The Aberdeen Hand Course
22nd to 23rd of May 2025
Course fee: £700
22nd to 23rd of May 2025
Course fee: £700
Course Director:
Mr Jamil Ahmed FRCS (Plast)
Course Administrator:
Mr. Martin Shapev
Mr Jamil Ahmed FRCS (Plast)
Course Administrator:
Mr. Martin Shapev
Many Thanks to our host, Prof. Simon Parsons and his Anatomy team at the Suttie Centre.
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Sponsored By:
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Our hand trauma course is a highly interactive hands-on course that is structured to meet the needs of surgeons training in Plastic or Orthopaedic Surgery. Participants will learn the surgical techniques for dealing with hand trauma, with emphasis on soft tissue injuries, including tendon repair, flap reconstruction and bone fracture fixation.
The course format includes practical skill sessions using fresh frozen cadavers. The specimens are well preserved and provide true to life operative experience.
With a faculty to participant ratio of 1:2 this course represents excellent value for money.
The course format includes practical skill sessions using fresh frozen cadavers. The specimens are well preserved and provide true to life operative experience.
With a faculty to participant ratio of 1:2 this course represents excellent value for money.
Accreditation
The Aberdeen Cadaveric Hand Course is fully accredited by the Royal College of Surgeons of Edinburgh and by BAPRAS.
Completion of the course awards the delegate with 12 CPD points from RCSEd and 15 points from BAPRAS
The Aberdeen Cadaveric Hand Course is fully accredited by the Royal College of Surgeons of Edinburgh and by BAPRAS.
Completion of the course awards the delegate with 12 CPD points from RCSEd and 15 points from BAPRAS
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Venue
The Suttie Centre University of Aberdeen Foresterhill Aberdeen AB25 2ZD |
Day One
With a focus on soft tissue, we will cover:
- Venkatswami flap
- Quaba flap
- Foucher Flap
- Littler flap
- Moberg flap
- Radial forearm flap + adipofascial flap
- Baker flap
Day Two
Focusing on hand fracture management & operative techniques:
With a focus on soft tissue, we will cover:
- Surgical anatomy & repair of extensor & flexor tendon injuries
- Surgical anatomy & repair techniques for nerve injuries
- Management of hand infections
- Soft tissue reconstruction with local & regional flaps:
- Venkatswami flap
- Quaba flap
- Foucher Flap
- Littler flap
- Moberg flap
- Radial forearm flap + adipofascial flap
- Baker flap
Day Two
Focusing on hand fracture management & operative techniques:
- Wide awake hand surgery
- Approaches for fracture fixation
- Interactive discussion about managing hand fractures & different techniques used
- Compression plating techniques
- Lag screw bone fixation techniques
- Different types of plating and screw fixation
Timetable
Day 1
08.30 - 09.00 Registration and Coffee
09.00 - 09.30 Extensor tendons
09.30 - 10.00 Flexor tendons
10.00 - 10.30 Local flaps (finger) part 1
10.30 - 10.35 Pre-dissection instructions
11.00 - 12.30 Dissection session (flexor tendon repair and local flaps)
12.30 - 13.15 Lunch Break
13.15 - 13.45 Local Flaps (hand part 2)
13.45 - 14.15 Nerve repair and grafting
14.15 - 14.35 Wide awake hand surgery
14.35 - 14.40 Pre-dissection instructions
14.40 - 17.00 Dissection session
Day 2
08.00 - 08:30 Coffee
08.30 - 09.00 Compartment syndrome and mangled hand
09.00 - 09.30 Metacarpal fractures
09.30 - 10.00 Phalangeal fractures
10.00 - 10.05 Pre-dissection instructions
10.05 - 12.30 Dissection session (fixation of metacarpal and phalangeal fractures)
12.30 - 13.15 Lunch
13.15 - 13.45 MCPJ and PIPJ dislocation/fracture
13.45 - 14.15 Hand fractures in children
14.15 - 14.35 Hand infections
14.35 - 14.40 Pre-dissection instructions
14.40 - 16.30 Dissection session (fixation of hand fractures)
08.30 - 09.00 Registration and Coffee
09.00 - 09.30 Extensor tendons
09.30 - 10.00 Flexor tendons
10.00 - 10.30 Local flaps (finger) part 1
10.30 - 10.35 Pre-dissection instructions
11.00 - 12.30 Dissection session (flexor tendon repair and local flaps)
12.30 - 13.15 Lunch Break
13.15 - 13.45 Local Flaps (hand part 2)
13.45 - 14.15 Nerve repair and grafting
14.15 - 14.35 Wide awake hand surgery
14.35 - 14.40 Pre-dissection instructions
14.40 - 17.00 Dissection session
Day 2
08.00 - 08:30 Coffee
08.30 - 09.00 Compartment syndrome and mangled hand
09.00 - 09.30 Metacarpal fractures
09.30 - 10.00 Phalangeal fractures
10.00 - 10.05 Pre-dissection instructions
10.05 - 12.30 Dissection session (fixation of metacarpal and phalangeal fractures)
12.30 - 13.15 Lunch
13.15 - 13.45 MCPJ and PIPJ dislocation/fracture
13.45 - 14.15 Hand fractures in children
14.15 - 14.35 Hand infections
14.35 - 14.40 Pre-dissection instructions
14.40 - 16.30 Dissection session (fixation of hand fractures)
Learning Outcomes - Day 1
At the end of these sessions, participants will be able to:
Lecture:
Extensor tendon injury
Lecture:
Flexor tendon injury
Lectures:
Local flaps part 1 & 2
Dorsal: Cross finger, Reverse cross finger adipofascial, Foucher, Tremolada, Brunelli
Dissection (am and pm):
Flexor tendon repair and local flaps
Dorsal: Cross finger, Reverse cross finger adipofascial, Foucher, Tremolada, Brunelli
Forearm: Radial forearm, posterior interosseous artery, Becker
Lecture:
Nerve repair and grafting
Learning Outcomes - Day 2
At the end of these sessions, participants will be able to:
Lecture:
Compartment syndrome, mangled hand & replantation
Lecture:
Metacarpal fractures
Lecture:
