Efficient and Effective Hand Surgery: Part 2 of 2: WALANT Surgery

• Donald Lalonde, MD (Dalhousie University) discusses Wide-Awake-Local-Anesthesia-No-Tourniquet (WALANT) surgery. (18 minutes)

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• Thomson CJ, Lalonde DH, Denkler KA, Feicht AJ. A critical look at the evidence for and against elective epinephrine use in the finger. Plast Reconstr Surg. PMID: 17255681
• Higgins A, Lalonde DH, Bell M, McKee D, Lalonde JF. Avoiding flexor tendon repair rupture with intraoperative total active movement examination. Plast Reconstr Surg. 2010 Sep;126(3):941-5. PMID: 20463621.

Efficient and Effective Hand Surgery: Part 1 of 2: Field Sterility

• Donald Lalonde, MD (Dalhousie University) discusses the use of field sterility in hand surgery. (11 minutes)

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• Leblanc MR, Lalonde DH, Thoma A, Bell M, Wells N, Allen M, Chang P, McKee D, Lalonde J. Is main operating room sterility really necessary in carpal tunnel surgery? A multicenter prospective study of minor procedure room field sterility surgery. Hand (N Y). 2011 Mar;6(1):60-3. PMID: 22379440
• Lalonde DH. Evidence-based medicine: Carpal tunnel syndrome. Plast Reconstr Surg. 2014 May;133(5):1234-40. PMID: 24776554

Carpal Tunnel Syndrome

• Richard Barth, MD (George Washington University) discusses diagnosis and treatment of carpal tunnel syndrome. (15 minutes)

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• Sayegh ET, Strauch RJ. Open versus endoscopic carpal tunnel release: a meta-analysis of randomized controlled trials. Clin Orthop Relat Res. 2015 Mar;473(3):1120-32. PMID: 25135849.
• Carpal Tunnel Syndrome Work Group. AAOS clinical guideline on the treatment of carpal tunnel syndrome. Sept, 2008.

Wrist Arthritis

• Kenneth R. Means, MD (Curtis National Hand Center) discusses treatment of wrist arthritis. (13 minutes)

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• Garcia-Elias M, Lluch AL, Stanley JK. Three-ligament tenodesis for the treatment of scapholunate dissociation: indications and surgical technique. J Hand Surg Am. 2006 Jan;31(1):125-34. PubMed PMID: 16443117.
• Saltzman BM, Frank JM, Slikker W, Fernandez JJ, Cohen MS, Wysocki RW. Clinical outcomes of proximal row carpectomy versus four-corner arthrodesis for post-traumatic wrist arthropathy: A systematic review. J Hand Surg Eur Vol. 2014 Oct 7. pii: 1753193414554359. [Epub ahead of print] PubMed PMID: 25294736.

Scapholunate Instability

• David Slutsky, MD (Harbor UCLA) discusses treatment of scapholunate instability. (16 minutes)

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• Slutsky DJ. Current innovations in wrist arthroscopy. J Hand Surg Am. 2012 Sep;37(9):1932-41. doi: 10.1016/j.jhsa.2012.06.028. Review. PubMed PMID: 22916867.
• Luchetti R, Atzei A, Cozzolino R, Fairplay T. Current role of open reconstruction of the scapholunate ligament. J Wrist Surg. 2013 May;2(2):116-25. doi: 10.1055/s-0033-1343092. PubMed PMID: 24436803; PubMed Central PMCID: PMC3699272.

Distal Radius Fractures in Elderly Patients

• David Moss, MD (George Washington University) discusses treatment of elderly patients with distal radius fractures. (14 minutes)

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• Shah AS, Verma MK, Jebson PJ. Use of oral vitamin C after fractures of the distal radius. J Hand Surg Am. 2009 Nov;34(9):1736-8. doi: 10.1016/j.jhsa.2009.08.013. PubMed PMID: 19896015.
• Gehrmann SV, Windolf J, Kaufmann RA. Distal radius fracture management in elderly patients: a literature review. J Hand Surg Am. 2008 Mar;33(3):421-9. doi: 10.1016/j.jhsa.2007.12.016. Review. PubMed PMID: 18343302.

Effective Hand Therapy

• Karen Schultz, MS OTR CHT FAOTA (Rocky Mountain Hand Therapy) discusses five critical elements of effective hand therapy. (17 minutes)

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• Brand P, Yancy P.  The Gift of Pain.  Grand Rapids: Zondervan, 1997.
• Freeland AE, Hardy MA, Singletary S. Rehabilitation for proximal phalangeal fractures. J Hand Ther. 2003 Apr-Jun;16(2):129-42. Review. PubMed PMID: 12755164.

Ulnar Nerve Compression at the Elbow

• Warren Hammert, MD (University of Rochester) discusses conservative, open, and endoscopic management of ulnar nerve compression at the elbow. (17 minutes)

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    • Giladi AM, Gaston RG, Haase SC, Hammert WC, Lawton JN, Merrell GA, Nassab PF, Song JW, Yang LJ, Chung KC; Surgery of the Ulnar Nerve Study Group. Trend of recovery after simple decompression for treatment of ulnar neuropathy at the elbow. Plast Reconstr Surg. 2013 Apr;131(4):563e-73e. doi: 10.1097/PRS.0b013e318282764f. PubMed PMID: 23542274
    • Goldfarb CA, Sutter MM, Martens EJ, Manske PR. Incidence of re-operation and subjective outcome following in situ decompression of the ulnar nerve at the cubital tunnel. J Hand Surg Eur Vol. 2009 Jun;34(3):379-83. doi: 10.1177/1753193408101467. Epub 2009 Mar 25. PubMed PMID: 19321524

Management of Dupuytren’s Contracture

• Prosper Benhaim, MD, FACS (UCLA) discusses his experience with various treatments for Dupuytren’s contracture including needle aponeurotomy and collagenase injection. (20 minutes)

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    • Pess GM, Pess RM, Pess RA. Results of needle aponeurotomy for Dupuytren contracture in over 1,000 fingers. J Hand Surg Am. 2012 Apr;37(4):651-6. PubMed PMID: 22464232.
    • Stanbury SJ, Hammert WC. Dupuytren contracture. J Hand Surg Am. 2011 Dec;36(12):2038-40. doi: 10.1016/j.jhsa.2011.05.004. Epub 2011 Jun 11. Review. PubMed PMID: 21658860.
    • Hurst LC, Badalamente MA, Hentz VR, Hotchkiss RN, Kaplan FT, Meals RA, Smith TM, Rodzvilla J; CORD I Study Group. Injectable collagenase clostridium histolyticum for Dupuytren’s contracture. N Engl J Med. 2009 Sep 3;361(10):968-79. PubMed PMID: 19726771.

Surgery for Thumb Basal Joint Arthritis

• Roy Meals, MD (UCLA) discusses his experience with the hematoma distraction arthroplasty and other procedures for arthritis at the base of the thumb. (17 minutes)

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    • Kuhns CA, Emerson ET, Meals RA. Hematoma and distraction arthroplasty for thumb basal joint osteoarthritis: a prospective, single-surgeon study including outcomes measures. J Hand Surg Am. 2003 May;28(3):381-9. PubMed PMID: 12772092.
    • Gray KV, Meals RA. Hematoma and distraction arthroplasty for thumb basal joint osteoarthritis: minimum 6.5-year follow-up evaluation. J Hand Surg Am. 2007 Jan;32(1):23-9. PubMed PMID: 17218172.