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Fellowship Lecture Curricula
The lecture plan is flexible, with changes based on ongoing evaluation, questions that arise in conferences, and the presence of visitors from other hand surgery units.
Yearly Meetings and Workshops
- Focus on Anatomy (normally held in late summer/early autumn) is an in-depth review of one aspect of upper-extremity anatomy.
- A Flap Course is offered yearly unless Focus on Anatomy is on Flaps.
- Internal Fixation workshop
- Wrist Arthroscopy
- EMG/NCS
Cyclic Lectures
Weekly:
- Case presentations
- Journal Club
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Monthly:
- Biomechanics
- Anatomy lab dissection
- Evidence-based medicine series
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Quarterly:
- Morbidity & Mortality
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Periodic:
- Question review
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Specific Core Lectures
EXAMINATION
- Hand
- Wrist
- Elbow
- Shoulder
- Brachial plexus
- Cervical spine
- Nerve compression
TRAUMA
- Debridement
- Contaminated wounds I
- Contaminated wounds II
- Amputation
- Arthrodesis in trauma, Joint transfer
- Mutilated hand
- Pediatric mutilated hand
- Nail bed
- Fingertip
- Skin Grafts
- Cross and reverse cross finger flaps
- Local regional flaps of the hand
- Emergency free flaps
- Dorsal hand reconstruction
- Soft tissue coverage-traumatized limb
- Thumb replant/immediate pollicization/immediate transfer
- Chemical, radiation, frostbite injuries
- Electrical burns
- Injection injuries
- Farm injuries
- Microvascular techniques
- Replantation part preservation
- Pediatric replantation
TENDONS
- Scientific basis flexor rehabilitation
- Technical aspects of flexor repair
- Postoperative management flexor injuries
- Extensor repair I
- Extensor repair II
- Extensor injuries: bracing/splinting/therapy
- Extrinsic, intrinsic tightness, quadregia, and lumbrical plus
- History of flexor tendon repair
BONE
- Anatomy/physiology of bone healing
- Anatomy/physiology of cartilage
- Kienbock/Preisers
- Scapular and clavicular fractures
- Shoulder fractures
- Humerus (extrarticular) fractures
- Elbow fractures
- Forearm (Extrarticular) fractures
- Distal radius fractures
- Distal radius malunion
- Distal ulna fxs/dislocations DRUJ
- Scaphoid fractures
- Scaphoid nonunions/malunions
- Carpal disloc./fxs (not scaphoid)
- CMC, MCPJ dislocation without fractures
- Metacarpal and P1 fractures
- P2 fx /PIP fx-dislocations
- P3 fx, fx dislocations and bony mallet
- Phalangeal/metacarpal malunions
- Carpal instability
- External Fixation
TUMORS
- Benign soft tissue tumors
- Malignant soft tissue tumors
- Benign bone tumors
- Malignant and metastatic
- Radiology of bone tumors
- Skin cancer/Melanoma in the hand
- Ganglion cysts
INFECTIONS
- Common infections (excluding tenosynovitis)
- Atypical hand infections
- Tenosynovitis
DUPUYTREN’S
- Anatomy and pathobiology
- Treatment
ARTHRITIS
- Medical treatment
- Non RA arthridites
- Osteoarthritis wrist, including arthrodesis and arthroplasties
- Osteoarthrits digits (not CMC)
- RA general principles
- Swan neck/boutonierre
- CMC except arthroplasty
- CMC Jt. arthroplasty
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NERVE
- Nonsurgical neuropathies
- Dystrophy/chronic regional pain
- Painful neuromas/neurolysis
- Pain Management
NERVE COMPRESSIONS
- Exam: Compressive neuropathies
- Neuromicroanatomy, physiology
- Nerve blood flow
- Sense and sensibility
- Compression controversy
- Primary neurorrhaphy
- Nerve grafting in acute/chronic injury
- Vascularized nerve grafts
- Carpal tunnel
- Carpal tunnel: open vs. closed
- Median compression outside the carpal tunnel
- Radial compressive neuropathy
- Ulnar compressive neuropathy
- TOC
- Decision making in nerve compression
- History of nerve compression
NERVE PALSIES
- Ulnar nerve palsy
- Radial nerve palsy
- Median nerve palsy
- Brachial plexus
- Obstetrical palsy
- Tendon transfers in tetraplegia
- Tendon transfers in plexus
- Combined nerve palsy
- Cerebral palsy/stroke
ARTHROPLASTY
- Principles
- Shoulder
- Elbow
- Wrist
ARTHROSCOPY
- Shoulder
- Elbow
- Wrist
THERAPY
- Hand Therapy
- Therapy open house
- Orthotics
- Orthotics open house
- Tendon splinting and therapy covered in the Tendon module
- Therapy for TOC
- Prosthetics
CONGENITAL
- Overview I
- Overview II
- Genesis
- Examination of the congenital hand
- Congenital radiology
- Transverse absence/symbrachydactyly/phocomelia
- Radial club hand
- Radial deficiencies
- Camptodactyly, clinodactyly, Kirner’s, delta phalanx
- Syndactyly and Thumb clasped and windblown hand
- Polydactyly
- Genetics counseling
- Macrodactyly, constriction band syndrome, Synostosis and brachydactyly
MISCELLANEOUS
- History of hand surgery
- Tourniquet
- Transplantation of the hand
- Ulnar sided wrist pain
- Elbow pathology (not neuropathy)
- Shoulder pathology/treatment
- Trigger digits
- Compartment syndromes
- Vascular disorders
- Sports injuries
- Hand problems in the performing arts
- Hand as a mirror of systemic disease
- Getting the most from lab dissection
- Workman’s comp
- How to give a talk
- Photography: how to take OR hand pictures
NONMEDICAL ISSUES
- Evaluating practice opportunities and physician contracts
- Non patient care related pitfalls of the first six months in practice
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