural origin
- Identify the innervation of specific joints
- Discuss the operative technique for partial joint denervation
- Describe clinical outcomes for specific joint denervation surgeries
Chair: Raymond Tse, MD
Instructors: Martijn J.A. Malessy, MD; Jaret Olson, MD; David Chwei-Chin Chuang, MD
Nerve grafting, proximal root transfers, and distal nerve transfers each has a role in reconstruction of brachial plexus palsies. This course will describe these strategies using photos and videos and will discuss the results, indications, and contraindications for each. Innovative and novel approaches will be emphasized along with a discussion of the principles and nuances involved in reconstruction.
Objectives: Following this session, the participant will be able to:
- Describe the principles of nerve graft reconstruction of the brachial plexus.
- Discuss direct proximal nerve root to nerve root transfers for brachial plexus reconstruction.
- Identify distal nerve transfers for brachial plexus reconstruction.
- Describe indications and contraindications for nerve grafting, proximal nerve. root transfers, and distal nerve transfers, and combinations of each for brachial plexus reconstruction.
Chair: Robert R. Hagan, MD
Instructors: Scott Werden, MD; Kyle R. Eberlin; MD; Giogio Pietramaggori, MD
This course will be focusing on the fact that 95% of all Thoracic Outlet Syndrome (TOS) is the neurogenic type (nTOS). We will review relevant anatomy of the brachial plexus, scalene triangle, costo-clavicular space and shoulder/pectoralis minor muscle. The composite of symptoms and the pathologies associated to them, the importance of developing a radiologic evaluation/protocol, non-surgical and current surgical treatment options will all be reviewed. Last, we will propose to you the diagnosis of Scalene triangle Syndrome (STS) which is inclusive of nTOS within its composite of symptoms/pathology.
Objectives: Following this session, the participant will be able to:
- Define the different types of Thoracic Outlet Syndrome (TOS) and their overlapping symptoms.
- Define Scalene Triangle Syndrome (STS).
- Review the anatomy of the scalene triangle and the associated structures.
- Outline the composite of symptoms and pathologies associated with Neurogenic Thoracic Outlet Syndrome (nTOS) and their diagnostic work-up.
- Review the radiologic studies useful for the diagnosis of TOS.
- Review the surgical and nonsurgical treatment options for treatment of nTOS.
Chair: Susan E. Mackinnon, MD
Instructors: Megan Patterson, MD; Lorna Canavan Kahn, PT, CHT
Objectives: Following this session, the participant will be able to:
- Determine when and for whom nerve surgery is and is not appropriate.
- Highlight critical aspects of patient history and clinical exam.
- Review key points of electrodiagnotic interpretation as they relate to various nerve injuries
Christopher D Doherty, MD, MPH, FRCS(C)1; Thomas Miller, MD, FRCPC1, Sol Gregory, MD, FRCS(C)2; Brett Byers, MD, FRCS(C)1; Douglas C. Ross, MD, MEd, FRCS(C)3
1Western University, London, ON, Canada; 2Campbell River Hospital, Campbell River, BC, Canada; 3Roth | McFarlane Hand and Upper Limb Centre, Division of Plastic Surgery, University of Western Ontario, London, ON, Canada
Matthew WT Curran, MD; Akiko Hachisuka, MD, PhD; Michael J Morhart, MD, MSc; Jaret L. Olson, MD; K. Ming Chan, MD
University of Alberta, Edmonton, AB, Canada
John Randall Zuniga, DMD, MS, PhD; Igor Tikhonov, DDS, MD; Cyrus Mistry, DDS, MD; Riham Dessouky, MD; Avneesh Chhabra, MD
University of Texas, Dallas, TX
Douglas C Ross, MD MEd FRCS(C)1; TA Miller, MD2; Charmaine Baxter, MD1;Christopher Doherty, MD, FRCSC1
1Western University, London, ON, Canada; 2St. Joseph's Health Centre, University of Western Ontario, London, ON, Canada
Brandon W Smith; MD, MS; Nick Chulski, BA; Ann Little, MD; Kate Wan-Chu Chang, MA, MS; Lynda Yang, MD, PhD
University of Michigan, Ann Arbor, MI
Heather L Minton, BS1; Erin E Ransom, MD1; Bradley L Young, MD2; Martim C Pinto, MD1; Brent A Ponce, MD1; Richard D Meyer, MD1
1University of Alabama at Birmingham, Birmingham, AL; 2Carolinas Medical Center, Charlotte, NC
Moderators: Alison K. Snyder-Warwick, MD; Rajiv Midha, MD
Andrés A. Maldonado, MD, PhD1,2; Bassen T Elhassan, MD2; Allen Bishop, MD2; Alex Shin, MD2; Robert J Spinner, MD2
1BG Unfallklinik, Frankfurt, Germany, 2Mayo Clinic, Rochester, MN
Bauback Safa, MD1; Timothy R Niacaris, MD, PhD2; Steven Maschke, MD3; John V Ingari, MD4; Jaimie T Shores, MD4; Harry Hoyen, MD5; Mickey Cho, MD6; Leon J Nesti, MD, PhD7; Gregory Buncke, MD1
1The Buncke Clinic, San Francisco, CA; 2UNT Health Science Center, Fort Worth, TX; 3Cleveland Clinic, Cleveland, OH; 4Johns Hopkins Medicine, Baltimore, MD; 5MetroHealth System, Cleveland, OH; 6San Antonio Military Medical Center, San Antonio, TX; 7Walter Reed National Military Medical Center, Bethesda, MD
