Jane McEachan hosts experts Teun Teunis(Pittsburgh), Julie Adams(Previously of Chattanooga now based in Edinburgh) and David Ring (Austin, Texas) as they discuss Erroneous thinking.

The discussion centres around a short report published in September 2023 entitled Lacertus syndrome, one term, two pathologies.

In this episode we discuss Thalidomide embryopathy with Professor Neil Vargesson & Mr. Wee Lam.

Professor Neil Vargesson is a Developmental Biologist at the University of Aberdeen in Scotland.

Mr. Wee Lam is a Senior Consultant in Hand ＆ Reconstructive Microsurgery, Singapore General Hospital and Editor-in-Chief of the Journal of Hand Surgery(European Volume).

Papers discussed :-

Age-related changes in patients with upper limb thalidomide embryopathy in the United Kingdom

Thalidomide upper limb embryopathy – pathogenesis, past and present management and future considerations

This episode features Mr. Maxim Horwitz. Maxim Horwitz is a Consultant Orthopaedic Hand and Wrist Surgeon in the Hand Unit at Chelsea and Westminster Hospital where he leads the paediatric hand surgery service. He is also an Honorary Consultant for the Major Trauma Unit at St Mary's Hospital and the Royal National Orthopaedic Hospital (RNOH) Stanmore.

In this episode, Jane & Max give us an insight into Artificial Intelligence(AI) and its potential implications for Hand Surgery.

Papers discussed -

Insights and trends review: the role of three-dimensional technology in upper extremity surgery

Evaluation of a convolutional neural network to identify scaphoid fractures on radiographs

This episode features Dr. Miriam Marks, Senior Research Associate & Head of the LFE Hand Surgery Department, Schulthess Klinik, Zurich(Switzerland) and Frederik Verstreken, Consultant Hand and Wrist Surgeon at the AZ Monica Hospital in Antwerp(Belgium).

An in-depth scientific and clinical perspective from experts in Hand surgery and research.

Papers discussed -

Long-term survival analysis of 191 MAÏA® prostheses for trapeziometacarpal arthritis

The ISIS® prosthesis in 77 cases of trapeziometacarpal arthritis: outcomes and survival at a minimum follow-up of 5 years

In this episode Teun Teunis, MD, PhD discusses the concept of Bayesian statistical framework and the future of trial design as well as the implications for Hand Surgery.

Teun Teunis currently works as an assistant professor of plastic surgery at the University of Pittsburgh Medical Center. He specialises in hand and upper extremity surgery, peripheral nerve surgery, including brachial plexus surgery and complex reconstructive and microsurgery. His research interests are related to his clinical practice, with an emphasis on mental and social health and their effects on patient reported outcomes. He received his medical degree with honours from Utrecht University in the Netherlands. He performed his PhD research at the Massachusetts General Hospital and the Harvard Medical School. He returned to the Netherlands to complete his plastic surgery residency at the University Medical Center Utrecht. After which he completed a Hand and Upper Extremity fellowship at the University of Pittsburgh Medical Center.

This episode features Dr. Michael Sandow, Consultant Hand & Upper limb surgeon and inventor of the Adelaide repair.

Associate Professor Michael Sandow specializes in the assessment and treatment of disorder and injuries of the shoulder, elbow, wrist and hand. He is a member of the Australian Hand Surgery Society (immediate past President) and Shoulder and Elbow Society of Australia (recent past President), and continues in active clinical practice as well as working on new and better ways to treat upper limb problems.

We discuss the origins of the Adelaide repair and the following 3 papers:

Risk factors for re-operation after flexor tendon repair

Medium term clinical outcomes of zone IIB/C flexor tendon repairs: the influence of management of FDS tendon

The influence of a nanoparticle gel loaded with siRNA-cyclooxygenase on flexor tendon healing: an in vivo animal study

This episode features Professor Joe Dias, who will be familiar to many of you.

Professor Joe Dias is a Consultant Hand and Orthopaedic Surgeon for the University Hospitals of Leicester with interest in exploring the evidence we use in clinical decision-making. He is Professor of Hand and Orthopaedic Surgery and Head of the Academic Team of Musculoskeletal Surgery (AToMS).

His achievements are too many to mention but include a broad portfolio of research including the SWIFFT and DISC trials. Prof Dias has previously been Editor-in-Chief of the Journal of Hand Surgery (JHSE), President of the British Society for Surgery of the Hand (BSSH) in 2008 and President of the British Orthopaedic Association in 2012.

We discuss 2 papers on the impact of previous surgery on Scaphoid Non-Union reconstruction and a comparison of different palmar approaches for screw fixation of scaphoid waist fractures.