February 2020

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ezine

CONNECTING OUR GLOBAL HAND SURGERY FAMILY

VOLUME 10 | ISSUE 1 | NUMBER 37 | FEBRUARY 2020

HAND THERAPYTHE UPLOAD ON REHAB MINDER
EXERCISE PRESCRIPTIONSPECIAL FEATURETERMINOLOGY FOR HAND SURGERY:DIGITS, THUMB, FINGERS,NAMES & NUMBERS

3-D Intra-osseous
Blood Supply

UPCOMING EVENTSMEMBER SOCIETY NEWSRESEARCH ROUNDUP
1ADVERTISMENT

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February 2020

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VOLUME 10 | ISSUE 1 | NUMBER 37 | FEBRUARY 2020

THE JOURNAL OF

HAND SURGERY

contents(Asian-Pacific Volume)

An International Journal Devoted to Hand and Upper Limb Surgery and Related Research
Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
Submission at http://jhs-ap.org
https://www.worldscientific.com/jhs

Find out more 
about this journal

4Latest Articles: Volume 24, Issue 03 (Sep 2019)
Research Papers
Evolution of the Ring Concept for the Forearmand Its Implication on Treatment: From Galeazzi,
Monteggia, Essex-Lopresti, and Darrach to theCurrent Era
Kate Elzinga and Kevin Chung
Association between Functional Outcomes andRadiographic Reduction Following Surgery for
Distal Radius Fractures
Ronit Wollstein, Raviv Allon, Yoav Zvi,
Alan Katz, Sharon Werech and Orit Palmon
Long-Term Results of Surgically Treated Radial
Polydactyly – An Outcome Correlation Study
Ching Man Yeung, Alexander Kai Yiu Choi,
Jennifer Wing Sze Tong, Winnie Fok,
Yat Fai Chan and Yuk Yin Chow
Percutaneous A1 Pulley Release Combined with
Finger Splint for Trigger Finger with Proximal
Interphalangeal Joint Flexion Contracture
Tzu-Cheng Yang, Duretti Fufa, Hui-Kuang
Huang, Yi-Chao Huang, Ming-Chau Changand Jung-Pan Wang
Metaphyseal Core Decompression of the Distal
Radius for Early Lunate Necrosis
Christoph U. Schulz
Minimum Ten-Year Outcomes of Partial Ulnar
Nerve Transfer for Restoration of Elbow Flexion in
Patients with Upper Brachial Plexus Injury
Yusuke Nagano, Daisuke Kawamura,
Alaa Terkawi, Atsushi Urita, Yuichiro Matsui
and Norimasa Iwasaki
Forearm Shortening Impact on Pronation andSupination
Luis Schnapp, Salih Colakoglu, Jose Couceiro,
Amir Oron, Guy Brock and Rodrigo N. Banegas
Asymmetric 6-Strand Flexor Tendon Repair –Biomechanical Analysis Using Barbed Suture
Jasmin Shimin Lee, Yoke-Rung Wong and
Shian-Chao Tay

2

A Comparison of Radiographic Outcomes between
3D Preoperative Planning and Conventional
Planning in the Osteosynthesis of Distal Radius
Fractures
Yuichi Yoshii, Yasukazu Totoki, Wen-lin Tung,
Kenichi Akita and Tomoo Ishii
Post-Exertional MRI Is Useful as a Tool for
Diagnosis and Treatment Evaluation for Chronic
Exertional Compartment Syndrome of Forearms
Akiko Tominaga, Kozo Shimada, Ko Temporin
and Ryosuke Noguchi
Diabetic Hand Infection: An Emerging Challenge
Ahmed Suparno Bahar Moni, Monirul Hoque,
Rayhan Ali Mollah, Razia Sultana Ivy and I
srat Mujib
Ulnar Nerve Strain in Functional Elbow andShoulder Motions
Chaiyos Vinitpairot, Surut Jianmongkol,
Tala Thammaroj and Settapon Wattanakamolchai
Systematic Review of the Use of Patient Reported
Outcome Measures in Studies of ElectivelyManaged Hand Conditions
Hawys Lloyd-Hughes, Luke Geoghegan,
Jeremy Rodrigues, Michele Peters, David Beard,
Andrew Price and Abhilash Jain
Outcomes of the Hemi-Hamatum Arthroplasty
Karlis Verdins and Vadims Nefjodovs
Arthroscopic Thermal Shrinkage: A Novel
Method for the Treatment of Chronic Volar Plate
Instability at the Metacarpal Phalangeal Joint of
the Thumb
Yu Chung Wong and Pak Cheong Ho
Thumb Carpometacarpal Arthroplasty with
Dynamic Suspension Sling Using Extensor Carpi
Radialis Tendon
Takehiko Takagi, Yuka Kobayashi and
Masahiko Watanabe
Surgical Treatment of Chronic Hand Ischemia:
A Systematic Review and Case SeriesDavid L. Colen, Oded Ben-Amotz, Thibaudeau
Stephanie, Arman Serebrakian, Martin J. Carney,
Patrick A. Gerety and L. Scott Levin

Editor-in-Chief

Goo Hyun Baek, MD, PhD

Professor and Chairman(Seoul National University Hospital & Seoul
National University College of Medicine,South Korea)

Co-Editors

Yuan-Kun Tu (E-Da Hospital, Taiwan)
Raja Sabapathy (Ganga Hospital, India)
Alphonsus Chong (National University

5

EDITORIAL
Is it true and correct?

The Upload on Rehab Minder Exercise- Ulrich Mennen

Prescription Apps Software

GENERAL
Women in Surgery of the Hand – WISH
Past, present and the future

6

SECRETARY-GENERAL REPORT- Goo Hyun Baek

10 PIONEER PROFILES• Brij Bhushan Joshi

Hospital, Singapore)• Anastasios Giannikas
Carpal Tunnel Release Surgery Plus Intraoperative
Corticosteroid Injection versus Carpal Tunnel
Release Surgery Alone: A Double Blinded Clinical
Trial
Mohammad Mottaghi, Mostafa Zare,
Hamid Pahlavanhosseini and Mina Mottaghi

12

Case Reports
Radial Half of the Second Metacarpal Bone andthe First Dorsal Interosseous Muscle Composite
Flap for Treating the First Metacarpal Bone
Defect: A Case Report
Disorn Janesaksrisakul, Nontich Pongernnak
and Navapong Anantavorasakul
Impaired Extension of the Digits due to Bilateral
Idiopathic Intrinsic Contracture: A Case Report
Yuki Kawasaki, Soichi Ejiri, Michiyuki Hakozaki
and Shinichi Konno
Stress Fracture of the Ossification Center of the
Scaphoid in a Skeletally Immature Gymnast
Hiroyuki Fujioka, Tetsuo Nishikawa, Yohei Takagi,
Takanori Oi and Shinichi Yoshiya

SPECIAL FEATURES- Carmel R. Bain

24 RESEARCH ROUND-UP• The Outcome of Bone Graft Surgery for
Nonunion of Fractures of the Scaphoid• The Vascular Anatomy of the Scaphoid:
New Discoveries Using Micro–Computed
Tomography Imaging

28 MEMBER SOCIETY NEWS• Canadian Society for Surgery of the Hand
• Japanese Society for Surgery of the Hand
• Netherland Society for Surgery of the Hand

Terminology for hand surgery: digits, thumb,• Polish Society for Surgery of the Hand

fingers, names & numbers• Philippines Society for Surgery of the Hand

- Michael Tonkin• Italian Society for The Surgery of the Hand

- Geoffrey Hooper• Korean Society for Surgery of the Hand

- Jin Bo Tang

15

16 HAND THERAPY

ART"Opposition"			

38 UPCOMING EVENTS
List of global learning events and conferencesfor Hand Surgeons and Therapists- Nicolene Louw

3

EDITORIAL

www.ifssh.info

Is it true and correct?
Verbal intelligent language may have started about 500,000 years ago based on the emergence of the FOXP2
gene which was instrumental in the development of the correct neural connections as well as motor andsensory anatomical formation required for speech. After speech, our ancestors around 100,000 years ago,
developed the cognitive ability to record communication in various forms. This physical recording of knowledge
became possible by 'converting' sound into abstract symbols, which led to an exponential growth of collective,
cumulative and lasting knowledge. With the birth of the Internet all this accumulated knowledge has become
potentially available to every single person in our world. However, the correctness of this recorded knowledge

GENERAL

February 2020

Women in Surgery of
the Hand – WISH
PAST, PRESENT AND THE FUTURE

is increasingly being questioned. Misinformation, false and misleading data, half-truths and fake statements

For the first time, during the IFSSH/

female. This proportion is even lower

comments and questions from theare rife. This causes uncertainty in the factual correctness of all we read, hear and see. Unfortunately the same

IFSHT Congress in Berlin in June lastin the surgical disciplines. What

auditorium were very versatile, partly

applies in medicine.

year, a session concerning “Women

happens to the female physicians

very positive but also critical.

in Hand Surgery” took place. Female

after graduation? The so called

How do we separate the wheat from the chaff?

hand surgeons from all over the“leaky pipeline” occurs during

Over all there was a very positive

Many "fact check" websites are available to help us differentiate between fact and fiction.

world presented their professional

the transition from postdoctoral

response concerning this session.

