This is an internet-based, enduring material CME activity based upon the digital capture of the 2022 ASSH CME Webinar: What Do I Do Now? The Initial Wrist Surgery Did Not Alleviate Symptoms presented on May 26, 2022.

Planners:
Louis W. Catalano, III, MD
Consulting Fees: Tissium

Richard A. Bernstein, MD
No relevant conflicts of interest to disclose.

Warren C. Hammert, MD
No relevant conflicts of interest to disclose.

Reviewer:
Warren C. Hammert, MD
No relevant conflicts of interest to disclose.

Chairs:
Louis W. Catalano, III, MD
Consulting Fees: Tissium

Faculty:
Alexander Lauder, MD
No relevant conflicts of interest to disclose.

Jeffrey B. Friedrich, MD
No relevant conflicts of interest to disclose.

Michael B. Gottschalk, MD
Contracted Research: Stryker & Konica Minolta

Ruby Grewal, MD, MSc, FRCS(C)
No relevant conflicts of interest to disclose.

“The ASSH adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.”

CME Staff: Angie Legaspi, CMP, Megan Lowery

Objectives:
• Describe basic principles for patient management and decision making when planning for revision surgery.
• Discuss the reasons for and how to treat DRUJ instability after distal radius fractures.
• Understand how to treat volar subluxation of the carpus after distal radius fracture ORIF.
• Explain approaches to revision scaphoid nonunion surgery.
• Review the reasons for and how to treat persistent pain after basal joint arthroplasty.

Course Format: This course consists of an online pre-test, an online video, an online post-test, and an online evaluation. 

Participation Requirements: To qualify for CME credit, participants must complete each part of this course. 

Estimated Time: The estimated time to complete this course is 1.50 hours. 

CME Credit Hours: The American Society for Surgery of the Hand designates this Internet Enduring Material activity for a maximum of 1.50 "AMA PRA Category 1 Credits™". Physicians should claim only the credit commensurate with the extent of their participation in the activity. The ASSH is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

Date of Original Release: This course was initially presented and recorded on May 26, 2022. 

Termination Date: The course is available for CME credit through 11:59 PM Central Time, December 31, 2023. 

Course Summary:
This cased based webinar will review approaches to patients whose symptoms are not alleviated following their initial wrist surgery. The panelists will describe their approach to management of conditions such as DRUJ instability after distal radius fracture and persistent pain following thumb arthroplasty.

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Copyright: 2022 American Society for Surgery of the Hand 

Provider Contact Information: American Society for Surgery of the Hand, 822 W. Washington Boulevard, Chicago, IL 60607. Phone: (312) 880-1900. Fax: (847) 384-1435. Email: meetings@assh.org.

Target Audience: Intermediate