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 Assisted Reduction of Intra-Articular Distal Radius Fracture

In this video, the setup and surgical technique of articular reduction of distal radius fractures using arthroscopy and volar plate fixation is detailed and explained.

Arthroscopic-Assisted Debridement and Bone Grafting for Scaphoid Nonunion

This video discusses and visually explains an arthroscopic-assisted debridement and bone grafting for scaphoid nonunion

Arthroscopic-Assisted Scapholunate Ligament Repair

This video demonstrates arthroscopic scapholunate ligament repair using suture anchors

Arthroscopic Complete Trapeziectomy and Suture Button Suspensionplasty for the Treatment of Osteoarthritis of the Carpometacarpal Joint of the Thumb

In this video, an arthroscopic trapezium excision with a suspensionplasty for thumb carpometacarpal arthritis is explained and demonstrated

Arthroscopic Fixation of Scaphoid Fractures

In this video, a method for arthroscopic fixation of scaphoid fractures is discussed and visually explained.

Arthroscopic Foveal Reattachment of the Triangular Fibro Cartilaginous Complex (TFCC) with Bone Tunnels and Anchor Fixation

In this video, an arthroscopic foveal reattachment of the triangular fibro cartilaginous complex (TFCC) with bone tunnels and anchor fixation is explained and demonstrated

Arthroscopic Foveal TFCC Repair

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

Arthroscopic Scapholunate Ligament Capsuloligamentous Repair

In this video, an arthroscopic repair of the scapholunate ligament with capsuloligamentous repair is discussed and visually explained.

Arthroscopic Technique for Volar and Dorsal Ganglion Excision

In this video, the tips and tricks of performing arthroscopic assisted excision in both volar and dorsal wrist ganglions are discussed and visually explained.

Arthroscopic Trapeziectomy

This video presents, demonstrates, and explains an arthroscopic trapeziectomy.

Closed Reduction of Isolated Capitellum Fractures

Via a patient vignette, this video presents a concise, easy to follow, and step-by-step technique for performing closed reduction of capitellum fractures.

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 Biceps Tendon Repair: Steps, Tips and Tricks

This video discusses the different steps, tips, and tricks involved in a distal biceps tendon repair

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.

Dorsal Capsular-based Vascularized Distal Radius Graft for Advanced Kienböck's Disease

In this video, a vascularized distal radius bone graft and spanning plate for the management of Kienbock's disease is visually explained and discussed.

Elbow Fracture Dislocations: ORIF of Chronic Injuries

In this video, the operative treatment of a chronic elbow fracture dislocation is discussed and visually explained

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 Pollicis Longus Tendon Rupture in the Rheumatoid Patient (Mannerfelt Syndrome): Evaluation and Surgical Management

This video discusses management of FPL rupture in the rheumatoid patient. The author's preferred technique is FDS to FPL tendon transfer combined with open carpal tunnel release and flexor tenosynovectomy.

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.

Ipsilateral Hamate Autograft for Proximal Scaphoid Pole Injuries

This video discusses the indications and technique for use of a hamate autograft for comminuted proximal pole scaphoid fractures.

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.

Optimizing Transhumeral Amputations

In order to achieve good outcomes of transhumeral amputation, good planning, together with a multidisciplinary approach, are essential. This video illustrates some of the pearls in performing transhumeral amputation including transhumeral osteotomy, myodesis, and targeted muscle reinnervation

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.

Pediatric Elbow Posterolateral Rotatory Instability: Novel Technique for Lateral Ulnar Collateral Ligament Reconstruction with All Suture Anchor Fixation

In this video, a novel technique for pediatric elbow posterolateral rotary instability for lateral ulnar collateral ligament (LUCL) reconstruction is demonstrated and explained

Pediatric Trigger Thumb Release

This video discusses and visually explains both the concepts and treatment for pediatric trigger thumb and performing a pediatric trigger thumb release.

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.

Proximal Pole Scaphoid Nonunion Reconstruction with Rib Graft

This video details the indications and operative techniques for management of proximal pole scaphoid nonunion with rib graft.

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

Radial Head Arthroplasty Technique

This video provides the technique of radial head replacement for treatment of a comminuted radial head fracture

Radial Nerve Palsy Tendon Transfer: A Mini-Incision Approach with Transfer to ECRL Instead of ECRB

In this video, a clinical case, operative video, and intra- and post-operative results are shown using a mini-incision approach with transfer to ERCL instead of ECRB for a radial nerve palsy tendon transfer

Radial Tunnel Decompression Surgical Technique

This video demonstrates the surgical technique showing a dorsal approach to radial tunnel decompression

Radial Tunnel Decompression Surgical Technique

This video demonstrates the surgical technique showing a dorsal approach to radial tunnel decompression

Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

In this video, a reverse shoulder arthroplasty on a 70 year-old patient with an upper-left proximal humerus fracture is discussed and visually explained

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.

Simultaneous Guyon’s Canal and Carpal Tunnel Release

This video explains and demonstrates an open release of Guyon's canal as well as the carpal tunnel.

Supraclavicular Brachial Plexus Neurolysis

This video discusses and visually explains a supraclavicular brachial plexus dissection.

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.

Surgical Strategies and Key Techniques of Distal Digital Replantation

This video describes the surgical technique for volar vein graft to distal phalanx replantation and includes pre-operative and post-operative information

Syndactyly Reconstruction Using The Dorsal Metacarpal Island VY Advancement Flap Without Skin Grafting

This video demonstrates use of a dorsal V-Y island flap for treatment of incomplete, simple syndactyly. This technique allows for direct closure without need for skin grafting.

Targeted Muscle Reinnervation into Lumbrical Muscles for Treatment of Symptomatic Digital Stump Neuroma

The video demonstrates the technique of surgical digital neuroma treatment by neurotization of a nearby lumbrical (TMR)

Tendon Imbalances: Mallet Finger and Swan Neck Deformity

This discussion of tendon imbalances focuses on the diagnosis and treatment of mallet finger and swan neck deformity and includes discussion of pertinent anatomy, classification system, causes, clinical evaluation, and treatment options.

Tendon Sheath Reconstruction for Extensor Carpi Ulnaris Instability

The procedure describes using the extensor retinaculum flap to reconstruct the lax sheath of ECU in chronic instability.

The Latissimus Dorsi Flap: Understanding the Basics

This video presents the anatomy and illustrates the surgical technique involved in utilizing latissimus dorsi based flaps

Thumb Carpometacarpal Arthroplasty with Ligament Reconstruction and Tendon Interposition Using Flexor Carpi Radialis Tendon and a Tenodesis Screw

This video shows the surgical technique for thumb carpometacarpal arthroplasty with ligament reconstruction and tendon interposition using flexor radialis tendon. A tenodesis screw is used to improve fixation of FCR tendon into the first metacarpal bone.