This is certainly helpful, but to check all the information we receive becomes practically impossible because

careers and gave impressions about

qualification to professorship.

we are constantly bombarded by large amounts of information on a daily basis. For this reason we have to behand surgery development especially

Academic qualifications in Germany

The aim now is to encourage more

analytical about any information before accepting it as factual. It is also prudent never to take anything forfor women in their countries.

are closely connected to leadership

female students to become hand

positions. Therefore, few womensurgeons internationally. A network

The speakers were:reach leadership positions. Thishas been initiated called “WISH” –- Eva-Maria Baur, Germany, organizer

phenomenon was also addressed by

Woman in Surgery of the Hand

Take care to notice which words and phrases are used to convey a story or presentation. Subtle nuances can beof the panel

other female speakers.

very convincing. (see Editorial "Watch your language" IFSSH Ezine August 2018 #31) With much effort, the IFSSH- Nicola Borisch, Germany

has compiled a Hand Surgery Terminology list which is freely available on the IFSSH website. (www.ifssh.info)- Caroline Leclercq, France

Caroline Leclerq reported on theHence the Special Feature and one of the Research Roundup reports in this issue of the Ezine.

- Violeta Ley, Argentina

history of women in surgery.

granted. Do not be the first to jump onto the band wagon of new ideas, techniques, or suggestions. Sales talk isdesigned to convince, regardless of its truth.

Power in diversity!

- Ann Van Heest, USA
Professional jargon is essential to capture and simplify the meaning of concepts, but we must take

- Jin Zhu, China

Avanthi Mandelson, vice president

responsibility to use terminology correctly when we speak and write. It is also only right to be meticulous and- Miryam Obdeijn, Netherlandsof the Australia Orthopaedictrue when we communicate.

- Mireia Esplugas, Spain

Association, AOA, presented their- Roshanak Moradi, Iranconcept of the professional society:Best wishes for a good year!

- Margareta Arianni, Indonesia

the “strategic diversity plan”. The

Ulrich- Josephine Wing-Yuk Ip, Hong Kong

goals of the plan should be achieved- Avanthi Mandaleson, Australia

by 2023. The plan aims to establish

Authors:- Ann Nachemson, Sweden

a culture of inclusion for anybody

Eva-Maria Baur,to pursue a career in orthopaedics

Nicola Borisch,Nicola Borisch mentioned at thein order to provide full orthopaedic

Wiebke Hülsemann,

beginning of the panel discussion

services to all Australians.

Isabella Mehlingreference: Intercongress

the gender gap in the German

4

Ulrich Mennen

Medical Universities. Nearly 70%

Sabine Schicke, a journalist andEditor: IFSSH Ezineof medical students are female,coach, moderated the discussion

Past President: IFSSH

but only 20% of the professors areat the end of the session. The

5

SECRETARY-GENERAL REPORT

www.ifssh.info

SECRETARY-GENERAL REPORT

February 2020

Message fromSecretary-General

local congress host to select/award registration

reduce registration rates for those from developing

support to triennial congress attendees. The

countries. Dr Tony Berger approached the IFSSH

German organisers undertook this process andfor additional funding to sponsor such registrants

advised that 18 registrations were sponsored.

to attend. The IFSSH has approved a grant of

These surgeons, at various stages in their training

US$10,000 to be allocated to this programme.

and careers, came from Kazakhstan, Romania,
India, Russia, USA, Nepal, Philippines, Ukraine,

IFSSH Educational Sponsorship•

Bangladesh, Venezuela, Peru, Argentina and Egypt.

Combined Congress, Cúcuta, November 2020

This support reached US$20,000 in total and will be

The Colombian Society for Surgery of the Hand

reimbursed to the local organisers by the IFSSH.

(ASOCIMANO) hosted a bi-national meeting withThe IFSSH Committee for Educational Sponsorship
received a high number of applications throughout

Congress support: Colombian-Venezuelan

the Venezuelan Society for Surgery of the Hand
Surgical Workshop: Kenya, January 2020

and Upper Limb (SVCMRMS) in late 2018. This was

2019. These encompass a variety of courses, projects

With the endorsement of the American Society for

funded by ASOCIMANO and successfully attracted

and initiatives and we have been delighted to fund

Surgery of the Hand, a proposal was forwarded toa high number of Colombian and Venezuelan

proposals that incorporate the regions of Europe,

the IFSSH requesting financial assistance for a one-surgeons. A full report is available in the Ezine -Africa, Asia-Pacific, North America and South America

day workshop in Kenya. The suggested workshop

https://ifssh.info/pdf/issue-36-november-2019.pdf.

in just one year!

- “Managing upper extremity surgery in and out

In 2019, ASOCIMANO members agreed to supportof theatre with surgeon provided tumescent local

their Venezuelan colleagues again and proposed

The following proposals have been successful in theiranesthesia” - is to be held in Nairobi by Dr Don

another combined congress for November

The year 2019 provided us with good memorable events

application for IFSSH support in the past 12 months:

Lalonde in January 2020. Professor Pankaj Jani,

2020. This will be held in Cúcuta again as it is a

including the 14th Triennial Congress in Berlin, the•

2nd International Symposium on Surgery of thethe President of COSECSA the College of Surgeons

convenient city for both groups. The Colombiansponsorship of six educational programmes worth

Spastic Upper Limb, Veniceof Eastern, Central, and South Africa will facilitate

Society requested financial support from theover US$ 50,000, and the election of the Executive

Following the successful meeting in 2017, theinvitations to the program directors and trainers

IFSSH, to share the deficit incurred by providing

Committee members.

organisers proposed a second course to be heldfrom the 24 COSECSA accredited hospitals in

gratis attendance to the Venezuelan colleagues.

in Venice, April 5th - 6th 2019. Recognising the

Kenya. The aim is to have local participants attend

The Executive Committee has approved a grant

In 2020, the Executive Committee is going to expand

extent of international participation in the first

this course to learn of methods that may optimizeof US$2,500 to support the 2020 combined

the financial support for the education of young hand

symposium and the relevance of the specialty

their available surgical options within their

ASOCIMANO/SVCMRMS congress.

surgeons in less favourable environments, invite new

topic, the IFSSH provided US$7500 with a portion

hospitals.

Member Societies to the IFSSH, revise the bylaws fitof this to be allocated to reducing registration costs

Professor Jani and Dr Lalonde requested financial

In addition to these projects, the IFSSH also awarded

to the increasing size of the Federation and its future,for participants from developing nations.

support to help approximately 50 attendees

its first IFSSH Harold Kleinert Visiting Professorship.

and prepare the 15th IFSSH Congress and 12th IFSHT

251 participants from 38 countries attended

with travel and accommodation (approximately

The Visiting Professorship was established by theCongress which will be held in London in June 2022.

this meeting, learning from 48 faculty members$200 each); the instructors will cover their own

IFSSH to support the visit of an eminent hand surgeon

from 15 countries. The IFSSH support allowed

expenses. The IFSSH has approved a grant of

to a hand surgery centre for multiple days, during

the organisers to afford a congress facility to

US$10,000 to support the attendance of local

which the professor would lecture as well as engage

accommodate this increased participation, to waive

attendees at this course.

in a selection of practical exercises, journal clubs andI hope all of you and your family have a happy, healthy•

and prosperous New Year.

Best wishes to all,the registration fees of the faculty and support
three speakers and, as requested, to sponsor theundertake surgery.
•

Developing Country Registration Grant: APFSSH

registration of six participants from low income

Congress, Melbourne, March 2020

countries.

The Asian-Pacific Federation of Societies for

Steven Moran, March 2020

Surgery of the Hand will conduct the 2020 meeting

In March 2020, the 12th Congress of the Asian-

IFSSH Triennial Congress Assistance Grants: Berlinin Melbourne, Australia - March 11-14, 2020. The

Pacific Federation of Societies for Surgery of the			Secretary-General, IFSSH

Congress, June 2019congress has established a scheme for fee-paying

Hand (APFSSH) and 8th Congress of the Asian-

			Email: secretary@ifssh.info

IFSSH funds (up to US$20,000) are available to theregistrants to donate to a programme that will

Pacific Federation of Societies for Hand Therapy

			Goo Hyun Baek

6

•

•

FSSH Harold Kleinert Visiting Professorship: Dr

7

SECRETARY-GENERAL REPORT

www.ifssh.info(APFSHT) will be held in Melbourne, Australia. Thisapplicants and thank all involved for continuing tomeeting is being organised in conjunction withsupport hand surgery education worldwide.

the Australian Hand Surgery Society and the New

If your society is planning education programmes

Zealand Hand Surgery Society and their respective

and needs support to fulfil the goals, please consider

hand therapy colleagues, as well as the Asia-Pacific

if it may be appropriate to submit a request to theWrist Association.

IFSSH. The full guidelines and reports of sponsored

Dr Steven Moran will lecture extensively at the

programmes are available via https://ifssh.info/

APFSSH Congress. He will also teach orthopaedic

educational_sponsorship.php.

and plastic surgery trainees at the preceding 2020
Australian Hand Surgery Society Registrar Course.

Future Meetings

Following the APFSSH Congress he will travel to

A detailed list of national and regional hand surgery

Sydney for a scientific meeting of the New Southmeetings is available on the IFSSH website. The

Wales Hand Surgery Association. During thistriennial IFSSH Congresses are as follows:

Visiting Professorship, Dr Moran will be involved in
the further education of participants of numerous

XVth IFSSH – XIIth IFSHT Congress – London, United

nationalities with varied experience and training

Kingdrom

levels. The IFSSH Executive Committee is pleased

27th June - 1st July, 2022 (to be confirmed)

February 2020

www.ifsht.org | info@ifsht.org

VOL 14 NO 1 | JAN 2020

SPOTLIGHT ON ITALIAN
ASSOCIATION OF HANDREHABILITATIONThe Italian Association of Hand Rehabilitation (AIRM),
established in 1985, has 140 members with many
newly qualified therapists joining in recent years. The
annual national congress, held in collaboration with
the Italian Society for Surgery of the Hand, is oneof the scientific opportunities the AIRM offers every
year. Other opportunities include at least one advanced course with an international speaker and one
intermediate course consisting of workshops or mentoring sessions between new and more experienced
is the keynote speaker for the hand therapy aspectof the conference. She will be joined by a number ofinvited speakers including Dr Emily Ho from Canada
and Dr Aviva Wolff from the United States of America. Two social functions also provide networking opportunities with therapists and surgeons from aroundthe globe. Sign up at: apfssh2020.org to learn more
about what you will experience in Melbourne March
2020. APFSSH and APFSHT look forward to seeing
you in Melbourne!

to honour Dr Steven Moran with the title of “IFSSH
Harold Kleinert Visiting Professor”.

