Preliminary Program

Objectives: Following this session, the participant will be able to:

This comprehensive session is designed to provide hand surgeons with an in-depth analysis of Scapholunate Advanced Collapse (SLAC) wrist, encompassing its pathoanatomy, progression, and the full spectrum of management options. The session will explore current understanding of SLAC wrist biomechanics, natural history, and decision-making algorithms for treatment. Emphasis will be placed on evidence-based strategies ranging from non-operative management to various surgical interventions, including proximal row carpectomy (PRC), interposition arthroplasty, partial wrist fusions, arthroscopic techniques, and wrist denervation. Through a combination of expert lectures, case-based discussions, and interactive problem-solving exercises, participants will enhance their ability to formulate comprehensive treatment plans tailored to individual patient needs and disease stages. The course will address both primary management and strategies for dealing with complications and failed interventions.

Objectives: Following this session, the participant will be able to:

1. Analyze the pathoanatomy and biomechanical progression of SLAC wrist and apply this knowledge to accurately stage the condition and inform treatment decisions, incorporating advanced imaging techniques and clinical assessment methods.
2. Critically evaluate and implement a comprehensive range of management strategies for SLAC wrist, including evidence-based non-operative approaches, indications for various surgical interventions, and appropriate patient selection criteria for each treatment modality.
3. Compare and contrast the technical aspects, biomechanical considerations, and long-term outcomes of different surgical options for SLAC wrist, including PRC, interposition arthroplasty, partial wrist fusions (such as four-corner fusion and STT fusion), arthroscopic management, and wrist denervation procedures.
4. Develop strategies for preventing and managing complications associated with SLAC wrist and its treatments, including persistent pain, impaired function, hardware-related issues, and progression of arthrosis, incorporating both non-operative approaches and revision surgical techniques.

Distal radius fractures are one of the most common injury patterns treated by hand surgeons. Over the last 20 years, the volar plate has come to reign supreme in the surgeon's arsenal. Yet, despite their popularity, volar plates are not without risk and may not be the best option for every fracture pattern. This ICL will offer insights to successful volar plating, review alternative treatment techniques including bridge plating, and discuss strategies for dealing with complications including median neuropathy, malpositioned hardware, and malunion. Therapy Topics include outcomes for rehab vs no rehab, which patients benefit most from therapy visits vs HE.

Objectives: Following this session, the participant will be able to:

1. List the indications for volar vs bridge plating in the treatment of distal radius fractures.
2. Recognize distal radius fracture complications and describe strategies to avoid and address these complications.
3. Discuss available modalities to optimize post-surgical results and to mitigate the sequela of related complications associated with distal radius fractures.

This advanced course is designed to provide hand surgeons with a comprehensive analysis of the long-term sequelae associated with extensor tendon injuries in the hand. The session will explore the complex interplay of anatomical, biomechanical, and functional factors that contribute to suboptimal outcomes following both conservative and surgical management of these injuries. Emphasis will be placed on evidence-based strategies for prevention, early recognition, and management of complications such as adhesions, tendon ruptures, joint contractures, and extensor lag. Through a combination of expert lectures, case-based discussions, and interactive problem-solving exercises, participants will enhance their ability to critically evaluate and manage challenging cases of extensor tendon dysfunction. The course will cover a spectrum of sequelae, from minor functional deficits to severe deformities, and will address both non-operative and surgical approaches to reconstruction and salvage procedures. Therapy topics include post-op management of extensor tendon reconstruction and cases of different types of extensor reconstruction.

Objectives: Following this session, the participant will be able to:

1. Analyze the pathomechanics and natural history of extensor tendon injury sequelae in the hand, incorporating advanced understanding of tendon healing, adhesion formation, and the impact on joint biomechanics to inform clinical decision-making and treatment planning.
2. Critically evaluate and implement contemporary strategies for preventing and managing common sequelae of extensor tendon injuries, including evidence-based rehabilitation protocols, early intervention techniques, and indications for secondary surgical procedures.
3. Compare and contrast advanced surgical techniques for addressing complex extensor tendon dysfunction, including tenolysis, tendon reconstruction, capsulotomy, and arthroplasty, with consideration of their respective outcomes, limitations, and potential complications.
4. Develop comprehensive management plans for challenging cases of extensor tendon sequelae, incorporating both non-operative and surgical approaches, and addressing associated complications such as joint stiffness, swan neck and boutonni�re deformities, and impaired hand function.