Shriya S Srinivasan, BS1,2; Matthew J. Carty, MD3; Peter Calvaresi, BS1; Anthony Zorzos, PhD1; Tyler Clites, BS1; Hugh Herr, PhD1
1Massachusetts Institute of Technology, Cambridge, MA, 2Harvard Medical School, Boston, MA, 3Division of Plastic Surgery, Brigham and Women's Hospital, Boston, MA
Susan H Brown, PhD; Tanu Bhargava, MS; Serena J Saake, BS; Denise Justice, OTRL; Lynnette Rasmussen, OTRL; Kate Wan-Chu Chang, MA, MS; Samuel J Hertz, BS; Kevin C. Chung, MD, MS; Lynda Yang, MD, PhD
University of Michigan, Ann Arbor, MI
Daniel P. Donato, MD; James Willcockson, MD; Leah Frazer, PA-C; Mark A. Mahan, MD
University of Utah, Salt Lake City, UT
Mary Catherine Spires, MD; Kate Wan-Chu Chang, MA, MS; Lynda Yang, MD, PhD
University of Michigan, Ann Arbor, MI
Erin L Weber, MD, PhD; Mitchel Seruya, MD
University of Southern California, Los Angeles, CA
Enrico Martin, BS1,2; Ivo S. Muskens, BS1,2; Timothy R. Smith, MD, PhD, MPH1; Marike L.D. Broekman, MD, PhD, JD1,2
1Brigham & Women's Hospital, Harvard Medical School, Boston, MA; 2University Medical Center Utrecht, Utrecht, Netherlands
Casey M. DeDeugd, MD; William J. Shaughnessy, MD; Alexander Y. Shin, MD
Mayo Clinic, Rochester, MN
Kate Elzinga, MD1, Breana Siljander, MD1; George Karniadakis, MS PhD2; Jessica Billig, MD1; Jeffrey N. Lawton, MD1
1University of Michigan, Ann Arbor, MD; 2 Brown University, Providence, RI
Johnny Ionut Efanov, MD; Christopher Wong, MD; Clarence Guilbault, MD; Ali Izadpanah, MD; Michel A Danino, MD PhD
University of Montreal's Hospital Centre (CHUM), Montreal, QC, Canada
Mohamed Morsy, MD1,2; Si-Gyun Roh, MD2,3; M. Diya Sabbagh, MD2; Yinxian Yu, MD2; Alyssa Vrieze, BA2; Thomas R Meier, DVM, MBA2; Brian T. Carlsen, MD2; Peter C. Amadio, MD2; Steven L Moran, MD2; Chunfeng Zhao, MD2
1Assiut University, Assiut, Egypt; 2Mayo Clinic, Rochester, MN; 3Chonbuk National University Hospital, Jeonju, Korea, Republic of South
Eduardo Pablo Zancolli, MD1; Diego Piazza, MD2; Christina Kaufman, PhD2; Luis R. Scheker, MD2; Eduardo Alfredo Zancolli, MD3
1Fundacion Favaloro, Buenos Aires, Argentina; 2Christine M. Kleinert Institute, Louisville, KY; 3Hospital naval Pedro Mallo, Buenos Aires, Argentina
Suhail Mithani, MD; Steven M. Koehler, MD
Duke University, Durham, NC
Stephen Y. Liu, MD1; Gabriella DiBernardo, BS1; Kia M. Washington, MD2; Robert J. Goitz, MD1; John R. Fowler, MD1
1University of Pittsburgh, Pittsburgh, PA; 2McGowan Institute for Regenerative Medicine, Pittsburgh, PA
Brandon Smetana, MD1; Konrad Wolfmeyer, BS2; Archana Lovett, PhD3; Brian Romot, MS4; Michael Orrico, MS4; Jeffrey A Greenberg, MD1
1Indiana Hand to Shoulder Center, Indianapolis, IN; 2Purdue University, West Lafayette, IN; 3University of Florida, Gainesville, FL; 4AxoGen, Alachua, FL,
Erin L Weber, MD, PhD; Mitchel Seruya, MD
University of Southern California, Los Angeles, CA
Shahryar Tork, MD1; Jennifer Faleris, BS2; Anne Engemann, PhD2; Erick DeVinney, BS2; Ian L. Valerio, MD, MS, MBA1
1The Ohio State University, Wexner Medical Center, Columbus, OH; 2AxoGen, Alachua, FL
John M Felder, MD; Hollie Power, MD; Elspeth Hill, MD; Jessica Hasak, RN; Susan E. Mackinnon, MD
Washington University, St Louis, MO
Heather Lucas, PA-C1; Solomon Azouz, MD2; Raman C. Mahabir, MD, MSc1; Shelley S. Noland, MD
Mayo Clinic, Phoenix, AZ
Lauren M Mioton, MD1;Jason M. Souza, MD2, Mickey S Cho, MD3; Benjamin K Potter, MD2; Scott M Tintle, MD2; Reuben Bueno, MD4; George P. Nanos, MD2; Ian Valerio, MD5; Jason H Ko, MD1; Gregory A Dumanian, MD1
1Northwestern University, Chicago, IL; 2Walter Reed National Medical Center, Chicago, IL; 3South Texas Orthopedic Specialty Group, San Antonio, TX; (4)Vanderbilt Unversity, Nashville, TN; (5)The Ohio State University, Columbus, OH
Aaron M. Dingle, PhD; Joseph R. Novello, MS; Jared P Ness, MS; Jacqueline S. Israel, MD; Lisa Krugner-Higby, DVM, PhD; Brett Nemke, BS; Yan Lu, MD; Weifeng Zeng, MD; Sarah K. Brodnick, BS; Mark D Markel, DVM; Justin C. Williams, PhD; Samuel O. Poore, MD, PhD
University of Wisconsin, Madison, WI
Brandon W Smith, MD, MS; Shawn Brown, CMA; Kate Wan-Chu Chang, MA, MS; Lynda Yang, MD, PhD
University of Michigan, Ann Arbor, MI
Moderator: Rajiv Midha, MD
Panelists: Jonathan Isaacs, MD; William C. Pederson, MD; Christine Novak, PT, PhD; Robert Schmidhammer, MD
This panel will focus on the current management of nerve gap repair to achieve best outcomes. The format will consist of focused talks by panelist members to present key considerations regarding nerve gap repair using various surgical techniques and adjuncts, as well as optimizing outcome of nerve repair with goal-directed and focused physiotherapy. The moderator will present a few cases at the end to the panelist to generate discussion.