XVIth IFSSH – XIIIth IFSHT Congress – Washington
D.C., USAThe IFSSH Executive congratulate the successful

29th March - 3rd April, 2025
AIRM Executive Committee 2019-2022 (L to R): Ilaria Saroglia, Davide Giulian (President), Manuela Morin (Treasurer), Stefania Paparo (Secretary), Francesco Romagnoli,
Claudia Viganoni, and Davide Zanin.

NEW IFSHT CORRESPONDING
MEMBER: ETHIOPIA

therapists in the field..
In April 2020, Gwendolyn van Strien will present anadvanced course as invited international speaker in
Bologna. The annual congress for 2020 will be heldin Ancona in October. The AIRM welcomes therapists
from other countries to Italy and offers scholarships
for members of the society to present research outputs at congresses abroad. The AIRM website is www.
riabilitazionemano.org/.

The IFSHT welcomes Dheeraj Lamba as the new corresponding representative from Ethiopia, Africa. Dr.
Lamba is an Associate Professor in
the Faculty of Physiotherapy at theInstitute of Health at Jimma University. Ethiopia is the third corresponding member of the IFSHT from theAfrican continent (in addition to
Dr. Dheeraj Lamba
Ghana and Zimbabwe) and the 11th
from around the world.

12TH APFSSH/8TH APFSHTMELBOURNE, AUSTRALIAIFSSH EZINE

The quarterly IFSSH Ezine electronic
publication includes a hand therapy
contribution by Debbie Larson, (UK)
entitled Mindfulness, Health Coaching and Hand Therapy. Please send
contributions for the EZINE to informationofficer@ifsht.org.

The triennial combined Asia Pacific Hand Surgery and
Hand Therapy conference will be held in Melbourne,
Australia from the 11th to the 14th of March 2020. This
joint meeting showcases five combined sessions witha line-up of international experts on current hand surgery and therapy research. This is the biggest handsurgery/ therapy conference of the Asia-Pacific andas such, it will highlight the region’s knowledge as wellas invited international perspectives. Judy Colditz

8

1 2 t h Tr i e n n i a l I F S H T Co n g re s s| London, England

For hand therapy educational events, go to
www.ifsht.org/page/nationalinternational-education-events.

|

J u n e 2 7-J u l y 1 , 2 0 2 2| www. i f s s h - i f s h t 2 0 2 2 . c o . u9k

PIONEER PROFILES

www.ifssh.info

Brij Bhushan Joshi(1928-2009)
Brij Bhushan Joshi was born on 22 August 1928 in Karnal (Haryana) in the

PIONEER PROFILES

February 2020

Anastasios
Giannikas
Greece (1929 – 2012)

northern part of India. He passed the MB.BS. degree from Grant Medical

ifssh
ezine

CONNECTING OUR GLOBAL HAND SURGERY FAMILYIFSSH DISCLAIMER:
The IFSSH ezine is theofficial mouthpiece of theInternational Federation ofSocieties for Surgery of theHand. The IFSSH does not

College in Bombay in 1950 and went on to be the first recipient of a Master’sAnastasios Giannikas was born on 18

endorse the commercial

degree in Orhtopaedics from the University of Bombay in 1954. Following

February 1929 in Trikala, Thessaly-

advertising in thisa general orthopaedic assignment at Irwin Hospital in New Delhi, Joshi

Greece. He received his medical

publication, nor the content

returned to Bombay as the Head of the Orthopaedic Department in the M.G.M.

training at the Medical School ofor views of the contributors

Hospital in 1962.

Athens University, and graduatedto the publication.

in 1954. He continued his training

Subscription to the IFSSH

The M.G.M. Hospital is the main hospital for insured state employees.

in Orthopaedic Surgery at the sameezine is free of charge andHere Prof. Joshi had to treat a steady stream of hand injuries sustained

university. Soon afterwards he became

the ezine is distributed on a

by industrial workers, many serious and complicated. He developed aa Fellow of R G Pulvertaft at thequarterly basis.

dedicated hand ward.  When he did not find a solution for a specific case in

Derbyshire Royal Infirmary in Britain

the literature, he invented one that worked! The sheer simplicity of some offrom 1960 to 1962.

his inventions bears testimony to his inventive mind. The numerous economical and simple hand splints that heShould you be interested toadvertise in this publication,

fashioned out of scrap material and the percutaneous technique he described for the fixation of fractures of the

He returned to Greece to establish the first Hand Clinic at the University

please contact the Editor:

proximal phalanx of the fingers in 1975 exemplify this.

of Athens. In 1964 Giannikas was elected Associate Professor of

ezine@ifssh.info

Orthopaedics. He headed the Hand Surgery Clinic in the Department ofOrthopaedic Surgery from 1963 to 1985.

IFSSH EZINEEDITORIAL TEAM:

many diverse conditions of the hand more effective while reducing the morbidity considerably. JESS spilled overProf. Giannikas founded the Hellenic Society for Surgery of the Hand and

EDITOR:

into the foot when Prof. Joshi evolved a special frame for the correction of Congenital Talipes Equino Varus.

was its President from 1983 to 1985. He was also a co-founder of the East

Professor Ulrich Mennen

Mediterranean Hand Club. He was member of the International College

Past President: IFSSH

On his first tour abroad to Britain, in 1974, he presented many exciting new sensory flaps for the hand.
He developed the Joshi External Stabilization System or JESS. This versatile system made the treatment of

His experience and skill has been reflected in the many chapters he has written in international text books.  Heof Surgeons, the British Orthopaedic Association, the Hellenic Society ofhas authored many original papers on hand surgery in leading journals. Besides this, he also has to his credit

Orthopaedic Surgery and Traumatology, as well as SICOT.

manuals on the JESS fixator applications in hand, wrist, skeletal trauma and foot conditions.

Professor Michael Tonkin
He was married to Lisa, and they had four children. He died on10 January

Prof. Joshi was Past President of the Indian Hand Society as well as the Indian Orthopaedic Association, and has

DEPUTY EDITOR:
Past President: IFSSH

2012.

held offices and memberships in a number of national and international associations.  Awards and recognition

GRAPHIC DESIGNER:

for his work are numerous including the Indian Council of Medical Research Award (1986) and “A Best Citizen of

Anastasios Giannikas was honoured as “Pioneer of Hand Surgery” at The

Tamrin Hansen

India Award” in 1998.

Eighth Congress of the IFSSH in Istanbul, Turkey, June 2001

tamrin.hansen@gmail.com

He was fondly known as Prof. BB Joshi, and was married to Dr. Prabha, who had her own career as the head of
the Central Government Health Scheme. They have two daughters and one son. He passed away on 8 June 2009.
Prof.  Brij Bhushan Joshi was recognised as “Pioneer of Hand Surgery” by the IFSSH at it’s Eighth Congress in

TO SUBSCRIBE GO TO:
www.ifssh.info
administration@ifssh.info

Istanbul, Turkey on 10 June 2001.

10

11

SPECIAL FEATURE

www.ifssh.info

Terminology for handsurgery: digits, thumb,fingers, names & numbers

SPECIAL FEATURE

February 2020

longest. The “middle” finger may be just that in a three-say: “five fingers”, unless of course when referring to  fingered hand, but it may be the middle finger that isa “five-fingered hand”, another congenital condition

missing. In ulnar longitudinal deficiencies, it may notwhich creates difficulties for precise and consistent

be possible to determine which finger(s) is missing andterminology.

which remain. If, indeed, the little finger is missing,is the ulnar digit the ring finger? Why is the “index”

To help Asian authors understand the correct uses, afinger often the longest in this condition? Is it, in fact,

simple English sentence is illustrative: “One hand has

the middle finger? In a hand which has undergone

five digits, that is, one thumb and four fingers,” thoughpollicization with transfer of the index finger for thumb

this sentence may not have Chinese or Japanesefunction, is the middle finger now an index finger? Ittranslation!

usually is the longest finger. Maybe a number is moreaccurate as it becomes the first finger. It certainly

In summary, the preferred terminology for the digits

becomes the “pointer” (indicis) for that hand. For theseof the hand without loss of digits or congenital

The correct use of terminology improves accurate

However, there are potential problems even with thisconditions, we can appreciate that naming becomes

deficiencies uses names rather than numbers. In the

documentation and reporting of hand problems and“correct” terminology. The middle finger is not themore difficult.

appropriate context, the use of numbers for digits ortreatment. It also avoids errors in clinical practice.

“middle” finger; it is the “middle” digit. It is necessary

The European Journal of Hand Surgery has a policy on

for all to appreciate the difference in meaning between

Problems may also arise when considering multiple

second sentence creates a conflict with the first. It does

the correct use of terminology in hand surgery, which

the words, “digit” and “finger”. There are five of thedigits. I (the lead author, MT) have no problem withnot. Exceptions may confirm the rule. Definitions arefollows the International Federation of Societies forformer and four of the latter. The middle finger isthe terminology “three-fingered hand” and would

vital; as is an understanding that many do not speak

Surgery of the Hand Terminology for Hand Surgery

the third digit but the second finger. It is intuitively

prefer this to an attempt to maintain a descriptive

English as a first language.