This comprehensive course is designed to provide hand surgeons with an in-depth exploration of traumatic Triangular Fibrocartilage Complex (TFCC) tears, spanning from fundamental concepts to advanced management techniques. The session will delve into the complex anatomy, biomechanics, and pathophysiology of TFCC injuries, emphasizing accurate diagnosis and classification. Participants will gain insights into contemporary treatment algorithms, ranging from conservative approaches to cutting-edge surgical interventions, including both open and arthroscopic techniques. Through a combination of expert lectures, case-based discussions, and interactive problem-solving exercises, attendees will enhance their ability to manage the full spectrum of TFCC injuries, from simple tears to complex instabilities. The course will address both acute and chronic presentations, as well as strategies for preventing and managing associated complications. Special attention will be given to emerging technologies, evidence-based practices, and techniques for optimizing long-term functional outcomes. Therapy topics include rehab post TFCC injury and repair, timeframe for orthotics and motion advancement, return to activity and sport, modifications for work and sport.

Objectives: Following this session, the participant will be able to:

1. Analyze the complex anatomy and biomechanics of the TFCC and apply this knowledge to accurately diagnose and classify traumatic TFCC tears using advanced clinical examination techniques, imaging modalities, and arthroscopic evaluation.
2. Critically evaluate and implement a comprehensive range of management strategies for traumatic TFCC tears, from conservative approaches to surgical interventions, based on evidence-based protocols and tailored to individual patient factors, injury patterns, and chronicity.
3. Compare and contrast advanced surgical techniques for TFCC repair and reconstruction, including arthroscopic methods, open approaches, and novel fixation strategies, with consideration of their respective indications, technical nuances, and potential complications.
4. Develop strategies for preventing and managing complications associated with TFCC injuries and their treatments, including persistent instability, stiffness, and failed primary interventions, incorporating both non-operative approaches and revision surgical techniques.

This comprehensive refresher course is designed to update and enhance the knowledge and skills of adult hand surgeons in managing pediatric hand and upper extremity fractures. The session will provide a thorough review of the unique aspects of pediatric skeletal anatomy, growth, and healing processes, emphasizing how these factors influence fracture patterns, treatment decisions, and long-term outcomes. Participants will explore contemporary management strategies for common and complex pediatric fractures, including both conservative and surgical approaches. Through a combination of expert lectures, case-based discussions, and interactive problem-solving exercises, attendees will refine their ability to diagnose, classify, and treat pediatric fractures while considering age-specific considerations and potential complications. The course will address recent advances in pediatric fracture care, including minimally invasive techniques, novel fixation methods, and evidence-based protocols for optimizing functional outcomes and minimizing growth disturbances. Therapy topics include pediatric specific rehab and which patients need more intervention.

Objectives: Following this session, the participant will be able to:

1. Analyze the unique anatomical, physiological, and biomechanical characteristics of the pediatric skeletal system, and apply this knowledge to accurately diagnose, classify, and develop appropriate treatment plans for pediatric hand and upper extremity fractures.
2. Critically evaluate and implement contemporary management strategies for pediatric fractures, ranging from conservative approaches to surgical interventions, with consideration of age-specific factors, fracture patterns, and potential impact on growth and development.
3. Compare and contrast advanced techniques for pediatric fracture fixation, including percutaneous pinning, intramedullary nailing, and external fixation, with emphasis on minimizing growth plate disturbances and optimizing long-term functional outcomes.
4. Develop comprehensive strategies for preventing and managing complications associated with pediatric fractures, including malunion, growth arrest, and post-traumatic deformities, incorporating both non-operative approaches and surgical reconstruction techniques.
5. Discuss conservative management strategies as well as highlight when to refer/key "can't miss" presentations which would prompt surgeon referral.