Objectives: Following this session, the participant will be able to:
- Recognize patients and conditions that require the repair of a nerve gap
- Describe general principles of managing a nerve gap surgically
- Identify different options and their pros and cons, indications and contraindications for nerve gap reconstruction
- Describe outcomes associated with different techniques for nerve gap repair
David Salomon, DDS; Michael R Markiewicz, MD, DDS, MPH; Michael Miloro, MD, DMD, FACS
University of Illinois at Chicago, Chicago, IL
Emran S. Sheikh, MD1; Michael Zemaitis, MD2; Camille Swain, MD2; Diane Maggio, RN, NP1; Renata V Weber, MD1; Ednan S Sheikh, MD3
1Multi Disciplinary Specialists, Rutherford, NJ; 2Carepoint Health, Rutherford, NJ; 3NJ Pain & Spine, Paterson, NJ
Deng Pan, BS; Ellen Larson, BS; Susan Mackinnon, MD; Matthew Wood, PhD
Washington University School of Medicine, Saint Louis, MO
Amgad S Hanna, MD
University of Wisconsin, Madison, WI
Mark A. Mahan, MD; Stewart Yeoh, PhD; Wesley Warner, BS
University of Utah, Salt Lake City, UT
Shuhei Yoshida, MD, PhD; Isao Koshima, MD, PhD
Hiroshima University, Hiroshima, Japan
James M Kerns, PhD; Kyle J MacGillis, MD; Sarah Schram, BS; Donald Chuang, MD; Greg Schmidt, BS; Daniel Kielminski, BS; Andrew Ormseth, BS; Raman Michael, BS; Amit Parekh, MD; Feroz Osmani, MD; Jeffrey Loeb, MD, PhD;Mark Gonzalez, MD, PhD
University of Illinois at Chicago
Karan Chopra, MD; Robin S Yang, MD; Eric H Williams, MD; A. Lee Dellon, MD, PhD
Johns Hopkins, Baltimore, MD
Matthew Wordsworth, MA, MRCS1,2; Nicholas Robbins, DO1; Erik K Weitzel, MD3; Warren Breidenbach, MD4; Andrew Hart, MD, PhD5; Rory Rickard, FRCS, PhD6
159th Medical Wing, San Antonio, TX; 2Academic Deparment of Military Surgery and Trauma, Birmingham, United Kingdom; 3Institute of Surgical Research, San Antonio, TX; 4Department of Surgery, Division of Reconstructive and Plastic Surgery, United States Army Institute of Surgical Research, San Antonio, TX; 5University of Glasgow, Glasgow, United Kingdom; 6Academic Department of Military Surgery and Trauma, Birmingham, United Kingdom
Mark Asher Schusterman II, MD; Rishi Jindal, MD; Jignesh Unadkat, MD, MRCS; Alexander M. Spiess, MD
University of Pittsburgh Medical Center, Pittsburgh, PA
Mélissa Roy, MDCM1; Joseph Corkum, MD2; Prakesh S Shah, MBBS, DCH, MRCP, MRCPCH1; Gregory H. Borschel, MD, FAAP, FACS3; Emily S. Ho, BSc OT Reg (Ont), MEd3; Ronald M. Zuker, MD, FRCSC, FACS, FAAP3; Kristen M Davidge, MD, MSc, FRCS(C)3
1University of Toronto, Toronto, ON, Canada; 2Dalhousie University, Halifax, NS, Canada; 3The Hospital for Sick Children, Toronto, ON, Canada
Alexander Cárdenas Mejía, MD; Gerardo Muñoz-Jiménez, MD; Sara M. Contreras-Mérida, MD
Hospital General Dr. Manuel Gea González, Mexico, Mexico
Adriana Fentanes Vera Adriana, Fellow; Alejandro Orihuela Alejandro, MD; Alexander Cardenas-Mejía Alexander, MD
Hospital Dr. Manuel Gea Gonzalez, Mexico, Mexico
Ayato Hayashi, MD, PhD; Hidekazu Yoshizawa, MD; Daiki Senda, MD; Doruk Orgun, MD
Juntendo University, School of Medicine, Bunkyo-ku, Tokyo, Japan
Godard C.W. de Ruiter, MD, PhD1; Joann Lim, Bsc1; Sjoerd G van Duinen, MD PhD2
1Haaglanden Medisch Centrum, The Hague, Netherlands, 2Leiden University Medical Center, Leiden, Netherlands
Meg Stanger, PT; Megan Natali, PA; Lorelei J Grunwaldt, MD
Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA
Mahmoud Elsayed Salama, M.Sc
Assuit University Hospital, Assuit, Egypt
Willem Pondaag, MD, PhD; Martijn JA Malessy, MD, PhD
Leiden University Medical Center, Leiden, Netherlands
Abdel Armaiz Flores, MS; Robert J Spinner, MD; Anthony J. Windebank, MD; Huan Wang, MD, PhD
Mayo Clinic, Rochester, MN
Rohit Garg, MD; Safak Uygur, MD; Joanna Cwykiel, MS; Maria Siemionow, MD PhD DSc
University of Illinois at Chicago, Chicago, IL
ASPN meeting registrants may purchase tickets to this event.
