Although encountered often in hand surgery practice and rehabilitation, intrinsic muscle dysfunction and resulting disability has long presented a challenge to diagnosis and care. Understanding of the pathomechanics of intrinsic dysfunction requires appreciation of the interactive anatomy of the extrinsic and intrinsic tendons and muscles, their normal function and biomechanics. The first portion of the session will focus on both illustrated and dissection specimen images along with vector models of musculotendinous effects. Risk, injury and disease processes that cause intrinsic dysfunction and secondary contractures will be presented in detail; and correlated with the severity and complications of finger and hand problems. Detailed discussion of acute and chronic care; of therapy, surgery and reconstruction will be explained with extensive surgical images. The management of these secondary problems and complicating neurovascular, joint and soft tissue contractures and abnormalities - with special focus on inflammatory arthropathy - will be illustrated and treatment rationale fully explained. At the end of each section of the presentations, there will be time for questions, discussion and additional challenging cases to be explored. Participants will have the opportunity to view and review the spectrum of function and dysfunction challenging their patients in daily and referral practice and to explore the anatomic and biomechanical basis of care choices.
Learning Objectives: - Understand the anatomy and biomechanics of the intrinsic muscles and tendon mechanism.
- Understand the anatomy and biomechanics of the extrinsic muscles and tendons.
- Diagnose impending and existing intrinsic and extrinsic muscle dysfunction.
- Evaluate, categorize and appropriately treat mild to severe intrinsic dysfunction.
- Understand and treat associated joint and soft tissue dysfunction.
http://www.assh.org/AnnualMeeting/program/Pages/Instructional-Course-Lectures.aspx