Few topics in hand and peripheral nerve surgery are as controversial as Thoracic Outlet Syndrome (TOS). Many surgeons do not think it exists, and, for others, the lack of objective diagnostic criteria is at least concerning. Surgical approaches seem to range from minimally invasive to extensive and aggressive. This ICL will offer diagnostic guidance, present non-surgical modalities, and describe the surgical principles commonly utilized in treating TOS. Therapy Topics include rehab principles, what to strengthen and what to lengthen, positions/activities to avoid and successful return to activity/work/sport.

Objectives: Following this session, the participant will be able to:

1. Describe and understand an algorithmic approach to diagnosing TOS.
2. Prescribe or apply non-surgical treatment modalities for suspected TOS.
3. Describe the principles of surgical treatment for recalcitrant TOS.

Post-paretic synkinesis remains an unsolved clinical problem with major functional and psychosocial consequences in both adult and pediatric populations. A multidisciplinary approach has been shown to offer hope for substantial improvement. This includes targeted facial therapy, thoughtful neuromodulation with Botox, and innovative, selective surgery based on clinical and electromyography (EMG) findings. This course will discuss the underlying pathophysiology, clinical presentation, and management of post-paretic synkinesis in both adult and pediatric populations.

Objectives: Following this session, the participant will be able to:

1. Describe the pathophysiological mechanisms of synkinesis following facial nerve injury.
2. Recognize the clinical manifestations and be able to appropriately anticipate synkinesis.
3. Describe treatment approaches, including facial therapy, neuromodulation, and selective surgical techniques.
4. Apply multidisciplinary strategies to optimize outcomes for patients with facial synkinesis.

Many commonly accepted principles in peripheral nerve surgery are rooted in decades-old studies, anecdotal experiences, and selectively interpreted data. This instructional course invites participants to critically examine the basic science that underpins some of the most enduring surgical dogmas�questioning what still holds true, what requires re-evaluation, and what may be impeding innovation. Attendees will gain insight into the laboratory models, early experiments, and translational research that shaped current paradigms - some of which remain robust, while others may be overdue for revision.

Objectives: Following this session, the participant will be able to:

1. Discuss the historical and experimental origins of key concepts in peripheral nerve surgery.
2. Critically appraise the quality and relevance of foundational basic science studies that have shaped current surgical dogma.
3. Distinguish between evidence-supported practices and tradition-driven assumptions.
4. Explore new directions in nerve biology research that challenge or refine established norms.

Objectives: Following this session, the participant will be able to:

Lori Cohen, Vice Chair of Greenberg Traurig and Co-Chair of the firm�s Global Litigation Practice. Nationally recognized for her extraordinary trial record of 58 defense verdicts, Lori leads a global practice that focuses on complex litigation of all types. In March 2022, Lori lost her voice suddenly and unexpectedly. However, with the help of AI, Lori was back in the courtroom by Fall 2023. Her journey over the last three years to collaborate with her technology colleagues to create a new AI voice for herself, to allow her to communicate and remain in the courtroom, is compelling, inspirational and exemplifies great resilience.

Objectives: Following this session, the participant will be able to:

This comprehensive session will equip participants with knowledge, and decision-making frameworks to confidently navigate the most challenging ulnar nerve reconstruction cases. Participants will explore a comprehensive, case-based approach to ulnar nerve management, covering a wide range of surgical techniques, including nerve transfers, tendon transfers, and nerve reconstruction. Led by a distinguished faculty of renowned hand surgeons, this session will provide an in-depth examination of evidence-based practices, innovative surgical solutions, and decision-making strategies for optimal patient outcomes. Therapy topics include post-op rehab for ulnar nerve recon, tendon transfers or nerve transfers with therapy pearls, timeframes, use of orthotics and DAFRA program highlights.

Objectives: By the end of this course, participants will be able to:

1. Accurately diagnose and assess the severity of ulnar nerve pathology.
2. Develop comprehensive treatment plans, considering the unique patient factors and functional demands.
3. Discuss various surgical techniques for ulnar nerve reconstruction, including nerve transfers, tendon transfers, and nerve grafting.
4. Identify appropriate candidates for each surgical intervention and select the most suitable approach based on the specific case.
5. Implement evidence-based post-operative rehabilitation protocols to optimize functional outcomes following ulnar nerve reconstruction and tendon transfers.