Chair: Milan Stevanovic, MD
Instructors: Gunter Germann, MD; Mario Cherubino, MD; Gary S. Solomon, MS, OTR/L, CHT
The authors will present advanced microsurgical techniques for treatment of soft issue defects and functional muscle deficits in the upper extremity. There will be an emphasis on surgical decision-making, operative techniques, and expected outcomes following reconstruction. Free tissue transfer with innervated functional muscle flaps and management of complex wounds will be reviewed.
Objectives: Following this session, the participant will be able to:
- Demonstrate the surgical decision making algorithms for treating patients with complex soft tissue injuries to the upper extremity.
- Describe surgical techniques for treating patients with simultaneous soft tissue reconstruction and functional muscle transfer in the upper extremity.
- Discuss the anticipated outcomes following simultaneous soft tissue reconstruction and functional muscle transfer in the upper extremity.
Chair: Bauback Safa, MD
Instructors: Roberto Adani, MD; Edward M. Reece, MD; Mark Henry, MD; Stephanie N. Kannas, OTR/L, CHT
Soft tissue defects in the hand can present a challenge for the physician caring for these injuries. This instructional course will cover basic principles of management of hand and user extremity wounds and soft tissue defects, reviewing workhorse flaps every hand surgeon should have in the armamentarium.
Objectives: Following this session, the participant will be able to:
- Describe basic principles of wound management
- Discuss indications for local flaps and when secondary healing is appropriate
- Demonstrate local flaps for coverage of finger and thumb defects
- Describe anatomy and principles for dorsal hand and first web space coverage with regional flaps
- Demonstrate flaps for soft tissue coverage of the elbow.
Chair: James P. Higgins, MD
Instructors: Wendell Merritt, MD, Ryan Katz, MD, Cynthia C. Ivy, OTR/L, CHT
This course will focus on normal and abnormal angiogram interpretation, diagnosis and measurement of vascular compromise, adjuvant treatment and surgical intervention. Particular subsets of patients will be discussed including renal failure patients with AV fistula related ischemia, collagen vascular disease patients, vasospastic disease and post-traumatic ischemia.
Objectives: Following this session, the participant will be able to:
- Describe common vascular anomalies seen on upper extremity angiograms.
- Discuss the clinical considerations of surgical and non-surgical management in different clinical scenarios of ischemic disease.
- Discuss the advantages of various techniques for vascular reconstruction.
Chair: Ivica Ducic, MD, PhD
Instructors: Robert R. Hagan, MD; Ziv M. Peled, MD
Invited faculty will outline most common form of medically resistant chronic headaches, neuralgia and migraines, requiring additional treatments. With respect to nerve surgery, specific effort will be made to clarify: Anatomical Considerations, Indications & Diagnostic tools, Timing and the Type of available surgical treatments and Alternative treatments & controversies.
Objectives: Following this session, the participant will be able to:
- Discuss common forms of medically resistant chronic headaches, neuralgia, and migraines.
- Describe Anatomical Considerations and diagnostic tests.
- Describe timing and the type of surgical treatment.
- Discuss the role of medical care and alternative treatments.
Chair: Kristen Davidge, MD
Instructors: Ida K. Fox, MD; Catherine Curtin, MD; Allan J. Belzberg, MD
Cervical spinal cord injury can result in devastating, often bilateral, loss of hand and arm function. Distal nerve transfers offer a novel method to augment upper extremity function in patients with this condition. However, there are many important and unique considerations in performing nerve transfers in patients with spinal cord injury to minimize risks and optimize functional outcomes. Our panel of experts will discuss current techniques and controversies in nerve transfers for spinal cord injury and foster discussion with the audience.
Objectives: Following this session, the participant will be able to:
- Discuss the unique considerations in patient selection, perioperative care, and rehabilitation of patients with spinal cord injury undergoing distal nerve transfers.
- Identify different nerve transfer procedures to restore upper extremity function in cervical spinal cord injury.
- Recognize the limitations and pitfalls of nerve transfers for spinal cord injury.
- Examine current literature on outcomes following nerve transfers in spinal cord injury relation to timing of intervention.
Chair: Aldona J. Spiegel, MD
Instructors: Risal S. Djohan, MD; Stefania Tuinder, MD, PhD
A panel of invited faculty will review the most current data on restoration of breast sensation in autologous reconstruction. This is an important topic which has become an important consideration to many patients, now seeking this additional benefit of autologous reconstruction. There will be discussion of latest functional MRI studies on how sensation in the breast is represented at the cortical level, as well as specific anatomical consideration, methods, technique tips and tricks on how to incorporate neurotization routinely in autologous breast reconstruction.
Objectives: Following this session, the participant will be able to:
- Examine current literature as to sensation in breast reconstruction.
- Discuss latest functional MRI cortical mapping of breast sensation.
- Review detailed anatomy of breast sensation.
- Describe methods of routine DIEP flap neurotization.
Chair: Gregory M. Buncke, MD
Instructors: Guenter Germann, MD; William C. Pederson, MD; Pedro C. Cavadas, MD, PhD
A panel of leading authorities in the field of post traumatic reconstruction of upper and lower extremities will discuss their experience in soft tissue reconstruction including time from injury to coverage, ideal recipient vessel choices, pre-operative concerns and flap choice including fasciocutaneous vs muscle/STSG. Case presentation and audience participation is welcome.
Objectives: Following this session, the participant will be able to:
- Understand the timing of coverage of post traumatic wounds.
- Understand the differences and proper utilization of faciocutaneous vs fascial/STSG vs muscle/STSG.
- Understand the most efficient and effective way to monitor flaps.