(2001). Here we would like to highlight the correct

obvious that the middle finger is not the middle of four

terminology using names, particularly when I do notuse of terminology relevant to the digits of the hand,fingers but is the middle of five digits. In this instance,know which finger is which. Fingers one, two andReferences

discuss some possible exceptions and mention

we can explain the terminology by saying that it is thethree seem to be a reasonable description. Similarly,

International Federation of Societies for Surgery of thedifferent usages in some geographical locations..

finger which is situated in the middle (centre) of the“the metacarpophalangeal joints of all four fingers”

Hand Terminology for hand surgery, 2001.

hand, and hence is the middle finger.

rather than “the metacarpophalangeal joints of index,

http://www.ifssh.info.terminology_hand_surgery.php

fingers may be acceptable. Some may consider that the

middle, ring and little fingers” is, for me, acceptable;

General rule: Use of names rather than numbers toindicate the digits of a handSo, despite some difficulties with the use of names,

as is the term “ulnar two digits”. All use numbers. All

Michael Tonkin

The preferred (correct) terminology for the digits of athere is more room for confusion when numbers areare correct. Nor do I have any great problem in using

Geoffrey Hooper

hand without loss of digits or congenital deficiencies

used.

the term “rays” in the context of, for example, theJin Bo Tangis the use of names rather than numbers: the thumb,metacarpal of the first (or thumb) ray, but I understandindex finger, middle (long) finger, ring finger, andPossible exceptions: terminology for hands withlittle (small) finger. Long and small are preferred tofinger loss or congenital deficiencies

middle and little in speech, as middle and little may be

Given this preference for the use of names, there

For people of Asian heritage: understanding the

confused with each other when transcribing dictation

are some other problems which may arise from adifferences between “thumb”, “fingers”, andor using speech recognition. The metacarpals are

determination to always use names rather than“digits”

referred to as the metacarpal of each digit, for example

numbers. Reality demands that we are all aware of

The difference in definitions of “digit” and “finger” has

the thumb metacarpal. The use of numbers may

exceptions and allowances that may be appropriate

to be emphasised. There is no word for digit in thoselead to confusion. Phalanges are referred to as thefrom time to time.

languages based on Chinese characters. They refer toproximal, intermediate (middle) and distal phalanges

that some do.

The Journal of Hand Surgery (European Volume)2019.
Vol44(6) 657-658

five fingers (not five digits), of which the thumb is the(or proximal and distal in the thumb). The use ofHand surgeons deal with injured hands with finger“thumb finger”, just as they refer to five toes. Many ofterminology such as ‘the first phalanx of the second

loss or shortening and with congenital deficiencies.

Asian heritage are unaware that English speakers referfinger’ should be avoided, because it will inevitably

Naming may become challenging or confusing into the thumb and four fingers, and express surprise

result in confusion.

these circumstances. The long finger may not be thewhen they are informed that it is incorrect English to

12

Re-published with permission from the Authors and13

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ART

February 2020

Art Exibit # 10

" Opposition " Nicolene Louw - 2007

14

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HAND THERAPY

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The Upload on Rehab
Minder Exercise
Prescription Apps
Software

HAND THERAPY

February 2020

Some of the technical decisions for the app were

Research was undertaken to consider the efficacy of

influenced by where I live. Perth, Western Australia

Apps used in healthcare. Do they promote behavior

is one of the most isolated cities on the planet. Ourchange and adherence to therapy? O’Brien (2012) instate is over a million square miles (2.6 million square

his editorial on improving adherence to hand therapy

kilometers) and the healthcare services in Perth haveexercise programs highlighted that education in a

to cater for rural and remote patients. We have a good

consultation alone does not translate to the patient

Patient Assisted Travel Scheme but attendance torecalling instructions. Adherence can be optimised

therapy can be affected by the geographical context.

by teaching the patient to use alarms and timers

Mining and resources are major industries with a large(Radomski, 2011) . Systematic reviews by Free et al.

fly-in fly-out workforce.

(2013) and Mosa et al. (2012) on mobile healthcare
applications provided validation that apps were an

When designing Rehab Minder, it needed to be a tool

emerging and useful tool for enhancing patient carethat could work anywhere, anytime without telephoneand education. Even though the technology was

network or Wi-Fi connection. This could be achieved

relatively new, healthcare apps had alreadywith a native app platform. The intention was to build

shown a benefit in smoking cessation, medication

it for iOS (Apple iPhone) first and then Android.

management, diabetes, chronic disease management,
and short-term benefits for physical activity
interventions (Free et al., 2013; Mosa et al., 2012; Zeng et

Rehab Minder Hand Therapy App had an extraordinary conception. Inal., 2016).

2012, I found myself on the opposite side of the therapy table than what
I was used to. I was working part-time in hand therapy, a mother of two

Prior to healthcare apps there had been studies

young children, and a physiotherapy patient for a chronic

undertaken on the use of video and DVD to enhance

condition. As health professionals we assume that we would behome exercise programs with high patient satisfaction

outstanding patients but in my case adherence to a home program wasand self-reported adherence (Kahlil et al., 2012;

inconsistent. It was difficult to superimpose a home program on top of

Kingston et al., 2009). Reo and Mercer (2004) concluded

the daily life demands. What I really wanted was an app on my phonethat live and video modelling of exercises is more

to remind me of my exercises and when to do them. It struck me - myeffective than handouts for achieving performancephysiotherapist was asking me to do exercises a few times a day, yet

accuracy in an exercise program.

often we are asking our patients to attempt hourly exercises. Surely handtherapy patients would want such an app to assist them in adhering to a

By 2014, Rehab Minder was ready for an upgradedhome program too. So, I started designing it.

version. More exercises were added, including dynamic
stabilising exercises for wrist and thumb, taking theCarmel R. Bain BAppSc(OT),
Perth, Australia

The first dedicated hand therapy exercise prescription software was built

count to 343 elbow, wrist and hand exercises. The app

carmel@rehabminder.com

following a 14 month collaboration with an app development company.

installation was also split into two stages for a few

Rehab Minder was released on thereasons. It would be quicker to install, not require Wi-Fi
to download, and the patient could get started with a

16

App Store in May 2013 (see figure 1). The design elements from thelimited version of the app with only active range ofperspective of a therapist were to have a quick set up, and adjustablemotion (AROM) exercises. The second installation ofparameters for the exercises. Any extra instructions could be typed in.

the app was for the remaining therapeutic content:

From the perspective of being a patient, I wanted the reminders, theFigure 1: Images from Rehab Minder iOS app.

non-exercise therapy, passive ROM, active-assisted

exercises demonstrated, and to have a record of my adherence so I could

Movement is demonstrated with GIF images

ROM, and resisted exercises. A summary of the

feedback to my therapist with some accuracy.

rather than video to keep the storage size of the app

program is able to be emailed to the practitioner forloweasy documentation.

17

HAND THERAPY

www.ifssh.info

Native Apps and Cloud-based Apps

The advantages of cloud-based software forTechnology in healthcare is an evolving space.

practitioners includes the functionality, which can be

By 2017, cloud-based software was extensively

seen in figures 3, 4 and 5, to:available. Native apps (a software program that is•developed on a particular platform) are reliable and

HAND THERAPY

February 2020••

symptom levels

add any content in their own language. Additions or

Ability to write and save comments to discuss withedits of exercises can be shared to other TrackActive

practitioner at next consultation

subscribing clinics.

Having the contact details of their treating clinic

Access their clinic database over any internet

Latest Updates

connection

Lin et al. (2019) published 11 best practice‘owned’ by the patient but cloud-based or web-based•

Curate the database of exercises from the Rehab

recommendations for care in musculoskeletal pain

apps allow more content, function and communication•

Minder Hand & Upper Limb (H&UL) content and the(figure 6). Patient-centred care and the evaluation ofphysiotherapy TrackActive content

progress using standardised outcome measures are

Add or edit any exercises with text, still images andpart of those recommendations. Finding out what isvideo

a priority for the patient can be quantified on the app

Utilise templates of condition-specific exercises orusing the electronic Patient Specific Functional Scalecreate new templates(Stratford, 1995). A battery of Patient Reported Outcome

Offer free app, printout or email of home exercise

Measures (PROMs) has also been added for bodyprograms (HEPs) to patients

regions including the Disabilities of the Arm Shoulder

between the practitioner and patient. Rehab Minder
partnered with physiotherapy-built software,•

TrackActive, so that the specialist hand and upper
limb content could be provided as a more progressive•

exercise prescription tool (figure 2).
•

and Hand (DASH) (Hudak et al., 1996), QuickDASH(Beaton et al., 2005) and the Upper Limb Functional
Index (Gabel et al., 2006).

Figure 4: Section of a template PDF fromTrackActive

Figure 3: Screenshots of the hand practitioners
TrackActive database.
Figure 5: Screenshots of TrackActive patient app.
attached to their exercises.
For patients the benefits include:•

Photos or video footage of their exercises being

The readability of the Rehab Minder H&UL content

demonstrated

within TrackActive is ≤ US grade 8 based on the

Clearly see variables like frequency of exercise,U.S National Institutes of Medicine (2019) and otherweight to use, and number of repetitions

national healthcare organisations recommendations•

Setting own reminder times on the app(Badarudeen & Sabharwal 2010).  The language is

Figure 6: Best practice recommendations for care in•

Ability to log exercise completion and record

English, however practitioners are able to edit or

musculoskeletal pain.