Targeted Muscle Reinnervation (TMR) and Regenerative Peripheral Nerve Interfaces (RPNI) have emerged as powerful tools in the management of neuroma-related pain and limb loss-associated nerve pain. Despite their success, failures do occur. This panel will offer a critical and practical look at what drives success and failure in nerve pain surgery, emphasizing that the core principles for effective TMR and RPNI mirror those for any neuroma procedure: thoughtful diagnosis, careful surgical planning, and attention to patient-specific anatomy and morbidity. A multidisciplinary approach to persistent pain will be presented, including the use of mirror therapy, graded motor imagery, and virtual reality interventions.

Objectives: Following this session, the participant will be able to:

1. Compare traditional and emerging techniques for neuroma management, including when and why to choose these options.
2. Analyze failed neuroma management cases and understand the diagnostic, surgical and non-surgical approaches used to manage these cases
3. Explore non-surgical treatment options for persistent pain, including neurocognitive therapies

There are always problems in need of better solutions. Moving from problem to applied innovation and then dissemination is challenging but may also be the most rewarding part of your practice. This panel will offer candid description of their pathways to innovation and how they worked through obstacles and failure.

Objectives: Following this session, the participant will be able to:

1. Practically evaluate when a new approach is feasible, reasonable, and in the best interest of the patient.
2. Examine pitfalls to ethical application of innovative procedures and patient education.
3. Thoughtfully evaluate outcomes and create reproducible protocols.
4. Communicate new ideas and techniques in an approachable way and handling positive and negative feedback

Objectives: Following this session, the participant will be able to:

This comprehensive course is designed to provide hand surgeons with an in-depth analysis of the full spectrum of management options for thumb carpometacarpal (CMC) joint arthritis. The session will explore current understanding of CMC joint biomechanics, disease progression, and decision-making algorithms for treatment. Emphasis will be placed on evidence-based strategies ranging from minimally invasive approaches such as denervation and arthroscopy to more traditional interventions like trapeziectomy, and extending to advanced techniques including implant arthroplasty. Through a combination of expert lectures, case-based discussions, and interactive problem-solving exercises, participants will enhance their ability to critically evaluate and implement appropriate treatment strategies tailored to individual patient needs and disease severity. The course will address both primary management and approaches for dealing with complications and failed interventions, providing a thorough overview of contemporary practice in this challenging area of hand surgery. Therapy topics include what does rehab look like and how does it differ based on surgical procedure, timeframe for orthotics, strengthening/dynamic stabilization and return to activity.

Objectives: Following this session, the participant will be able to:

1. Critically evaluate the current evidence base for various treatment modalities in thumb CMC arthritis, including denervation, trapeziectomy with or without ligament reconstruction and tendon interposition (LRTI), arthroscopic techniques, and implant arthroplasty, and apply this knowledge to develop patient-specific treatment algorithms.
2. Compare and contrast the technical aspects, biomechanical considerations, and long-term outcomes of different surgical options for thumb CMC arthritis, with particular emphasis on the advantages and limitations of each approach in different clinical scenarios.
3. Analyze and implement advanced surgical techniques for managing thumb CMC arthritis, including arthroscopic procedures, various methods of trapeziectomy and LRTI, and current implant arthroplasty options, with consideration of proper patient selection, surgical planning, and potential pitfalls.
4. Develop comprehensive strategies for preventing and managing complications associated with thumb CMC arthritis treatments, including implant failure, instability, impingement, and persistent pain, incorporating both non-operative approaches and revision surgical techniques.

Hyper-selective denervation has emerged as an exciting new treatment for spasticity. However, for many of us, the learning curve has been painfully steep. More conventional treatments including tenotomy, tendon lengthening, and tendon transfers definitely still have a role. This ICL will discuss patient selection, the nuances of denervation procedures, the role of therapy and splinting, and offer practical algorithms for this challenging problem. Therapy topics include rehab pearls post denervation, tenotomy, tendon lengthening and tendon transfers.

Objectives: Following this session, the participant will be able to:

1. Identify patients who might benefit from hyper-selective denervation.
2. Describe the surgical technique and appropriate application of hyper-selective denervation for muscle spasticity.
3. Compare and contrast conventional surgical and nonsurgical treatments for muscle spasticity.
4. Incorporate therapy protocols into treatment algorithms for muscle spasticity.