Chair: Jesse C. Selber, MD, MPH
Instructors: Paul Cederna, MD, FACS; Ian L. Valerio, MD; Tom Van Mulken, MD
Surgical Innovation is necessary to move the specialty of microsurgery forward. In this panel, we will explore concepts around surgical innovation including some specific examples in robotics, device development and targeted neural integration. Topics for discussion will include how to conduct innovation safely, how to manage regulatory hurdles and what the future holds for innovation in microsurgery.
Objectives: Following this session, the participant will be able to:
- Understand the principles of surgical innovation.
- Be familiar with the role of technology in surgical innovation.
- Understand robotic innovations in microsurgery.
- Be familiar with technological advanced in extremity reconstruction.
William C. Pederson, MD; AAHS President
Tessa Gordon, PhD; ASPN President
David Chang, MD; ASRM President
Paul S. Cederna, MD PSF; Immediate Past President
Moderator: Paul S. Cederna, MD
Panelists: R. Glenn Gaston, MD; Gregory A. Dumanian, MD; Oskar Aszmann, MD
Joint Presidential Keynote Lecture: Towards Accelerated Biomedical Innovation Jeff Karp B.Eng. PhD Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA
Scientists have something in common with professionals in business, government and beyond. We all need to solve problems, but we're tempted to get comfortable with a limited "toolbox" of techniques and approaches. No matter our field, it can be difficult to break out of our old limitations and achieve something new and different. In this talk, Prof. Karp reveals two of the most powerful "tools" used by his bio-research lab to solve problems in innovative ways, on a continuing basis. The first tool is bioinspiration - the art and discipline of adapting proven-effective techniques, materials, designs and concepts from nature to provide the foundation for a bold new human-designed solution. For example, creatures like slugs and snails have provided inspiration for a next generation surgical adhesive. The second tool is radical simplicity -- the art and discipline of reducing a problem to its essence. Dr. Karp has harnessed this tool to develop prophylaxis technologies for contact dermatitis that were rapidly advanced to the market and are being used in multiple countries and therapeutic strategies to combat inflammatory bowel disease that are advancing to clinical studies. Jeff explains how his team has employed these tools and how they can succeed in any field. This talk opens exciting new paths to the continual innovation that is so important in today's fast-changing world.
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Moderators: Warren C. Hammert, MD; Alison K. Snyder-Warwick, MD; Gregory H. Borschel, MD; Julie E. Park, MD
Asif Ilyas, MD; Andrew Miller, MD; Dennis Martin, BS; Jonas Matzon, MD
Rothman Institute at Thomas Jefferson University, Philadelphia, PA
Nels Leafblad, MD; Eric Wagner, MD; Nathan R Wanderman, MD; Marco Rizzo, MD; Sue Visscher, PhD
Mayo Clinic, Rochester, MN
Zhongyu Li, MD, PhD1;Tiefu Liu, PhD2; Jiaozhong Cai, BS2; Thomas L. Smith, PhD2
1Wake Forest Baptist Medical Center, Winston-Salem, NC; 2Wake Forest School of Medicine, Winston-Salem, NC
Carrie A Kubiak, MD; Philip Vu, MSE; Zachary T Irwin, PhD; Chrono Nu, BSc; Troy Henning, MD; Deanna Gates, PhD; RB Gillespie, PhD; Theodore A. Kung, MD; Paul S. Cederna, MD; Cynthia Chestek, PhD; Stephen W. P. Kemp, PhD, MSc
University of Michigan, Ann Arbor, MI
University of Colorado, Aurora
Presenter: David Woodbridge Mathes, MD
Bruce Swearingen, MD1; Scott Graves, PhD2; Rainer Storb, MD3; David Woodbridge Mathes, MD4
1University of Colorado, Aurora, CO; 2Transplantation Biology Program, Fred Hutchinson Cancer Research Center, Seattle, WA; 3Fred Hutch Cancer Research Center, Seattle, WA; 4Plastic Surgery, University of Colorado, Aurora, CO
Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York
Presenter: John T. Stranix, MD
John T Stranix, MD1; Z-Hye Lee, MD1; Lavinia Anzai, MD1; Adam Jacoby, MD1; Josh Mirrer, MD1; Tomer Avraham, MD2; Pierre B. Saadeh, MD1; Jamie P. Levine, MD1; Vishal D Thanik, MD1
1NYU Langone Medical Center, New York, NY; 2Yale School of Medicine, New Haven, CT
This event is neither sponsored by nor endorsed by the ASPS or AAHS.
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This Lab with provide an interactive forum, highlighting use of the Checkpoint Nerve Stimulator/Locator in a variety of procedures including: nerve transfer, free muscle transfer, targeted muscle re innervation, nerve release, neurolysis, and facial re-animation. Surgeons will review videos from example cases.