•
Figure 2: Rehab Minder partners with cloud-based
software TrackActive in 201718

19

HAND THERAPY

www.ifssh.info

HAND THERAPY

February 2020

The Örebro Musculoskeletal Screening Questionnaire

the Pulvertaft Hand Unit in Derby, UK. Chelsea &References:(Gabel et al., 2012) in short form is also included. These

Westminster Hospital, also in the UK, launched a hand•

PROMs are scored, recorded and re-administeredtherapy app in 2017.

Beaton DE, Wright JG, Katz JN. Development of the

Physiotherapy. 2017, 63: 161–7.
•

Lin I, Wiles L, Waller R et al. What does best practice

QuickDASH: Comparison of three item-reduction

care for musculoskeletal pain look like? Eleven

within the secure software. The patient can complete

approaches. Journal of Bone and Joint Surgery. 2005,

consistent recommendations from high-quality

these in the clinic, or via link that is emailed.

87: 1038-46.

clinical practice guidelines: Systematic review.

Bararudeen S, Sabharwal S. Assessing the readability

British Journal Sports Medicine. 2019.

Functional exercise prescription is the backbone•

Since 2017, more research on electronic health hasof a patients’ recovery and follows client-centeredof patient education materials: Current role inbecome available. A randomised trial of using an app

treatment. With the past decade of App and cloud-orthopaedics. Clin Orthop Relat Res. 2010, 468(10):to write easy-to-read health materials. 2019. https://with remote support does achieve better outcome thanbased software development, we now have more2572-2580

medlineplus.gov/etr.html (11/11/19)

paper handouts alone for people with musculoskeletal

tools that we can utilise to benefit the workflow of

conditions (Lambert, 2017). Ouegnin and Valdes (2019)practitioners and the adherence of patients to therapy.

•

reported 69% of patients in a convenience sample

Free C, Phillips G, Galli L, Watson L, Felix L, Edwards

Mosa AS, Yoo I, Sheets L. A systematic review ofhealthcare applications for smartphones. BMC

health technology-based health behaviour change orMedical Informatics and Decision Making. 2012, 12:67.

The TrackActive software offers a free 30 day trial atdisease management interventions for health care

Providing HEPs in electronic format reduces barriers

www.trackactive.co

consumers: A systematic review. PLoS Med. 2013, 10:••

United State's National Institute of Medicine. How

P, Patel V, Haines A. The effectiveness of mobile-

preferred HEPs in video format compared to paper.
to program adherence. Programs can’t get lost, alarms••

O’Brien L. The evidence on ways to improve patient’s

e1001362.

adherence to hand therapy. Journal of Hand Therapy.

Gabel C, Michener L, Burkett B, Neller A. The

2012, 25: 247-50.

and reminders are built in, and the capability of the

To request the Rehab Minder H&UL therapy module

patient to review exercise demonstrations are easy toemail support@trackactive.co and identify yourself as

upper limb functional index (ULFI): Development

access.

a hand practitioner. Should you take on a subscription

and determination of reliability, validity andperceptions regarding a written home exercise

to TrackActive a 50% discount will be applied to yourresponsiveness. The Journal of Hand Therapy. 2006,

program or video self-modeling: A cross-sectional

A survey of Certified Hand Therapists in the USA

account for the first 6 months. During signup, apply

19: 328-49.

study. Journal of Hand Therapy. 2019.

reported more than 93.2% rated a clinical app withthe coupon code RehabMinder50 to have this discount

HEPs as moderately to extremely important, figure 7

automatically added to your account.

•Radomski MV. More than good intentions: Advancing
adherence to therapy recommendations. The

Questionnaire: Validation of a modified primary care

American Journal of Occupational Therapy. 2011, 65:

These instructions can also be found at https://www.

musculoskeletal screening tool in an acute work471-7.

trackactive.co/trackactive-rehabminder/

injured population. Manual Therapy. 2012, 17: 554-65.

other native exercise prescription apps available tohand practitioners. Physiotherapist Laura Edwards•

Ouegnin A, Valdes K. Client preferences and

M. The Örebro Musculoskeletal Screening(Short, 2018).
In addition to the Rehab Minder iOS app, there are twoGabel CP, Melloh M, Burkett B, Osborne J, Yelland••
The Rehab Minder iOS app can be found at https://apps.

(née Parker) developed the CORE Hand iOS app at

written instruction on learning an upper-extremityof an upper extremity outcome measure: The dash

exercise program. Physicl Therapy. 2004, 84: 622–

(disabilities of the arm, shoulder and hand). American

633.

•

Short N, LaRowe J, Treherne T, Francis O, Garau C,
Schutt M, Wei CY.  Exploring the needs of certified

Busse M. Adherence to use of a home-based exxercise

hand therapists regarding electronic applications.

DVD in people with Huntington Disease: Participants'

Journal of Hand Therapy. 2018, 31: 52-8.
•

Stratford P, Gill C, Westaway M, Binkley J. Assessing

Kingston G, Tanner B, Gray MA. A pilot study

disability and change on individual patients: A report

evaluating a home exercise DVD for patients whoof a patient specific measure. Physiotherapy Canada.

reside in a rural and remote location. Journal of Rural

1995, 47: 258-63.

and Tropical Public Health. 2009, 8:1-7.
••

Khalil H, Quinn L, van Deursen R, Martin R, Rosser A,

perspectives. Physical Therapy. 2012, 92:69-82•

Reo JA, Mercer VS. Effects of live, videotaped, or

Hudak PL, Amadio PC, Bombardier C. Development

Journal of Industrial Medicine. 1996, 29: 602-8.
•••

Zeng, E., Heffner, J., Copeland, W., Mull, K., & Bricker,

Lambert TE, Harvey, L. A., Avdalis, C., Chen, L. W.,

J. Get with the program: Adherence to a smartphone

Jeyalingam, S. Pratt, C. A., Tatum, H. J., Bowden, J.

app for smoking cessation. Addictive Behaviors. 2016,

L., Lucas, B. . An app with remote support achieves

63: 120.

better adherence to home exercise programs than•apple.com/au/app/rehab-minder-therapy-assistant/Figure 7: Taken from Short N, LaRowe J, Treherne T, Francis O, Garau C, Schutt M, Wei CY. Exploring thepaper handouts in people with musculoskeletal

id647025352 and is free for the first AROM

needs of certified hand therapists regarding electronic applications. Journal of Hand Therapy. 2018, 31: 52-8.

conditions: A randomised trial. Journal of

installation and the second in-app purchase.

20

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February 2020

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23

RESEARCH ROUND-UP

www.ifssh.info

Research Roundup
THE OUTCOME OF BONE GRAFT SURGERY FORNONUNION OF FRACTURES OF THE SCAPHOID.
Ammori MB, Elvey M, Mahmoud SS, Nicholls AJ, Robinson S, Rowan C,
Spence S, Wade RG, Karantana A, the British Society for Surgery of theHand Scaphoid Nonunion Group, Davis TRC.
J Hand Surg Eur Vol. 2019; 44; 676–684. Full article available
for free download - https://journals.sagepub.com/doi/full/10.1177/1753193419841278

February 2020

RESEARCH ROUND-UP

appeared the most important determinants of the outcome of the scaphoid fracture non-union surgery.
Thus there remains uncertainty whether any one type of bone graft or any one type of fixation device issuperior to another. However it should be stressed that none of our cases were randomly allocated to one
specific treatment and the choice of treatment was probably determined on an individual basis by thecharacteristics of the non-union. Not all non-unions are the same.
3. What should all hand surgeons (and or hand therapists) reading your article understand about thefindings of your research?
Health professionals treating scaphoid fracture non-unions should stress to their patients that:1.

smoking does appear to be a significant determinant of outcome.  However we do not know how long one
would have to stop smoking to remove the deleterious effect of smoking on the outcome of surgery;

2. leaving a scaphoid fracture non-unions untreated for a year or two, to allow patients to achieve someshort-term work or social goals, is not advisable.
4. Will you be conducting further research/publishing further work on this topic? If so, what will it
entail??
We intend to continue our studies of the outcome of scaphoid fracture nonunion surgery but have not yet

1. What were your main reasons for writing this article?

decided on specific research questions to address.   We are holding a research forum in December at which

There were two main reasons.

interested UK surgeons, trial methodologists and statisticians will discuss and prioritise potential researcha.

questions and consider the feasibility of performing large multicentre prospective studies to address them.

We wanted to investigate whether the success rate (union rate) after scaphoid nonunion surgery in the

United Kingdom matched the high success rates reported in peer-reviewed journals. We had wondered

Such studies are necessary to improve the outcome of scaphoid nonunion surgery.

whether the published success rates were artificially higher than those normally achieved due to publication
bias (researchers only wishing to report their outcomes if their results are good).

Perhaps the most important conclusions of the present study is that future studies must:b.

1.

We had previously completed a systematic review of peer-reviewed papers reporting the outcome ofconsider and adjust for confounding factors, mainly smoking status and the time delay from the acutefracture to the surgery for the scaphoid fracture non-union.

scaphoid fracture non-union surgery1. This revealed a lack of standardisation between studies on the:2. consider how should union after scaphoid fracture non-union surgery is determined. This is highlighted•

definition of a scaphoid fracture nonunion (as opposed to delayed union);•definition of union after non-union surgery;by the significant number of cases in our study where, with the length of follow-up available and the•length of follow-up;

radiological imaging possible, the treating surgeons were uncertain whether the scaphoid fracture non-•lack of data regarding potential confounding factors such as:					union had united or the non-union persisted. Future research on scaphoid fracture non-union surgery- interval between the acute fracture and the nonunion surgery and;probably requires CT scans at a specific post-operative time point to determine union status, but even then- smoking status.

it may not always be possible to say whether a scaphoid fracture nonunion has “definitely united” or has

This made it impossible to draw any firm conclusions on whether variations in treatment (i.e. vascularised“definitely not united”.

versus non-vascularised bone graft; distal radius or iliac crest non-vascularised bone graft) influence theoptimum of scaphoid fracture non-union surgery.