There are few decision trees more challenging than failed nerve surgery. Persistent symptoms following nerve decompression may be related to inadequate release, iatrogenic impingement, recurrent scarring, or poor nerve recovery despite adequate release. Nerve repairs as well are sometimes not successful. This ICL will discuss the assessment tools, timing, and decision tree for re-exploration and treatment of failed carpal tunnel releases, cubital tunnel releases, and nerve repairs. The therapist role in assessing and managing these complex patients will be explored as well. Therapy topics include tips and tricks to maximize symptom management, red flags in therapy and when to refer back to the surgeon.

Objectives: Following this session, the participant will be able to:

1. Identify the potential causes of failed nerve decompression and repair.
2. List and describe the available assessment tools including physical exam, ultrasound, MRI, and nerve conduction studies.
3. Differentiate treatment options for failed nerve decompression and repair including the proper use of scar barriers, nerve transfers, and re-do nerve reconstruction.

Modern surgical practice demands more than clinical excellence�it requires mastery of time. Between operating room schedules, clinic responsibilities, administrative tasks, research, and teaching, many surgeons find themselves overextended and under-supported. This instructional course is designed to equip busy surgeons with practical, high-impact strategies for reclaiming control of their time and streamlining day-to-day operations. This course will focus on foundational time management principles tailored to the realities of surgical life, including calendar architecture, task triage, boundary setting, and strategic delegation. Common pitfalls and productivity myths will be addressed with evidence-based guidance. This course will also discuss how artificial intelligence can serve as a powerful assistant for the modern surgeon.

Objectives: Following this session, the participant will be able to:

1. Identify common time management challenges unique to surgical practice and develop strategies to address them.
2. Apply practical tools and systems for organizing clinical, academic, and administrative responsibilities.
3. Evaluate current AI technologies that can support surgeons in documentation, communication, and planning tasks.
4. Design a personalized workflow that incorporates both human and digital support to optimize professional performance and well-being.

When primary nerve reconstruction fails to restore shoulder function in brachial plexus injury (BPI), secondary management becomes critical. This instructional course provides an exploration of shoulder reconstruction strategies in both pediatric and adult patients following incomplete or failed nerve reconstruction. Faculty will address the unique challenges of shoulder dysfunction in this context, including glenohumeral joint dysplasia in children, fixed contractures, muscle atrophy, and joint instability in adults. Surgical options such as tendon transfers, external rotation osteotomies, scapulothoracic fusion, and joint stabilization techniques will be discussed, along with non-operative approaches to maximize shoulder utility. Participants will learn to select appropriate secondary procedures based on residual motor function, joint status, and patient-specific needs. The course will also cover timing of intervention, imaging, and rehabilitation strategies.

Objectives: Following this session, the participant will be able to:

1. Identify common patterns and causes of failed shoulder reinnervation in brachial plexus injury.
2. Evaluate the full spectrum of reconstructive options for shoulder management after unsuccessful nerve reconstruction.
3. Develop an approach to surgical decision-making for management of the shoulder in brachial plexus injury. Integrate postoperative therapy and orthotic management to optimize outcomes.

Objectives: Following this session, the participant will be able to:

Objectives: Following this session, the participant will be able to:

Objectives: Following this session, the participant will be able to:

Trauma, infection, oncologic and other pathology challenge the reconstructive surgeon. Surgery may result in less function, more pain or other unintended adverse outcomes. The panelists will highlight challenging cases that led them to change practice, innovate, and strive to do better next time. Teaching points: how plans can be derailed by unexpected events and how this sparks innovation. From our failures, we can learn to better help others in the future!