Moderator: Justin M. Brown, MD
Director, Reconstructive Neurosurgery
Massachusetts General Hospital
Milan Stevanovic, MD Professor of Orthopaedics and Surgery, Keck School of Medicine of USC. |
Ian Valerio, MD Professor of Clinical Plastic Surgery and Chief of the Division of Burn, Wound, and Trauma at the OSU Department of Plastic Surgery |
Joseph Dayan, MD Plastic Surgery, Memorial Sloan Kettering Cancer Center |
Ian Wood, BS; Jane Wang, BS; Lauren Schellhardt, BS; Matthew Wood, PhD; Amy M Moore, MD
Washington University School of Medicine, Saint Louis, MO
Carrie A Kubiak, MD; Paul S. Cederna, MD; Stephen WP Kemp, PhD; Theodore A Kung, MD
University of Michigan, Ann Arbor, MI
Anne Bolleboom, BSc1; Godard C.W. de Ruiter, MD2; J Henk Coert, MD; PhD3; Bastiaan Tuk, BS1; Joan C. Holstege, PhD1; Johan W. van Neck, PhD1
1Erasmus University Medical Center, Rotterdam, Netherlands; 2Neurosurgery, Medical Center Haaglanden, The Hague, Netherlands; 3University Medical center Utrecht, Utrecht, Netherlands
Robin S Yang, MD; Chopra Karan, MD; Eric Howard Williams, MD; A. Lee Dellon, M.D., PhD
The Johns Hopkins University School of Medicine, Baltimore, MD
Matthew J Gluck, BS; Christina M Beck, PhD; Todd A Rubin, MD; Paul J Cagle, MD; Michael R Hausman, MD
Mount Sinai Hospital, New York, NY
Brian Michael Balog, BS1,2,3; Xiaoyi Yuan, MD4; Dan Li Lin, MD5; Mei Kuang, PhD1; Brett Hanzlicek, MS6; Hao Yan, MD7; Margot Damaser, PhD8
1Cleveland Clinic Lerner Research Institute, Cleveland, OH; 2Louis Stokes Veteran Service Hospital, Cleveland, OH; 3University of Akron, Akron, OH; 4Tongji Hospital Huazhong University of Science and Technology, Hankou, Wuhan, China; 5Louis Stokes Veteran Affairs Medical Center, Cleveland, OH; 6Louis Stokes Veterans Affairs Medical Center, Cleveland, OH; 7Xuanwu Hospital Capital Medical Universty, Beijing Shi, China; 8)Louis Stokes Veteran Affairs Hopsital, Cleveland, OH
Louis H Poppler, MD, MSCI; Rajiv P Parikh, MD, MPHS; Miles Bichanich, BS; Kelsey A Rebehn, MD; Carrie Bettlach, FNP; Susan E. Mackinnon, MD; Amy M. Moore, MD
Washington University School of Medicine, St. Louis, MO
Moderators: Tessa Gordon, PhD; Joost Verhaagen, PhD
Lena Sonnow, MD; A. Lee Dellon, M.D., PhD; Jan Fritz, MD
The Johns Hopkins University School of Medicine, Baltimore, MD
Arie C Van Vliet, MSc1; Martijn Tannemaat, MD, PhD2; Martijn JA Malessy, MD, PhD3; Fred De Winter, PhD1; Joost Verhaagen, PhD1
1Netherlands Institute for Neuroscience, Amsterdam, Netherlands, 2University of Leiden, Leiden, Netherlands, 3Department of Neurosurgery, Leiden University Medical Center, Leiden, Netherlands
Rashad Albeiruti, MD; Ted Edward Claflin, MD; Lynda Yang, MD, PhD; Kate Wan-Chu Chang, MA, MS; Srinivas Chiravuri, MD
University of Michigan, Ann Arbor, MI
Jonathan I Leckenby, MBBS, BSc, MRCS1; Adriaan O Grobbelaar, MBChB, MMed(Plast.), FCS(SA)(Plast.), FRCS(Plast.)2
1University College of London, London, United Kingdom; 2The Royal Free Hospital, London, United Kingdom
Jenna-Lynn B Senger, MD; K. Ming Chan, MD; Jaret L Olson, MD; Christine Webber, PhD
University of Alberta, Edmonton, AB, Canada
Ruben Eggers, BSc1; Fred De Winter, PhD1; S. a. Hoyng, PhD1; Martijn JA Malessy, MD, PhD2; Martijn Tannemaat, MD, PhD3; Joost Verhaagen, PhD1
1Neuroregeneration, Netherlands Institute for Neurosciences, Amsterdam, Netherlands; 2Department of Neurosurgery, Leiden University Medical Center, Leiden, Netherlands; 3University of Leiden, Leiden, Netherlands
Joey Kevin Grochmal, MD, PhD; Raj Midha, MD, MSc
University of Calgary, Calgary, AB, Canada
Moderators: Wesley P. Thayer, MD, PhD; Ida K. Fox, MD
Katherine Bernadette Santosa, MD; Albina Jablonka-Shariff, PhD; Alison K. Snyder-Warwick, MD
Washington University School of Medicine, St. Louis, MO
Antonio Merolli, MD, FBSE; Yong Mao, PhD; Joachim Kohn, PhD, FBSE
Rutgers - The State University of New Jersey, Piscataway, NJ
Ivica Ducic, MD, PhD1; Erick DeVinney, BS2
1Washington Nerve Institute, McLean, VA; 2AxoGen Inc, Alachua, FL
Kasra Tajdaran, MASc1,2; Jennifer J. Zhang, MD, PhD1; Tessa Gordon, PhD, DSc1; Gregory H. Borschel, MD, FAAP, FACS1,2
1The Hospital for Sick Children, Toronto, ON, Canada; 2University of Toronto, Toronto, ON, Canada
Katherine Bernadette Santosa, MD; Bianca Vannucci, BA; Alexandra Marie Keane, BA; Katherine G Campbell, BS; Albina Jablonka-Shariff, PhD; Alison K. Snyder-Warwick, MD
Washington University School of Medicine, St. Louis, MO
Matthew R MacEwan, PhD; Juan Pardo, BS; Nikhil Chandra, BS; Daniel W. Moran, PhD; Wilson Z. Ray, MD
Washington University School of Medicine, St. Louis, MO
Hilton M Kaplan, MBBCh, FCSSA, PhD1; Wei Chang, PhD1; Derek J Woloszyn, BS1,2; Matthew Richtmyer, BS1; Nickolas Rupertus, BS1; Joachim Kohn, PhD, FBSE1
1Rutgers - The State University of New Jersey, Piscataway, NJ; 2Boston University School of Medicine, Boston, MA
Megan E Friend, MD; Elizabeth A Newman, MD; Daniel Bracey, MD, PhD; Shea Comadoll, BS; Rebecca Senehi, BS; Zhongyu Li, MD, PhD
Wake Forest, Winston-Salem, NC
Peripheral nerve surgery, similar to microsurgery, has no anatomical boundaries, and has within its capacity, to treat a wide variety of life changing clinical scenarios including restoration of function, sensation, and the treatment of debilitating pain scenarios. This course is dedicated to all practitioners including microsurgeons, hand surgeons, orthopedic surgeons, neurosurgeons, and basic scientists at different level of expertise, that wish to expand their knowledge in peripheral nerves and apply these principles in their patient population.
