32nd Annual Adrian E. Flatt Residents & Fellows Conference in Hand Surgery

Wednesday, September 17th
Ballroom A, Hynes
7:00 AM – 4:00 PM

Chair: Sanjeev Kakar, MD
Vice-chair: John V. Ingari, MD

Sponsored by the American Foundation for Surgery of the Hand

Learn more about scholarships for residents and fellows to attend the Annual Meeting.


The Adrian E. Flatt Residents and Fellows Conference in Hand Surgery is specifically geared toward hand surgery fellows and residents in orthopaedic, plastic and general surgery.  The day includes lively debates by our faculty about areas of controversy within hand surgery,  information pertaining to the types of clinical practices ranging from academic to private practice, a quiz for residents and fellows and a scientific program where residents and fellows can present their research. Participants are invited to submit and present their papers on subjects within the specialty of hand and upper extremity surgery.  Filled with dialogue and information exchange, this conference is a valuable resource for all attendees.

Learning Objectives

  • Discuss and critique presentations of clinical advances and research findings in hand and upper extremity surgery.
  • Use the information presented in this educational forum to advance office practice and the treatment of patients.


The ASSH designates this live activity for a maximum of 8.00 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Fellow or Resident

ASSH Member

ASSH Senior Member

Non-Member Physician

Allied Health

International ASSH Member

International Non-member


6:30 - 7:00 AM

7:00 - 7:05 AM

Sanjeev Kakar, MD
Chair, 2014 Residents and Fellows Program Committee

7:05 - 7:15 AM
Introductory Remarks

Scott H. Kozin, MD
President, American Society for Surgery of the Hand

7:15 - 7:45 AM
Paper Session I 

Moderators: Craig M. Rodner, MD & Andrew Chen, MD

Paper 01: Predictors for Failure of Corticosteroid Injection for Trigger Finger
7:15 - 7:20 AM
Amy Speeckaert, MD

Paper 02: Combined Cubital and Carpal Tunnel Release Results in Symptom Resolution Outside of the Median or Ulnar Nerve Distributions
7:21 - 7:26 AM
Peter C. Chimenti, MD
Warren C. Hammert, MD
John C. Edlfar, MD

Paper 03: Skin Surface Pressure under Short Arm Casts with an Evaluation of Three Cast-Cutting Methods for Pressure Reduction
7:27 - 7:32 AM
Christian J. Zaino, MD
Melissa S. Arief, MD
Mukund R. Patel, MD

Paper 04: An Analysis of Capitate and Lunate Morphology to Predict Long-term Outcomes in Proximal Row Carpectomy
7:33 - 7:38 AM
Eric Wagner, MD
Dalibel Bravo, BS
Bassem T. Elhassan, MD
Steven L. Moran, MD

Paper 05: Direct Outcome Comparison Between Needle Aponeurotomy and Limited Fasciectomy: A Propensity Score Analysis of 368 Patients with Dupuytren’s Disease
7:39 - 7:44 AM
Chao Zhou, MD

7:55 - 8:25 AM
Paper Session II

Moderator: Andrea S. Bauer, MD & Joshua M. Abzug, MD 

Paper 06: Polycaprolactone Fumarate (PCLF) as a Backbone for Chondrocyte Attachment and Proliferation Augmented by Platelet Lysate
7:55 - 8:00 AM
Eric R. Wagner, MD
Daniel Bravo, BS
Makrokh Dadsetan, PhD
Andre van Winjnen, PhD
Michael J. Yaszemski, MD
Sanjeev Kakar, MD, MBA

Paper 07: Nerve Regeneration: is There an Alternative to Nervous Graft? 
8:01 - 8:06 AM
Rodrigo Guerra Sabongi, MD

Paper 08: The Development of Novel Tendon Derived Stem Cell Sheet for Tendon Regeneration
8:07 - 8:12 AM
Issei Komatsu, MD
Tatsuya Shimizu, MD, PhD
Kiyotaka Iwasaki, PhD
Teruo Okano, PhD

Paper 09: Physiologic Loading of the Coonrad/Morrey and Discovery Elbow Systems- Evaluation by Finite Element Analysis 
8:13 - 8:18 AM
Elizabeth A. King, MD
Mark Palmer, MD, PhD
Jeffrey N. Lawton, MD

Paper 10: Fluoroscopic Radiation Exposure: Are We Protecting Ourselves Adequately?
8:19 - 8:24 AM
C. Edward Hoffler, II, PhD, MD
Asif Ilyas, MD

8:35 - 8:50 AM
Paper Session III

Moderator: Julie E. Adams, MDRyan P. Calfee, MD

Paper 11: Postsurgical Complications Following Distal Radius Volar Plating in a Diabetic Population – A Case Control Study
8:35 - 8:36 AM
Daniel M. Koehler, MD
Yubo Gao, PhD
Justin J. Guan, BS
Ericka A. Lawler, MD
Brian D. Adams, MD
Apurva S. Shah, MD, MBA