Tim Davis*
Consultant Hand Surgeon

2. What are the most interesting/important results and conclusions of your article?

Nottingham University Hospitals

TThe results of our paper need to be treated with caution. Although the number of scaphoid fracture non-

Nottingham

unions reported was large, the data was collected retrospectively from the notes and we only had adequateUKdata on 462 out of 806 cases. However the data from the 462 cases allowed a detailed analysis of the impact*on behalf of the British Society for Surgery of the Hand Scaphoid Nonunion Group.

of various factors on the outcome of the non-union surgery.  The important finding was that two factors whichwere beyond the influence of the surgeon, namely:

Reference

1.

1. Ferguson DO, Shanbhag V, Hedley H, Reichert I, Lipscombe S, Davis TRC. Scaphoid fracture non-union: asmoking and;2. time interval between the acute scaphoid fracture and the scaphoid fracture non-union surgery;24

systematic review of surgical treatment using bone graft. J Hand Surg Eur Vol. 2016; 41: 492-500.

25

RESEARCH ROUND-UP

www.ifssh.info

THE VASCULAR ANATOMY OF THE SCAPHOID:
NEW DISCOVERIES USING MICRO–COMPUTEDTOMOGRAPHY IMAGING
Mohamed Morsy, M. Diya Sabbagh, Nick A. van Alphen, Alexis T.
Laungani, Assaf Kadar, Steven L. Moran
Journal of Hand Surgery (American) November 2019 Volume 44, Issue
11, Pages 928–938

February 2020

RESEARCH ROUND-UP

This new information can be utilized to update our understanding of avascular necrosis and its etiology, as
well as to describe safe zones for surgical intervention and instrumentation of these bones. A more thoroughunderstanding of the intricacies of the carpal bone vascular system may have wide spread ramifications onbone pathology, fracture fixation, and surgical intervention.
2. What are the most interesting/important results and conclusions of your article?
This study identifies two distinct types of scaphoid morphology with one of them having a less robust boldblood supply, which may prove to be related to development of nonunion, AVN or Preiser's disease.
3. What should all hand surgeons (and or hand therapists) reading your article understand about thefindings of your research?
All scaphoid specimens studied received vascular inflow from the dorsal ridge forming a vascular networkthat supplied an average of 83% of the bone’s volume. This network was supplemented in 4 specimens withvolar vessels entering at the waist. Another vascular network was identified, created by vessels entering
volarly at the tubercle, which supplied the remainder of the scaphoid. One specimen did not receive any
vessels at the tubercle.
With regards to screw placement, screws placed in the central axis were the least disruptive to the internalvascularity, followed by the antegrade (dorsal) insertion axis. Two morphological bone types were identified;
type I or full scaphoids and type II or slender scaphoids. Type I possessed a more robust internal vascular
network than type II scaphoids
4. Will you be conducting further research/publishing further work on this topic? If so, what will it
entail??
We continue to evaluate the blood supply of the carpus. We have previously examined the blood supply tothe lunate and capitate using similar technology. We would like to further examine the remaining carpal
bones.  In addition we will be performing clinical studies to see if scaphoid shape is linked to Preiser’s

Micro-CT image of the blood supply inside the scaphoiddisease or the risk of developing AVN or nonunion.

1. What were your main reasons for writing this article?

As technology continues to advance, we would believe that someday there will be a means of real time

Although the vascular anatomy of carpal bones has been extensively studied in the past, it remains aevaluation of carpal bone vascularity; thus one could identify early evidence of AVN, identify scaphoid

topic of great interest to hand surgeons. Since the monumental publications of Gelberman, there has been

fractures which would benefit from vascularized bone grafts and limit the potential for blood vessel injury

substantial advancement in imaging technology with both MRI and micro-computed tomography (micro-CT).

following hardware placement. Until that time, surgeons will need to rely on their knowledge of anatomy

Although studies utilizing the Spalteholz technique have stood the test of time, they provide primarily two-and remember the most common patterns of carpal blood flow in order to minimize nutrient vessel injury

dimensional imaging. To overcome these shortcomings, more recent studies have used micro-CT techniquesand maximize carpal bone healing potential.

to visualize the intraosseous vascular network.
This technology can provide accurate three-dimensional information that was not possible with more classic

Steven L. Moran

techniques. The image resolution of micro-CT can allow for imaging of structures of 1-2µm. In addition,

Professor of Plastic Surgery

newer low viscosity radiopaque substances can fill the interosseous microvasculature. Using this technology,

Professor of Orthopedic Surgery

measurements can be made that were not previously possible such as vessel diameters, length and volume

Mayo Clinic, Rochester MN,

measurements. All of this can be obtained without alteration of the internal bony architecture that could(507) 284-2736

occur with the previous decalcification techniques.

moran.steven@mayo.edu

2627

MEMBER SOCIETY NEWSwww.ifssh.info

Member Society News
CANADIAN SOCIETY FORSURGERY OF THE HAND

MEMBER SOCIETY NEWS

February 2020

JAPANESE SOCIETY FORSURGERY OF THE HAND (JSSH)
1) President’s greetings
The JSSH is one of the oldest hand surgery

recipient of this prestigious award. We thank Paladinsocieties in the world and one of the eight founding

Labs for their support of the academic pursuits

member societies of the IFSSH. Our society hasof our graduating residents and look forward tocontributed internationally to the development of

On June 25th, 2019, the Canadian Society for Surgery

applications for next year's scholarship. There will

hand surgery, and intends to do even more. Theof the Hand (CSSH) held its annual meeting in St.

be a presentation at next year’s meeting reflecting

photo includes the members of the present board ofJohn’s Newfoundland. This represents the fourth

the lessons learned during fellowship from our

Dr Donald Lalonde (President of CSSH) with Dr Leif

directors. (President: Prof. Hiroyuki Kato of Shinshu

meeting since the rebirth of the CSSH, formallyscholarship recipient.

Sigurdson at the annual meeting of the Canadian

University).

known as MANUS. The meeting was a resounding

Society for Surgery of the Hand in St. John’s,

success; there is a clear and keen interest in hand

It is with gratitude that we thank our executive

surgery happening in Canada, reflected by the rapidly

committee for all their hard work putting together

The JSSH was founded in 1957, with 50 participants

growing attendance to our yearly meeting.

a successful and fun meeting. This includes ourattending the 1st annual meeting later that year. The

president, Dr Donald Lalonde, our president elect, Dr

annual JSSH Meeting is held every year in April.

The meeting was attended by over 100 surgeons,Avi Islur and the rest of our executive; Drs Heather

Through the tireless efforts of many senior hand

fellows, and residents from across the country. The

Baltzer, David Tang and Paul Binhammer. We also

surgeon pioneers, the JSSH has now grown to 3,545

scientific program reflected the breadth of experience

express gratitude to our meeting sponsors, Paladin

regular members, approximately 13% of whom areand knowledge in hand surgery flourishing acrossLabs, ConMed, Axo- gen and Stryker.

plastic surgeons.

on clinical pearls and surgical techniques as well

We expanded our CSSH board this year and are

As the Society grew over the decades, a stronger

as talks on patient-reported outcomes and ways toexcited to welcome our new board members: Drs

administration system was needed to properly

improve and integrate research projects into yourKevin Cheung, Josh Gillis, Ruby Grewal, Barbara

manage it. Prof. Tamai of Nara Medical University

hand surgery practice. Several lectures were given

Jemec, Aaron Knox, Blair Peters, Dominique Tremblay

CSSH Vice President, Dr David Tang with meeting

was elected the first President of the JSSH in 1999,

regarding the use of local anaesthetics and peripheral

and Kevin Zuo.

attendees at the CSSH Meeting in St. John’s.

with the position being inherited by eight hand

Newfoundland, 2019

surgeons after him. The JSSH organizational

Newfoundland, 2019

2) Foundation and development of the JSSH

Canada. There were many engaging presentations

nerve blocks for wide awake hand surgery.
Canada continues to advance and lead this field andNext year, our annual meeting will take place instructure consists of the president, two vicethis was reflected in many of the presentations at theQuebec City on Tuesday 16 June, the day before thepresidents, nine directors, two auditors, and 249

meeting.

Canadian Society of Plastic Surgeons meeting. Search

representatives. The congress president, elected

our website at https://www.c- ssh-sccm.com/ forevery year, is entrusted with the management of the

A notable highlight included a history of CSSH/

registration and details. We look forward to an evenannual meeting.

MANUS provided by Dr Bowen Vaughan. Our program

greater program jam packed with clinical pearls andfeatured high quality presentations from several

expert guest lectures and panels. With our new board

The JSSH established the National Board System ofresidents and fellows, demonstrating a bright future

members and fresh ideas, this meeting is sure to be

Hand Surgery in 2011. Currently, 972 members haveahead for hand surgery in Canada with many young

fun and innovative. Don’t miss this opportunity toobtained board recognition of four years’ training inleaders emerging in the field.

visit Canada!

history of hand surgery, academic achievement in
the field of hand surgery, a written examination, andThis year we introduced a hand surgery scholarshipan interview.

to support a graduating resident pursuing a fellowship

Blair Petersin hand surgery. Paladin Labs Inc. supported this

Fellow - Hand, Peripheral Nerve, Microsurgery

One of the many great talks on wide awake handaward that was presented to Dr Blair Peters from

Washington University in St Louis USA.

surgery at the CSSH meeting in St. John’s,3) International activities of the JSSH

the University of Manitoba. Dr Peters is the first

blairpeters01@gmail.com

Newfoundland, 2019.