Phalangeal fractures
Lecture:
MCPJ and PIPJ dislocation/fracture
Learning Outcomes - Day 2 Continued
Lecture:
Hand fractures in children
Lecture:
Hand infections
Dissection:
Fixation of metacarpal and phalangeal fractures (am and pm)
Techniques to be used:
At the end of these sessions, participants will be able to:
Lecture:
Extensor tendon injury
- Describe extensor tendon anatomy
- Identify, examine and describe different patterns of extensor tendon injury in the hand
- Identify when surgical intervention is required, and describe conservative management where appropriate
- Illustrate extensor tendon repair techniques
Lecture:
Flexor tendon injury
- Describe the process of tendon healing, and how treatment and rehabilitation methods influence this
- Assess an emergency patient with a flexor tendon injury
- Discuss the goals of treatment of flexor tendon injuries and the principles recommended for the surgical repair
- Describe Verdan’s zones of tendon injury and the factors important to each zone with regard to surgical repair
- Recognize the types of rehabilitation that can be used and the importance of hand therapy following flexor tendon repair
Lectures:
Local flaps part 1 & 2
- Appreciate important characteristics of local flaps in the reconstruction of hand and forearm defects
- Describe the following commonly employed flaps:
Dorsal: Cross finger, Reverse cross finger adipofascial, Foucher, Tremolada, Brunelli
Dissection (am and pm):
Flexor tendon repair and local flaps
- Demonstrate a zone 2 index finger flexor tendon repair using an appropriate method
- Employ a selction of the following flaps in hand reconstruction:
Dorsal: Cross finger, Reverse cross finger adipofascial, Foucher, Tremolada, Brunelli
Forearm: Radial forearm, posterior interosseous artery, Becker
Lecture:
Nerve repair and grafting
- Describe the anatomy of nerves in the hand
- Appreciate the pathophysiology of nerve injury
- Discuss important aspects of nerve repair including surgical techniques and timing
- Relate different methods of nerve repair such as nerve conduits and nerve grafting
Learning Outcomes - Day 2
At the end of these sessions, participants will be able to:
Lecture:
Compartment syndrome, mangled hand & replantation
- Relate the steps in management of a major hand injury
- Describe the signs and symptoms of compartment syndrome in the hand.
- Describe the surgical approaches for fasciotomies in the forearm and hand
- Manage an amputated part in preparation for replantation
- Discuss the criteria that determine the outcome of replantations
- Compare the different techniques of osteosynthesis used during replantation surgery
Lecture:
Metacarpal fractures
- Distinguish metacarpal fractures by site and radiological appearance
- Consider the indications for surgical and non operative treatment
- Review surgical options for metacarpal fractures and describe the benefits/risks of each
- Describe the surgical approaches to common metacarpal fractures of the fingers and thumb
- Discuss the postoperative rehabilitation
Lecture:
Phalangeal fractures
- Identify fractures that can be treated non-operatively and relate how this is done
- Describe indications for operative treatment
- Name the relevant anatomical structures
- Describe the most common surgical approaches
- Discuss the principles and indications for lag screws
- Discuss the use of other methods of fixation for phalangeal fractures, specifically wiring and plating
- Recognise the importance of an early active rehabilitation protocol
Lecture:
MCPJ and PIPJ dislocation/fracture
- Describe the causes of irreducible dislocation at the MCP and PIP joints
- Identify poor prognostic factors in MCPJ/PIPJ dislocation and fractures
- Discuss important aspects in examination of the MCPJ/PIPJ and its supporting soft tissue
- Describe the benefits of conservative vs. surgical management in different examples
- Discuss different approaches to surgical management
Learning Outcomes - Day 2 Continued
Lecture:
Hand fractures in children
- Explain the common aetiology and epidemiology of paediatric hand fractures
- Assess for rotational deformity arising from a fracture
- Diagnose the type of Salter-Harris fracture pattern
- Differentiate between the need for conservative or operative management of common paediatric hand fractures.
- Identify the specific consequences of paediatric hand fractures
Lecture:
Hand infections
- Describe common infections in the hand, including causative organisms and mechanisms
- Appreciate less common causes of infections in the hand
- Summarise important clinical aspects to assessment and management of infections in the hand
- Draw surgical incisions for hand infections including: palmar infections, flexor sheath infections and felons
Dissection:
Fixation of metacarpal and phalangeal fractures (am and pm)
- Select the appropriate equipment & implants
- Demonstrate appropriate soft tissue dissection and cutaneous nerve preservation where relevant
- Demonstrate correct approach to exposing the fracture
- Identify the best way to reduce and hold the fracture prior to fixation
- Demonstrate sound operative fixation technique Assess the quality of the fixation using the fluoroscan, and critique their fixation
Techniques to be used:
- Compression plate to transverse 5th metacarpal fracture
- Lag screw and neutralization plate to 4th metacarpal fracture
- Lag screws to a spiral proximal phalanx fracture
- Locking T plate to a 1st metacarpal base fracture
Aberdeen Faculty and Delegates 2022
Aberdeen Faculty and Delegates 2019