Objectives: Following this session, the participant will be able to:
- Identify the basic science and anatomy of peripheral nerves and their role in function, sensation, and pain.
- Discuss practical approaches to avoid or treat nerve related problems.
- Discuss new ideas and frontiers from the last few years related to peripheral nerve surgery that are enabling the treatment of problems otherwise thought untreatable.
Peripheral Nerves - The Science of Function, Pain, and Sensation
Tessa Gordon, MD; Amy M. Moore, MD
Peripheral Nerve Surgery and the Treatment of Pain
David L. Brown, MD; Ivica Ducic, MD
Peripheral Nerve Surgery and Restoration of Sensation
Corneal Neurotization
Gregory H. Borschel, MD
Restoring Sensation in Autologous Breast Reconstruction
Stefania Tuinder, MD
Peripheral Nerve Surgery and Restoration of Function
The Treatment of Facial Paralysis
Alison K. Snyder Warwick, MD
Restoration of Erectile Dysfunction with Nerve Transfers
Fausto Viterbo, MD
Chair: A. Lee Dellon, MD
Instructors: David L. Brown, MD; Tim Tollestrup, MD
The symptom complex caused by injury to the ilioinguinal and iliohypogastric nerves will be described and the surgical approach to resect these nerves will be reviewed. The interaction between the posterior femoral cutaneous nerve and the pudendal nerve in causing pain with sitting, the diagnostic techniques, and surgical treatment will be reviewed. The anterior surgical approach to the perineal and dorsal branches of the pudendal nerve will be reviewed.
Objectives: Following this session, the participant will be able to:
- Identify understand that pelvic and trunk pain can be of neural origin
- Describe the anatomic location of the ilioinguinal, iliohypogastric posterior femoral cutaneous, and pudendal nerves
- Discuss the operative techniques to treat trunk and pelvic pain of neural origin
- Describe clinical outcomes for surgeries to treat trunk and pelvic pain of neural origin
Chair: Jennifer Hah, MD
Instructors: Michael Gofeld, MD; Mark A. Mahan, MD; Ziv M. Peled, MD
The objective of this course is for the participant to understand the utility of neural ultrasonography in the preoperative, intraoperative and postoperative period for peripheral nerve surgery.
Objectives: Following this session, the participant will be able to:
- Identify US guided diagnostic block to confirm pathology
- Describe preoperative identification of nerve pathology and nerve mapping for surgery.
- Discuss postoperative identification of new neuroma formation
Chair: Christine Novak, PT, PhD
Instructors: Ida K. Fox, MD; Douglas Ross, MD; Lorna C. Kahn, PT, CHT
Nerve injury and recovery result in changes to the central nervous system. Neuroplasticity and motor re-education provide the opportunity to maximize recovery and integrate the altered motor patterns to functional recovery. This course will focus on the strategies to optimize outcome after nerve reconstruction.
Objectives: Following this session, the participant will be able to:
- Describe indications for motor reeducation after nerve injury.
- Integrate motor reeducation strategies following nerve reconstruction.
Chair: Ming Chan, MD
Instructors: Tessa Gordon, PhD; Christine Webber, PhD; Michael Morhart, MD, FRCSC
Built on a solid foundation of basic scientific research on the use of brief electric stimulation to enhance peripheral nerve regeneration, this novel intervention is gaining increasing interest in the clinic. This course should be of particular relevance to clinicians and basic scientists working in peripheral nerve regeneration. They will have an opportunity to learn about the latest advances in basic research in the area and new clinical insights gleaned from patients with severe peripheral nerve injury.
Objectives: Following this session, the participant will be able to:
- Learn about the seminal work that provides important insights on the mechanisms and effects of brief electrical stimulation on peripheral nerve regeneration.
- Learn about the expanding roles of brief electrical stimulation and its ability to produce conditioning lesion-like effects on increasing the speed of nerve regeneration.
- Learn about new clinical applications of electrical stimulation in patients with severe peripheral nerve injury.
Moderator: Ronald M. Zuker, MD
Panelists: Gregory H. Borschel, MD; Shai Rozen, MD; David Chwei-Chin Chuang, MD
This panel will focus on the advances in facial reanimation surgery. Timing of surgery will be discussed as well as the motor nerves and sensory nerves that may be of value in reconstruction of the paralyzed and insensate face.
Objectives: Following this session, the participant will be able to:
- Identify methods to improve the power of the cross face nerve graft.
- Describe motor nerve selection and timing of intervention for facial reanimation surgery.
- Identify options for children regarding facial reanimation and facial reinnvervation.
Andrej Nedic, MSE; Daniel Ursu, PhD; Stephen WP Kemp, PhD; Paul S. Cederna, MD; Melanie G. Urbanchek, PhD
University of Michigan, Ann Arbor, MI
Rachel L Goldstein, DO1,2; Mark A Randolph, MAS1; Gem Runyan, BS, MS1; Jeena M Easow, MD1; William S David, MD, PhD; Robert W Redmond, PhD1; Jonathan M Winograd, MD1
1Massachusetts General Hospital, Boston, MA; 2The Wellman Center for Photomedicine, Boston, MA
Megan Fracol, MD; Lindsay Janes, MD; Jason H Ko, MD; Gregory A. Dumanian, MD
Northwestern University, Chicago, IL
University of Texas Southwestern Medical Center, Dallas
Presenter: Jonathan Cheng, MD, FACS
Jonathan Cheng, MD, FACS1; Cynthia K Overstreet, PhD2; Edward W. Keefer, PhD2
1Plastic Surgery, Division of Hand Surgery, University of Texas Southwestern Medical Center, Dallas, TX; 2Nerves Incorporated, Dallas, TX
Reconstruction after Traumatic Adult Brachial Pan-Plexus Injury: Where Is the Optimal Distal Tendon Attachment for Elbow Flexion?