Objectives: Following this session, the participant will be able to:

1. Discuss critical decision-making in complex surgical pathology.
2. Recognize pitfalls in surgical technique or treatment planning.
3. Develop strategies to troubleshoot complications and effective disclosure to patients.
4. Discuss thoughtful evaluation of outcomes and the impetus to change and innovate

Objectives: Following this session, the participant will be able to:

Objectives: Following this session, the participant will be able to:

Objectives: Following this session, the participant will be able to:

Objectives: Following this session, the participant will be able to:

In peripheral nerve surgery, we often operate within well-established principles: timing, tension, donor selection, regeneration distance. But occasionally, outcomes defy expectations. Standard treatments may fall short, or unconventional decisions may lead to remarkable recoveries. This instructional course explores those surprising cases: the failures that force us to reconsider the original pathology, and the unexpected successes that challenge the limits of our surgical dogma. Through a series of reflective and interactive case presentations, experienced faculty will walk participants through clinical scenarios where outcomes did not align with conventional wisdom. Attendees will explore the biological and clinical principles that underpin many of the "rules" of nerve surgery and discuss whether exceptional outcomes lie at the edge of the bell curve�or reveal something more fundamental about nerve biology, surgical timing, or patient-specific factors. This course is designed not only to inform, but to inspire attendees to reflect on their own unexpected outcomes and to re-engage with the science behind the surgery.

Objectives: Following this session, the participant will be able to:

1. Be inspired to critically examine and investigate their own unexpected or atypical outcomes in nerve surgery
2. Gain a deeper understanding of the scientific and clinical foundations of key dogmas in peripheral nerve surgery.
3. Learn from the experience of other surgeons and understand how some �unexpected' outcomes may, in fact, be predictable when viewed through a broader or updated lens.

Objectives: Following this session, the participant will be able to:

Objectives: Following this session, the participant will be able to:

Nerve tumors encompass a diverse spectrum of benign and malignant lesions that can arise within or adjacent to peripheral nerves. This instructional course will provide a comprehensive overview of the latest advances in the evaluation and management of these tumors.

Objectives: Following this session, the participant will be able to:

1. Discuss the classification of peripheral nerve tumors into benign and malignant, and intraneural vs. extraneural subtypes.
2. Identify the best imaging modalities to guide diagnosis and treatment planning.
3. Apply current surgical strategies for resection of benign peripheral nerve tumors while minimizing functional loss.
4. Discuss advances in the diagnosis and management of malignant nerve tumors, including the role of biopsy and multidisciplinary care.

While we may never miss a compressed median nerve in the wrist, how often has a compressed axillary nerve seen you without being addressed? Less common compression neuropathies can be just as debilitating but more often unrecognized. They may also pose the challenge of accessibility and increased complications that may be amenable to minimally invasive techniques.

Objectives: Following this session, the participant will be able to:

1. Identify symptoms of quadrangular space compression within the unique needs of spinal cord injury patients.
2. Incorporate minimally invasive techniques to minimize complications and maximize outcomes in from the chest to the foot.
3. Address questions and consultations from neurologists and patients about the role of decompression in migraine surgery.

The field of peripheral nerve surgery continues to evolve rapidly, offering new and innovative solutions for restoring function in patients with peripheral nerve injuries, spinal cord injury, and limb loss. This instructional course will focus on newer and less traditional nerve transfers that are expanding the reconstructive possibilities beyond classic techniques.

Objectives: Following this session, the participant will be able to:

1. Recognize opportunities to expand application of nerve transfers
2. Describe the indications and rationale for newer nerve transfers in the upper and lower extremities and beyond
3. Understand donor and recipient nerve selection strategies for emerging transfer techniques
4. Incorporate new transfer techniques into individualized reconstructive algorithms

Patients with upper extremity amputation are increasingly presented with two highly complex, high-stakes options: advanced prosthetic integration and composite tissue allotransplantation (CTA). This panel will explore the cutting edge of both approaches�from neuromuscular interface technology and targeted muscle reinnervation (TMR) to the long-term functional outcomes and complications associated with hand and arm transplantation.

Objectives: Following this session, the participant will be able to:

1. Discuss recent advancements in prosthetic technology and innovative neuromuscular interfaces for upper extremity amputees.
2. Describe long-term functional outcomes of hand and upper limb composite allotransplantation, including motor recovery, sensory return, and quality of life.
3. Compare the complications and demands associated with CTA (e.g., immunosuppression, risk of rejection, surgical complexity) versus those related to advanced prosthetic rehabilitation (e.g., phantom pain, neuroma, TMR integration).