Contribution to the IFSSH

28

29

MEMBER SOCIETY NEWSwww.ifssh.info

MEMBER SOCIETY NEWS

February 2020

NETHERLAND SOCIETY FORSURGERY OF THE HAND

The 3rd IFSSH Congress in 1986 was the first major

Prof. Tajima of Niigata University was elected asfeature eight prominent doctors from abroad whointernational meeting hosted by the JSSH (President:

the first President of the APFSSH in 2000. Later,

will give lectures on the current hot topics in handProf. Tatsuya Tajima of Niigata University). This

the 5th APFSSH meeting was held in Osaka in 2005

surgery. Two additional special lectures will beinternational involvement was followed by the(President: Prof. Ikuta of Hiroshima University;

included as the detailed program becomes finalized.

The first formal hand surgery meeting of the

2nd International Symposium on the Wrist in 1991

Secretary General: Dr. Minamikawa of Kansai Medical

The meeting will be an excellent opportunity to

Nederlandse Vereniging voor Handchirurgie(President: Prof. Miura of Nagoya University) andUniversity). Prof. Beppu of St. Marianna University

acknowledge and examine the practice of hand

(NVVH) was held in 1966 , when the Dutch andthe 5th International Symposium on Congenital

was elected President of the APFSSH in 2012, andsurgery specialists.

Belgian Associations for Plastic Surgery hosted theDifferences of the Upper Limb in 2000 (President: Prof.

Prof. Kanaya of University of the Ryukyu was elected

Ogino of Sapporo Medical College). Prof. Yamauchi

Secretary General Elect at the previous APFSSH

5) New secretariat of the JSSH

From that, the enthusiasm was born to found theof Juntendo University was elected President ofmeeting in 2017. The current JSSH delegate of the

The JSSH will be changing Secretariat from Congress‘Dutch Club for Surgery of the Hand’.  Initiated by

the IFSSH in 1998 as the first Japanese to hold the

APFSSH is Prof. Hirata of Nagoya University.

Corporation to ISS, Inc. on 1 February 2020. The new

Jacques van der Meulen and Johan Landsmeer,

address is: ISS, Inc., Mita MT Bldg. 8F, 3-13-12 Mita,

several plastic surgeons joined the Club to share theirposition. Drs. Akio Minami and Kazuteru Doi wereInternational Conference on Surgery of the Hand.

recently elected as ‘Pioneers of Hand Surgery’ byInternational exchange traveling fellowship programs

Minato-ku, Tokyo, 108-0073, Japan;

knowledge at the annual meetings. International

the IFSSH in 2019. With their inclusion, a total of 17

The JSSH has exchange traveling fellowship

TEL: +81-3-6369-9985; E-mail: office@jssh.or.jp; URL:

cooperation was quickly found and in 1970 a joint

Japanese hand surgeons have received this honor.

programs with hand societies in four foreignwww.jssh.or.jp

meeting of the Dutch Club for Surgery of the Hand

The present Japanese delegate of the IFSSH is Prof.

countries and regions (United States, Hong Kong,

with the American Society for Surgery of the Hand

Ryosuke Kakinoki of Kinki University.

Korea, and Taiwan). Many young JSSH members(ASSH) was organized.

are applying for these programs, and competition is
The 4th Italian-Japanese joint meeting was held inincreasing. Candidates are selected on the basis of

In 1972, The Dutch Club decided to become a more

Florence, Italy, in October 2019 during the 57th Italian

their English ability in interviews as well as of theirformal Society for Surgery of the Hand called

Hand Society Annual Meeting. In addition to the main

academic careers and performance.

Nederlandse Vereniging voor Handchirurgie, as

topics of Kienbock’s disease and finger reconstruction,

We congratulate all Hand Societies worldwide on

we know it ever since. The Dutch Society became

several papers by Japanese surgeons were presented

their constant evolution and we hope to keep a close

a member of the IFSSH in 1975 during the Parisas symposia, free papers, and posters.

relationships with them as members of the IFSSH andmeeting, and the Netherlands hosted the first IFSSHAPFSSH.

Congress in 1980. From then on, The Dutch Society for

In December 2019, the JSSH was invited to a round

Surgery of the Hand gradually became the platform

table session at the 55th annual French Hand Surgery

4) Annual meeting of the JSSH

Hiroyuki Kato, MD

Yuzuru Kamei, MD

where Dutch hand surgeons could discuss cases, andSociety (SFCM) Meeting. The session, which centered

The 62nd Annual JSSH Meeting was held in Sapporo

President of JSSH

Vice President of JSSH

share their scientific efforts.

on Japanese innovations and the scope for futureon April 18–19, 2019. Congress President Prof.

(Shinshu University)(Nagoya University)

hand surgeries, was organized and chaired by Dr.

Iwasaki of Hokkaido University led the meeting

Nowadays, two scientific meetings are organized

Satoshi Ichihara of Juntendo University, who is also

theme of “Be Ambitious, Be Innovative”. Active

every year. Every two or three years, meetings arean associate member of the SFCM. All five speakers

discussions abounded among the 1,715 participants

combined with the Dutch Society for Hand Therapy,

were leading members of the JSSH.

on the 726 poster presentations and papers. As aand the Belgian Society. The Dutch Society is still

special program, the Dr. Toshihiko Ogino Memorial

growing gradually, and currently has 261 members.

Looking forward, the JSSH is currently planning the

Symposium was held in honor of his achievements

At first it was mainly the domain of plastic surgeons,

7th Combined Meeting of the Japanese and Americanand noble character.

but currently a large number of orthopaedic surgeonsSocieties for Surgery of the Hand to be held at theand trauma surgeons with a special interest in

Sheraton Waikiki in Oahu, Hawaii, from 27 to 29

The 63rd Annual JSSH Meeting will be held in Niigata

hand surgery are members. Cooperation and shared

March 2021. The Presidents of the meeting will be

City (Congress President: Dr. Naoto Tsubokawa ofenthusiasm for hand surgery remains the principle on

Prof. Hirata of Nagoya University from the JSSH and

Niigata Hand Surgery Foundation) on April 23–24,

Hitoshi Hirata, MD

Ryosuke Kakinoki, MD

Prof. Rizzo of the Mayo Clinic from the ASSH.

2020 (URL: https://admedic.co.jp/jssh2020/greeting.

Vice President of JSSH

Delegate of IFSSH

Contribution to Asian Pacific Federation of Societieshtml). The main theme of the meeting is “Lesen,

Delegate of APFSSH(Kinki University)for Surgery of the Hand (APFSSH)

Denken, und Arbeiten” in German. This event will

(Nagoya University)

30

which the Society thrives.
Besides these meetings, the Society supports research
projects for PhD theses as well as travel grants.

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JOURNALHIGHLIGHTSMEMBER SOCIETY
NEWS

www.ifssh.info

MEMBER SOCIETY NEWS

February 2020

Dutch and Belgian candidates are supported in the

President of the Society) and his team in Gdańsk andpreparation for the FESSH exam by organizing trial

Cieszyn.

PHILIPPINES SOCIETY FORSURGERY OF THE HAND (AHSP)The known annual course in Poznan (XIIth

Jessica Anne Gandionco, MD

exams, led by experienced hand surgeons.
After a successful 2002 FESSH conference inInternational Poznan Course in Upper Extremity

Amsterdam, the Dutch Society is proud that theSurgery) was organized by Prof Leszek Romanowski

In 2019, the Association of Hand Surgeons of theFESSH Meeting returns to the Netherlands in 2021.

and Dr Piotr Czarnecki. It has gathered over 350

Philippines (AHSP), under its new president Dr.

participants, with 32 speakers, 9 sessions, 5Nathaniel Orillaza Jr., formed the Young Hands

Prof. dr. John M. Kauer was honoured as IFSSH

workshops, a cadaver pre-course and a poster session.

Philippines with the aim of nurturing and fostering

Pioneer in Hand Surgery in 2019. As a Professor of

The course keeps its international character with anyoung doctors with an interest in the hand preparing

Functional Anatomy at the Radboud Hospital, he

invited faculty, this time PC Ho, Alexandru Georgescu,

Microsurgical training during Academy of Hand

for their future careers. It is composed of trainees

dedicated most of his professional career to handFrederik Verstreken and Enrique Barrena. Also, as inSurgery – periodical courses endorsed by Polishand recent graduates from various institutions

anatomy and carpal kinematics.

previous years it is well attended by surgeons from

Society for Surgery of the Hand

across the country.

POLISH SOCIETY FOR SURGERY
OF THE HAND

Eastern Europe.
This year, the AHSP, along with the assistance ofYoung Hands Philippines, will also be launchinga project called Handog Ang Wastong Alaga at

During 2019, the Polish Society for Surgery of the

Kaalaman (HAWAK, in Filipino means to hold) sa

Hand (Polskie Towarzystwo Chirurgii Ręki) madeKamay (hand). The program title roughly translates

some structural and organizational changes toto “Providing proper care and education for thethe Society to make hand surgery more readily

hand.”

recognized, to involve more young surgeons and to
give them the opportunity to improve both theoretical

This project aims to increase awareness ofand practical skills. This is an ongoing effort also

Poster Session during the XIIth International

Filipinos for all things hands: to present common

Poznan Course in Upper Extremity Surgery, a well-conditions, debunk myths, and to educate theprovide them adequate opportunities to exchange

recognized event every year in Poznan attended bymasses regarding when to seek advice to prevent

knowledge and their experience.

about 400 surgeons.

avoidable complications. This comes at a time when

to improve communication with our members andWorkshops during the National Meeting in Trzebnica

the information from the internet, especially social
The 10th National Hand Surgery Meeting was held inmedia, continues to be the fastest growing source ofTrzebnica which gathered around 300 participants

medical information for the people.

and invited international lecturers. At this Meeting,
Dr Piotr Czarnecki was elected President of the

The results of the pilot testing were presented during

Society, and Prof Andrzej Żyluk form Szczecin and Dr

the annual convention of the Philippine Orthopedic

Janusz Kaczmarzyk from Trzebnica received special

Association 15 November 2019.

recognitions from the Society for their contribution to
Polish and international hand surgery.