Mayo Clinic, Rochester
Presenter: Andrés A. Maldonado, MD, PhD
Andrés A. Maldonado, MD, PhD1,2; Santiago Romero-Brufau, MD2; Robert J Spinner, MD2; Allen Bishop, MD2; Alex Shin, MD2
1BG Unfallklinik, Frankfurt, Germany; 2Mayo Clinic, Rochester, MN
The Hospital For Sick Children and University of Toronto, Toronto
Presenter: Irina Domantovsky, MD, MS
Irina Domantovsky, MD, MS; Jocelyne Copeland, OT Reg (Ont), BA, BHSc OT; Rachel M. Clancy, MBChB, MA, MRCS, MEd; Ronald M. Zuker, MD, FRCSC, FACS, FAAP; Gregory H. Borschel, MD, FAAP, FACS
The Hospital for Sick Children and University of Toronto, Toronto, ON
Louis H Poppler, MD, MSCI; Jenny Yu, MD; Susan E. Mackinnon, MD;
Washington University School of Medicine, Saint Louis, MO
Matthew WT Curran, MD; Joshua DeSerres, MD; Michael J Morhart, MD, MSc; Jaret L. Olson, MD; K. Ming Chan, MD
University of Alberta, Edmonton, AB, Canada
Willem D. Rinkel, MD1,2; Manuel Castro Cabezas, MD, PhD1; Erwin Birnie, PhD1; J Henk Coert, MD, PhD1,3
1Franciscus Gasthuis & Vlietland, Rotterdam, Netherlands; 2Erasmus Medical University Center, Rotterdam, Netherlands; 3University Medical center Utrecht, Utrecht, Netherlands
Michael T Larsen, MD, MPH1; Kyle R Eberlin, MD2; John Byers Bowen, MD, MS3; Ian L. Valerio, MD1
1Department of Plastic and Reconstructive Surgery, Columbus, OH; 2Massachusetts General Hospital/Harvard Medical School, Boston, MA; 3The Ohio State University Wexner Medical Center, Columbus, OH
Andrej Nedic, BSc; Alixandra L VanBelkum, BA: Nathan G Lawera, BS; Vincent Thieu, BSc; Zaid Khatib, BSc; Melanie G. Urbanchek, PhD; Paul S Cederna, MD; Stephen W. P. Kemp, PhD, MSc
University of Michigan, Ann Arbor, MI
WeiFeng Zeng, MD; Aaron M. Dingle, PhD; Conner Feldman, BS; Jared P Ness, MS; Joseph R. Novello, MS; Mark Austin, UG; Sarah K. Brodnick, BS; Jane Pisaniello, BS; Jacqueline S. Israel, MD; Aaron J Suminski, PhD; Wendell B Lake, MD; Justin C. Williams, PhD; Samuel O. Poore, MD, PhD
University of Wisconsin, Madison, Madison, WI
Moderators: Lynda Yang, MD, PhD; Huan Wang, MD, PhD; Catherine Curtin, MD
Katherine Bernadette Santosa, MD; Alexandra Marie Keane, BA; Bianca Vannucci, BA; Albina Jablonka-Shariff, PhD; Alison K. Snyder-Warwick, MD
Washington University School of Medicine, St. Louis, MO
Kasra Tajdaran, MS, Sc; Jennifer Faleris, BS; Mark Friedman, PhD; Erick DeVinney, BS
AxoGen, Alachua, FL
Linden Kyle Head, MD, HBA, BSc, BPHE; Katie Hicks, BSc; Gerald Wolff, BSc, MD, FRCPC; Kirsty Usher Boyd, MD, FRCSC
University of Ottawa, Ottawa, ON, Canada
Marlieke Nussenbaum, MD; Angel Farinas, MD; Isaac Mazanera Esteve, PhD; Alonda Pollins, MLI; Nancy Cardwell, BS; Richard Dortch, PhD; Wesley Thayer, MD, PhD
Vanderbilt University Medical Center, Nashville, TN
Zhongyu Li, MD, PhD; Tiefu Liu, PhD; Thomas L. Smith, PhD; Jiaozhong Cai, BS
Wake Forest School of Medicine, Winston-Salem, NC
Zarina S Ali, MD; Justin C Burrell, MS; Suradip Das, PhD; Kritika S. Katiyar, BS; Kevin D Browne, BS; D. Kacy Cullen, PhD
University of Pennsylvania, Philadelphia, PA
Nerve Trek-To Seek Solutions Where No One Has Ever Been Before
Moderator: Ronald M. Zuker, MD
Panelists: Kristen Davidge, MD; Gregory H. Borschel, MD; Richard J. Redett, MD; Max Overgoor, MD; Fausto Viterbo, MD; Ardeshir Bayat, MD
During this session, the participant will think about innovative solutions to unsolvable problems. A galaxy unforeseen! The participant will be exposed to new opportunities to provide sexual satisfaction. The unknown horizon of the interplay between innervation and tissue healing will be exposed, opening opportunities for thought, discussion and purposeful action. We will journey into the unknown, to explore situations where nerve surgery has never been before.
Objectives: Following this session, the participant will be able to:
- Discuss central nervous system conditions that may have modern nerve surgery options.
- Identify the complexities and interactions of sexual innervation.