Specialty Care for the Shoulder, Elbow, Wrist & Hand
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RESEARCH & EDUCATION
- Fellowship Program
- Fellowship Teaching History
- Business Education Series
- Didactic Curriculum
- Salary & Benefits
- Hand Research & Education Grants
- Information about Indiana
- Places to Live
- Graduates and Current Fellows
- Contact Us

Didactic Curriculum

Our didactic curriculum is designed to provide a comprehensive foundation to the study of the shoulder, elbow, wrist and hand. The goal is to supplement the hands-on clinical knowledge our fellows gain through their one-on-one mentorship with staff. A core of approximately 50 lectures are given over the year. In addition, our surgeons conduct three hands-on courses as well including:

- A series of shoulder arthroscopy labs beginning with arthroscopic knot tying and progressing to instability and cuff repairs
- A flap workshop utilizing cadavers prepared with vascular injections
- A tendon transfer course with didactic lectures followed by a surgical skills lab

Additionally, our staff and fellows engage in monthly Journal Clubs to review and critique recent literature, M&M conferences, a series of anatomic dissections and a monthly Difficult Problem Conference where one or two patients are evaluated by our staff and fellows. Suggestions are then made regarding further treatment options through a round-table discussion.

- Flap Course
- Tendon Transfer Course
--- Introduction and principles of tendon transfer
--- Radial nerve palsy and transfers
--- Ulnar nerve palsy and transfers
--- Median nerve and combined palsy and transfers
- Shoulder Arthroscopy Labs (2-3 sessions)
--- Knot tying
--- DAM Lab – instability and SLAP
--- DAM Lab – rotator cuff repair

Topic List

  1. Fingertip & nail bed injury and repair
  2. Splinting and casting 101
  3. X-Ray evaluation of the upper extremity
  4. Metacarpal and phalangeal fractures
  5. Extensor tendon anatomy and acute injury
  6. Flexor tendon anatomy and repair
  7. Introduction to microsurgery/replantation surgery
  8. Infections of the hand (Dr. Bunce)
  9. Nerve injury and repair/reconstruction
  10. E & M coding
  11. Wrist examination/arthroscopy
  12. Compression neuropathy – CTS/CuTS
  13. Evaluation of the work comp patient/cumulative trauma
  14. Tendonitis about the wrist – DeQuervain’s, intersection, FCU, ECU
  15. Compartment Syndrome/Volkmann’s
  16. Elbow exam/arthroscopy
  17. Principles of soft tissue coverage 1 – local and regional flaps
  18. Flexor tendon tenolysis and chronic reconstruction
  19. Chronic extensor tendon injury – mallet, swan-neck, boutonniere, sagittal band
  20. PPI evaluation
  21. Scaphoid fracture and non-union
  22. Benign tumors of the upper extremity
  23. Shoulder physical exam and arthroscopy
  24. Sports injuries – gamekeeper’s mallet, FDP, avulsion, hamate hook, etc.
  25. PIP joint fracture/dislocation
  26. Dupuytrens
  27. Congenital malformations
  28. Distal radius fractures/malunion/non-union
  29. Rheumatoid arthritis 1 – soft tissue deformity/wrist reconstruction
  30. Rheumatoid arthritis 2 – MP and PIP arthroplasty
  31. Elbow instability
  32. Carpal dislocation/other carpal bonx Rx
  33. Kienbock’s
  34. Chronic regional pain syndrome
  35. Scleroderma/vascular disease/ulnar artery
  36. Principles of soft tissue coverage 2 – free flaps
  37. OA/post-traumatic – thumb and digits
  38. OA/post-traumatic DJD – wrist – PRC, 4-corner, total fusion, arthroplasty
  39. Elbow contracture/heterotopic ossification/arthroplasty
  40. Medial and lateral epicondylitis/distal biceps tendon injury/triceps
  41. Cerebral palsy
  42. Congenital thumb problems
  43. Thumb reconstruction/microvascular
  44. Extravasation/high-pressure injury
  45. Malignant tumors of the upper extremity
  46. Shoulder rotator cuff disease
  47. Amputation/prosthetics – digit, ray, forearm
  48. Thermal and chemical burns of the upper extremity
  49. Brachial plexus palsy
  50. Stroke/tetraplegia

Anatomy

  1. Cadaver elbow
  2. Cadaver wrist
  3. Cadaver hand/finger
  4. Cadaver thumb/palm
  5. Cadaver forearm
  6. Cadaver shoulder

Therapy

We operate the largest therapy facility in the country dedicated to rehabilitation of the entire upper extremity. This portion of the curriculum is focused on the therapy and non-surgical treatment we offer patients through our highly-skilled occupational therapists.

- Orientation
- Prefabricated & Custom-Fabricated Splinting
- Neurometrix Testing - NCV For the Upper Extremity
- Conservative Management of Lateral Epicondylitis
- Early Active Flexor Tendon Management
- Management of Extensor Tendon Injuries and Repairs
- Conservative and Postoperative Management of 1st CMC Joint Arthritis
- Postoperative Management For Ulnar Nerve Transpositions
- Postoperative Therapy following Internal Fixation for Fracture
- Management
- The Business of Hand Therapy
   
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