Paper 12: Electronic Collection of Patient Reported Outcomes in Orthopedics Produces Higher Quality Data Than Traditional Paper Methods
8:37 - 8:38 AM 
Troy A. Miles, MD

Paper 13: Predicting A Safe Screw Length For Volar Plate Fixation Of Distal Radius Fractures: Lunate Depth As A Marker For Distal Radius Depth
8:39 - 8:40 AM
Sonya P. Agnew, MD
Karin Ljungquist, MD
Jerry I. Huang, MD

Paper 14: Micro Screw Fixation for Ultra-Small Proximal Pole Scaphoid Fractures
8:41 - 8:42 AM
Joseph J. Schreiber, MD
Jeffrey N. Lawton, MD
Tracy Klein, BS
Michelle G. Carlson, MD

Paper 15: Extensor tendon injury and failure due to drill penetration sustained during volar plate fixation of distal radius fractures: a biomechanical analysis 
8:43 - 8:44 AM
Jared M. Mahylis, MD
Laura Bonneau, MD
Adam Mirarchi, MD, MS
Anora Burwell, MS

9:00 - 9:30 AM
Debate 1: Non-vascularized vs. Vascularized bone grafts for scaphoid nonunions 

Mark Rekant, MD (non-vascularized) & John V. Ingari, MD (vascularized)

Twelve minutes for debate and 6 minutes for discussion

9:30 - 9:45 AM 
Coffee Break

9:45 - 10:00 AM
Paper Session IV

Moderator: Nina R. Lightdale-Miric, MD and Robert C. Matthias, Jr., MD

Paper 16: Changes in Wrist Motion after Scapholunate Arthrodesis: A Cadaveric Study
9:45 - 9:46 AM
Kevin D. Han, MD
Jaehon M. Kim, MD
Michael V. Defazio, MD
Ryan Katz, MD
Kenneth R. Means, MD

Paper 17: Effect of Perioperative Celecoxib on Postoperative Opioid Use Following Hand Surgery
9:47 - 9:48 AM
Jeffrey G. Stepan, BS
Daniel A. London, BA
Daniel A. Osei, MD
Kevin W. Park, BA
Martin I. Boyer, MD
Ryan P. Calfee, MD

Paper 18: Flexor Tendon Repair in an Ex-Vivo Model: An Established Knotless Bidirectional Barbed Suture Technique Does Not Withstand Cyclic Loading Necessary for Early 
9:49 - 9:50 AM
Frederick P. O'Brien, MD
Kenneth R. Means, MD

Paper 19: Patient-Reported Wrist Range Of Motion Using Digital Photography And Tracing Is Useful In Telemedicine Setting.
9:51 - 9:52 AM
Patricia Drace, MD
Kevin Renfree, MD
Ryan A. Odgers, MD
Cynthia C. Ivy, MEd, OT, CHT
Ryan McLemore, PhD

Paper 20: Effects of Upper Extremity Immobilization and Use of a Spinner Knob on Vehicle Steering
9:53 - 9:54 AM
Lyle T. Jackson, MD

10:10 - 10:40 AM
Case Panel Discussion
Moderator: Sanjeev Kakar MD 
Panelists: Jeffrey N. Lawton MD; Jonathan E. Isaacs MD; Aaron Freilich, MD

10:50 - 11:05 AM
Evidence Based Practice Committee
Noah M. Raizman, MD, MFA

11:10 - 11:40 AM
Debate 2: Proximal row carpectomy vs. Scaphoid excision 4 corner fusion for SNAC wrist 

Reid A. Abrams, MD (proximal row carpectomy) & Kevin F. Lutsky, MD (scaphoid excision 4 corner fusion)

Twelve minutes for debate and 6 minutes for discussion

11:40 – 11:45 AM
Introduction for Richard Smith Lecturer

Thomas B. Hughes, MD

11:45 - 12:15 PM
Richard Smith Lecture: What is Your Favorite Song? 

Mark E. Baratz, MD

12:15 - 1:00 PM
Lunch, 302 Hynes

1:00 - 1:45 PM
Choosing a practice: academic, private & privademics

Ranjan Gupta, MD (academics); Robert R. Gray, MD (private); Asif M. Ilyas, MD (privademics)

Ten minutes per talk and 15 minutes for questions

1:55 - 2:10 PM
Government Affairs Committee
Mark A. Deitch, MD 

2:20 - 2:50 PM
Ethics and Professionalism Committee

Julie B. Samora, MD, PhD, Philip E. Blazar, MD & Lisa S. Lehmann, MD, PhD, MSc

3:00 - 3:20 PM
Innovation in Hand Surgery & Experience/Evolution of Fragment Specific Fixation and Developing a Company

Robert J. Medoff, MD

3:25 - 3:55 PM
Quiz Bowl

Moderators: Fraser J. Leversedge, MD & Steven C. Haase, MD

3:55 – 4:00 PM 
Joseph Boyes Award Announcement

Sanjeev Kakar, MD

The Young Members Forum and a reception will follow the Residents & Fellows Conference.
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