2025 ASSH NON-CME Webinar: Orthopaedic in Training Exam: Hand, Wrist, and Elbow Review-Webinar Recording

Video Transcription

Video Summary

This extensive orthopedic webinar review focuses on hand, wrist, and elbow topics relevant to the Orthopaedic In-Training Examination (OITE). Presented by UCSF faculty, it covers high-yield anatomy, clinical vignette approaches, imaging interpretation, nerve injuries, compressive neuropathies, fracture management, tendon injuries, soft tissue reconstruction, arthritis, arthroscopy, tumors, infections, elbow trauma, and pediatric congenital hand conditions.<br /><br />Key themes include test-taking strategies for multiple-choice questions, emphasizing careful reading, visualization, and elimination techniques. Anatomy review highlights important nerves such as the median, ulnar, and radial nerve branches with their common injury patterns and compression sites. Imaging interpretation covers fracture differentiation (acute vs chronic), dislocation identification, and use of MRI sequences.<br /><br />The review addresses common compression neuropathies like carpal and cubital tunnel syndromes, detailing diagnostic signs, treatments, and anatomical considerations. Fracture and dislocation sections cover deforming forces, alignment, operative indications, and common patterns from CMC joint to fingertip injuries, emphasizing when surgery is needed. Tendon laceration management includes repair principles and post-op care.<br /><br />Soft tissue reconstruction options range from secondary healing to local and regional flaps; replantation indications and contraindications are presented. Arthritis and arthroscopy discussions focus on staging, treatment options, and portal anatomy. Tumor coverage distinguishes benign (enchondroma, ganglion cyst) from malignant (chondrosarcoma, sarcomas), with imaging and biopsy importance stressed.<br /><br />Infectious conditions reviewed include necrotizing fasciitis, pyogenic tenosynovitis, deep space infections, high-pressure injection injuries, and bite wounds, highlighting urgency and management. Elbow trauma emphasizes biomechanics, classification, and treatment of fracture-dislocations including Monteggia and terrible triad injuries.<br /><br />Finally, pediatric hand congenital anomalies are reviewed, focusing on syndactyly, polydactyly, and thumb hypoplasia with genetic, anatomical, and treatment considerations. The webinar equips examinees with focused knowledge on frequently tested clinical scenarios, anatomy, pathology, and management strategies relevant to hand, wrist, and elbow surgery.

Keywords

Orthopaedic In-Training Examination

Hand anatomy

Wrist injuries

Elbow trauma

Nerve injuries

Compressive neuropathies

Fracture management

Tendon injuries

Soft tissue reconstruction

Arthritis treatment

Arthroscopy techniques

Bone tumors

Infections of hand and wrist

Pediatric congenital hand anomalies

Test-taking strategies