Search for H.A.W.A.K. Kamay on Facebook, Twitter,and Instagram!

Besides the National Meeting there is an ongoingeducational project called “Academy of Hand
Surgery” which consists of two meetings per year. It

PC Ho discussing with Alexandru Georgescu during

is directed mostly at residents to improve their skills

Dr Piotr Czarnecki, President of Polish Society for

the XIIth International Poznan Course in Upperin microsurgery and general knowledge in hand

Surgery of the Hand opening the National Meeting

Extremity Surgery, Poznan

surgery. It is organized by Prof. Tomasz Mazurek (Pastin Trzebnica

32

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JOURNALHIGHLIGHTSMEMBER SOCIETY
NEWS

www.ifssh.info

THE ITALIAN SOCIETY FOR THE
SURGERY OF THE HAND•

Advanced Course in Microsurgery - organised in

All information and entry criteria are available

collaboration with the Societies of Microsurgery

online: http://www.sicm.it.

with 120 hours of practice – organised in three(Società Italiana di Chirurgia della Mano)weeks during the year; (Fig 2)
The Italian Society for the Surgery of the Hand,

MEMBER SOCIETY NEWS

February 2020•

Figure Legends

Three Hand and Microsurgery Fellowships of 1

founded on 1962, includes 12 Honorary Members, 820

year are available in recognized Hand Surgery

full registered members, and 50 young members.

Centers in Italy.

The majority of the Italian members are Orthopaedic
Surgeons, and a few Plastic Surgeons.

Travelling Fellowship in collaboration with theMembers of the Young Hands Philippines with
officers of the AHSP

From 2017, the Society offers an “International

The Society Secretariat is based at:

ASSH” to visit prestigious centers in the USA and

Ad Arte Srlparticipate in the Annual Congress of ASSH.

Via Giuseppe di Vittorio, 240057 Cadriano di Granarolo Emilia Bologna, Italy

SICM also organises for established surgeonsFig 1 : Participants of the “anatomy and surgery with

Tel. + 39 051 19936160

two dissection courses per year with a local andcadaver dissection” course organized every year in

Fax. +39 051 19936700

international Faculty. These two “advanced” courses

Verona by SICM.

segreteria@sicm.it

are in English and last three days.

Web Site: http://www.sicm.it
In 2019, we organised the following two courses in
The Society Journal is “Chirurgia della Mano” and is

Verona:the official Journal since 1963 (C.G. Edizioni Medico•“REVEALING WRIST ARTHROSCOPY: from Zero to

Members of the Young Hands Philippines with

Scientifiche s.r.l.)Hero” organized with a great success by Andrea

officers of the AHSP

http://www.cgems.it/Cgems-Prodotti-Elenco.

Atzei and Riccardo Luchetti – June 2019.

asp?Categoria=21•“THUMB RECONSTTRUCTION: from Zero to Hero”
organized by Bruno Battiston and Nicola Felici

The President elect of the Society is Luciano Cara,

with special Guest Zeng-Tao Wang from China -Head of the Microsurgery and Orthopedic Surgery

December 2019. (Fig 3a,b)

Department in Cagliari (Sardinia) and a new

The program of next courses are available at www.

Fig 2: The 14th Adanced Microsurgery Course held

council (2019-2021) has been voted following Brunosicm.itin Naples in 2019

Battiston's presidency.
Every year a National Congress is held in a Centre

Members of the Young Hands Philippines with Dr.

Training and education of surgeonsof Hand Surgery and in 2019 it was in Florence.

One of the main tasks of the SICM Council is to

The President of the Congress was Sandra Pfanner

develop an education program for residents andand the Honorary President Massimo Ceruso. The

more experienced surgeons.

title “The body machine, to know it in order tounderstand it”. This allowed the speakers to explore

Jessica Gandionco
During the residency program, three courses per year

all aspects of hand surgery. The Japanese Society ofand three Fellowships are organised:

Hand Surgery was our guest Society.(Fig 4, Fig 5).

•

•

34

Anatomy and Surgery with cadaver dissection
course organized into three modules (one week

Next year the national Congress will be in Ancona

Fig 3: Andrea Atzei, Riccardo Luchetti and Bruno

each; anatomy, orthopedic/hand surgery, plastic/

under the presidency of Michele Riccio, chief of theBattiston, Nicola Felici organizers of the two

hand surgery); (Fig 1)

Reconstructive and Hand Surgery Department in“advanced” courses on wrist arthroscopy and thumb

Basic Wrist arthroscopy Course started in 2019

Ancona.

reconstruction of 2019.

35

JOURNALHIGHLIGHTSMEMBER SOCIETY
NEWS

www.ifssh.info

MEMBER SOCIETY NEWS

February 2020

KOREAN SOCIETY FOR SURGERY
OF THE HAND (KSSH)

KSSH, beginning in 2020, is Prof. Min Jong Park.
The KSSH started its hand surgery subspecialty

The Korean Society for Surgery of the Hand (KSSH)

board system in 2005. Presently there are about 1600

was established in 1982. The KSSH has successfully

KSSH members in Korea and among them 245 areheld international hand society meetings, whichboard-certified hand surgeons. The KSSH is active

included the 4th Congress of the Asian Pacificin its education for young hand surgeons. The KSSH

Federation of Societies for Surgery of the Hand

organizes microsurgery workshops twice a year, and a(APFSSH) in 2002 and the 11th Congress of the

cadaveric workshop for basic hand surgery skills once

Fig 4: SICM 57th Annual Congress held in Florence

International Federation of Societies for Surgery

every year.

in 2019 - a group of Italo-Japanese collegues.

of the Hand (IFSSH) in 2010. In addition, the 9th

Fig 1-2. 1-3 November 2019 KSSH Congress
The KSSH is trying to reach out to many AsianCongress of the World Society of Reconstructive
Microsurgery (WSRM) was held in COEX, Seoul,

One week later the 5th Congress of Asia PacificCountries to share, encourage, and learn from eachfrom 15-17 June 2017. At this exciting event, recent

Wrist Association (APWA) was successfully held inother and to develop friendship. We have an exchange

advances in the hand, micro and reconstructive

Seoul from 7-9 November 2019 and was chaired byambassador program with Japan, Hong Kong, Taiwan,

surgery were discussed by experts from 72

Prof. Min Jong Park. Around 200 hand surgeons andand Singapore.

countries.

therapists were gathered from 17 countries and enjoyed

As always, this year many of the KSSH members willinteresting invited lectures, free paper presentations asparticipate in several international conferences onwell aspects of Korean culture.

hand surgery (APFSSH 2020 Congress (Melbourne,

The annual congress of the KSSH takes place inNovember, a time when the autumn leaves are at

Australia), FESSH 2020 Congress (Basel, Switzerland)

their most beautiful. The most recent congress

and the ASSH 2020 Meeting (San Antonio, USA)).

Fig 5: Dr Emiko Hori and Dr Sandra Pfanner,(37th) was 1-3 November 2019, and was chairedpresident of the Congess, during the inaugural

by Dr. Jin Soo Kim. Twelve outstanding ASSH

Korean hand surgeons sincerely wish that thiscerimonymembers (Martin Boyer, David Brogan, James Chang,

New Year becomes a very special one with health,

Christopher Dy, Duretti Fufa, Warren Hammert,

happiness, prosperity, and peace for all members of thePierluigi Tos MD, PhD

Jason Ko, Fraser Leversedge, Steven Moran, Tamara

IFSSH and their families.

International Delegate to the IFSSH

Rozental, Jennifer Wolf, Jeffrey Yao) attended and

The Italian Society for Surgery of the Hand (SICM)

gave inspirational key-note lectures about theHyun Sik GONG, MD, PhD

pierluigi.tos@unito.it

most recent advances in the field of hand surgery.

Professor

In particular Donald Lalonde`s special lecture on

Division of Hand and Elbow Surgery

WALANT was very impressive. In addition, six

Department of Orthopedic Surgery

travelling fellows from Taiwan, Japan, Malaysia,

Seoul National University Bundang HospitalHong Kong and Singapore presented interesting

Seoul National University College of Medicine

topics and practices from their own countries. It

300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-

was a meaningful time to share their knowledge anddofriendship with them.

463-707, Korea
Tel:82-31-787-7198
Fig 3-4. 7-9 November 2019 APWA Congress

Mobile:82-10-5260-7059
Fax:82-31-787-4056

The 2020 KSSH Annual Congress will take place

E-mail:hsgong@snu.ac.kr

6-8 November, 2020, in Seoul. We will ensure that
this meeting is educational and interesting for ourinternational participants. The new chairman of the36

37

UPCOMING EVENTS

www.ifssh.info

UPCOMING EVENTS

February 2020

12APFSSH/8APFSHT
12th Asian Pacific Federation of Societies for Surgery of the Hand &the 8th Asian Pacific Federation of Societies of Hand Therapists Triennial Meeting

11-14 March 2020 | Melbourne Convention and Exhibition Centre

apfssh2020.org

We look forward to seeing you in Melbourne from the 11th - 14th March
2020, to learn, be inspired, network with colleagues and enjoy everything
Melbourne has to offer.
WEB apfssh2020.org • CONTACT US info@apfssh2020.org

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www.ifssh.info40