This panel will explore the dual role of surgical nerve decompression and microsurgical reconstruction in the comprehensive care of diabetic patients. The pathophysiology of nerve entrapment in diabetes, the evidence supporting decompression, and the role of microsurgical reconstruction for lower limb salvage will be explored. Through case-based discussion, participants will gain a practical understanding of how to integrate decompression and reconstruction strategies to optimize outcomes for patients with diabetes.

Objectives: Following this session, the participant will be able to:

1. Discuss the pathophysiologic basis of entrapment neuropathy and wound complications in diabetic patients.
2. Review current evidence and outcomes related to nerve decompression and microsurgical lower limb reconstruction in the setting of diabetic neuropathy.
3. Identify appropriate candidates for surgical decompression and microsurgical reconstruction.
4. Demonstrate knowledge of surgical anatomy and technique for both decompression and flap reconstruction.

Objectives: Following this session, the participant will be able to:

Upper extremity reconstruction in tetraplegia can improve critical functions such as elbow extension, grasp, and pinch. This instructional course offers practical, experienced-based insights for upper extremity reconstruction in patients with cervical spinal cord injury. Faculty will discuss how to select the right procedure for the right patient based on level of injury, available donor function, goals of care, and timing of surgery, including nerve transfer, tendon transfer, athrodesis procedures and hybrid techniques. The course will also address challenges such as spasticity, joint contracture, and the role of preoperative planning and multidisciplinary care. Postoperative rehabilitation strategies will also be reviewed, including protocols for tendon protection, nerve re-education, and strategies for maximizing functional recovery.

Objectives: Following this session, the participant will be able to:

1. Utilize clinical tools�such as Botox, surface stimulators, and nerve blocks�to guide surgical planning in tetraplegia reconstruction
2. Understand approaches to combining nerve transfers, tendon transfers, and arthrodesis to restore upper limb function
3. Recognize key spinal cord injury factors that may affect surgical outcomes and functional recovery
4. Apply principles of post-operative rehabilitation tailored to the unique demands of nerve and tendon reconstructions in spinal cord injury.

Following peripheral nerve injury, we commonly focus on motor recovery but sensory recovery is also crucial to patient outcomes. This instructional course will elucidate the pathophysiology of sensory nerve injury recovery and discuss the principles and evolving techniques for restoring sensation, including the use of sensory nerve transfers, nerve autografts, nerve allografts and the role of sensory re-education. Evidence for the outcomes in surgical and non-surgical modalities will be presented. Faculty will provide attendees with a practical framework for incorporating sensory restoration into their peripheral nerve practice.

Objectives: Following this session, the participant will be able to:

1. Appropriately utilize different techniques, including nerve allografts, autografts, and sensory nerve transfers, to improve sensory recovery.
2. Discuss the role, timing, and methodology of sensory re-education in enhancing postoperative outcomes.
3. Accurately set patient expectations regarding the degree, timeline, and functional impact of sensory recovery after nerve injury.

Treatable nerve compression and neuromas of the pelvis and genitals have been historically under-diagnosed and undertreated. This patient population faces many challenges in receiving care and the informed peripheral nerve surgeon is key to improving care. A comprehensive overview of the most common sites of nerve compression and neuroma formation will be discussed in the context of activity related neuropathy, iatrogenic injury, and gender affirming surgery. Through case-based discussion and evidence-informed guidance, attendees will learn to evaluate patients using appropriate diagnostic tools and clinical assessment strategies to identify nerve-related etiologies of chronic pain.

Objectives: Following this session, the participant will be able to:

1. Identify and differentiate common sites of nerve compression and neuroma formation in the pelvis and genital region, including relevant anatomical landmarks and affected peripheral nerves.
2. Evaluate patients with chronic pelvic and genital pain for potential nerve-related etiologies, using appropriate diagnostic tools and clinical assessment strategies.
3. Review and compare current surgical and non-surgical treatment modalities for pelvic and genital nerve compression and neuromas, including physiotherapy, activity modification, nerve decompression, neurolysis, and nerve pedicle transfer techniques.
4. Learn strategies to minimize complications related to nerve surgery in the pelvis and genitals.