OrthoMedia American Society for Surgery of the Hand

A Guide To Performing Wrist Arthroscopy

This surgical video details different tips and tricks in how to perform wrist arthroscopy using dorsal and volar portals.

Arthroscopic Foveal TFCC Repair

In this video, Dr Kakar from the Mayo Clinic discusses and demonstrates arthroscopic foveal TFCC repair.

Combined Onycho-Osteal Graft with Local Flap Reconstruction of Fingertip Amputations

This video demonstrates reconstruction of a fingertip amputation using a spare parts onycho-osteal graft combined with a local flap for fingertip nailbed and fingertip reconstruction

Controversial Topics in Hand Surgery - Hand Fellowship Debate Series - Cubital Tunnel with Intrinsic Wasting

Drs. Blood, Freniere and Evans debate the merits of in situ cubital tunnel release, anterior transposition, and supercharge AIN to ulnar motor nerve transfer, followed by a discussion of these procedures

Distal Radius Fractures: Techniques in Reduction and Volar Locking Plate Fixation

This video is an excellent introduction for residents and review for new practicing surgeons of the basic intraoperative reduction techniques and tools one can use to restore alignment of distal radius fractures. The video presents techniques in conjunction with fixation using a volar locking plate, however, the techniques have a wide range of applications in different fixation approaches as well.

Finger Extensor Tendon Mechanism: Anatomy and Pathology

This video describes the anatomy and pathology of the extensor tendon mechanism in fingers and the role of the extrinsic and intrinsic tendon systems

Flexor Digitorum Superficialis Tenodesis for Swan Neck Deformity Reconstruction

This video contains a brief background discussion on etiology and presentation of swan neck deformities followed by illustrative case presentation demonstrating surgical technique

Flexor Tendon Injuries

This video is of a lecture on zone I-V flexor tendon repairs, WALANT, complications, and tendon reconstruction.

Flexor Tendon Injury and Repair – A Freely Sliding Tendon Capable of Restoring Good Function

How to Perform a Needle Aponeurotomy for Dupuytren's Contracture

This practical video outlines the technique for needle aponeurotomy of Dupuytren's contracture in the palm.

Intrinsic Anatomy

The objectives of this presentation are to briefly review extrinsic extensors of the hand, review anatomy of intrinsics and mechanisms of action, review intrinsic related pathology, describe provocative positions to evaluate dysfunction, and describe ulnar negative dysfunction.

Metacarpal Fracture: Fellowship Virtual Debate Series

Drs. Hess, Wilton, and Maslow discuss treatment options for metacarpal fractures, including ORIF with plates, K wires, and intramedullary screws.

Palmar Fasciectomy for Dupuytren's Cords

This video overviews extended FCR and dorsal surgical approaches to the wrist for the treatment of an extra articular, 3-dimensional distal radius malunion utilizing custom osteotomy cutting guides, volar plating, and a dorsally inserted metallic distracting wedge implant.

Perilunate Injuries

This video describes perilunate injuries and their epidemiology, anatomy, radiographic findings, classification schemes, physical findings, ED management, surgical approach, and case examples. This comprehensive lecture lays a strong foundation for the identification and treatment of perilunate injuries and lunate dislocations

Physical Examination of the Wrist

Dr. Kleinman provides a comprehensive review of how to examine the wrist and the specific diagnosis that can be made with a good clinical exam.

Proximal Hamate to Scaphoid Nonunion Reconstruction

This video details indications and surgical technique for proximal hamate to proximal scaphoid nonunion reconstruction

Proximal Interphalangeal (PIP) Joint Implant Arthroplasty Using a Volar Approach

Proximal interphalangeal (PIP) joint arthroplasty can provide pain-free and functional restoration to the mobility and stability of the joint. In cases with less than 30 degrees of deviation in the coronal plane, silicone implant interposition arthroplasty canbe used. While a dorsal approach is used most frequently, post-operative immobilization of varying amounts of time are required to allow for healing of the extensor mechanism. Although technically more demanding, the volar approach allows for immediate post-operative rehabilitation. In this case, a 65-year-old patient presented with painful osteoarthritis of the PIP joint of the right index finger, resulting in weakness of pinch and loss of motion. She has had a previous DIP arthrodesis. Plain radiographs revealed coronal deformity without sagittal malalignment, and 10-55 degrees of passive motion. A volar approach was recommended. This video describes the successful reconstruction of the index PIP joint using silicone implant arthroplasty from a volar approach.

Radial Forearm Flap and Posterior Interosseous Flap: Indications and Technical Pearls

This video demonstrates the utility and surgical technique for radial forearm flap harvest, including step-by-step instructions as well as tips and tricks. Following this, the posterior interosseous artery flap is described in a similar fashion. Cadaveric dissection of both flaps is then demonstrated. This lab is from "The Complete Hand Surgeon: Flaps You Should Know After Fellowship (Lab)," recorded at the 74th Annual Meeting of the ASSH in 2019

Revision Cubital Tunnel Decompression and Submuscular Transposition

This video details technical tips and tricks when performing a revision ulnar nerve decompression and sub-muscular transposition after an initial review of cubital tunnel syndrome.

RPNI and TMR: Surgical Techniques

This video shows the surgical technique for transradial amputation with TMR to the distal AIN for the median nerve and RPNI for other nerves

Scapholunate Ligament Injury: Fellowship Lecture Series Debate

Hand Fellows from Philadelphia Hand Center, University of Colorado, Mayo Clinic, and Hospital for Special Surgery debate methods for SL reconstruction. 3 Ligament tenodesis, Reduction and Association of SL, Scapholunate internal brace 360, Swivelock SL IL Reconstruction and ANAFAB are also discussed and compared with pearls for each procedure

Scaphoid Excision and Four-Corner Fusion Using Nitinol Staples

This video is of a scaphoid excision and four-corner fusion using Nitinol staples.

Scaphoid Nonunion Repair with an Intercalated Iliac Crest Bone Graft

This video demonstrates treatment of a scaphoid nonunion from a volar approach using iliac crest bone graft.

Surgical Denervation of the Thumb Carpometacarpal Joint

Thumb carpal metacarpal joint (CMCJ) arthritis is common. Surgical denervation is an option for symptomatic CMCJ arthritis. Articular branches of denervation can be performed using a single volar incision. Synovectomy at the CMCJ can also be performed at the same time. Short recovery period is noted.

American Society for Surgery of the Hand