Thumb Ulnar Collateral Ligament Tear Repair
Rothman Institute
Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Thomas Jefferson University
In this case, Dr. Ilyas performs a repair of a thumb UCL tear at the Rothman Institute.
Jersey Finger Repair
Rothman Institute
Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Thomas Jefferson University
In this case, Dr. Asif Ilyas at the Rothman Institute performs a Jersey finger repair.
Subcutaneous Ulnar Nerve Transposition
Rothman Institute
Asif M. Ilyas, MD
Professor of Orthopaedic Surgery
Program Director of Hand Surgery
Thomas Jefferson University
In this case, Dr. Asif Ilyas at the Rothman Institute performs a subcutaneous ulnar nerve transposition.
Flexor Digitorum Superficialis to Flexor Digitorum Profundus (STP) Transfer, Adductor Release, and Z-Plasty for a Pediatric, Stroke-Induced Left Hand Spastic Contracture
Hospital Leonardo Martinez, Honduras
Sudhir B. Rao, MD
Big Rapids Orthopaedics
Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics
The patient in this case is a 15-year-old female who had a stroke several years ago and now has a left hand spastic contracture. Here, Dr. Rao and Dr. Perlmutter perform an STP transfer, an adductor release, and a Z-plasty to lengthen the flexor tendons of the hand and repair her thumb-in-palm deformity. This case was performed during a surgical mission to Honduras with the World Surgical Foundation.
Bone Graft for Non-Union of Right Thumb Proximal Phalanx Fracture
Hospital Leonardo Martinez, Honduras
Sudhir B. Rao, MD
Big Rapids Orthopaedics
Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics
The patient in this case is an 11-year-old female who fractured the thumb of her dominant hand 1 year ago and now has a well-established non-union of the head of the proximal phalanx of her right thumb. Here, Dr. Rao and Dr. Perlmutter repair the fracture by harvesting a bone graft from the patient’s iliac crest and transplanting it into the fracture site. This case was performed during a surgical mission in Honduras with the World Surgical Foundation.
Bilateral Syndactyly Release of Third and Fourth Fingers
Hospital Leonardo Martinez, Honduras
Sudhir B. Rao, MD
Big Rapids Orthopaedics
Mark N. Perlmutter, MS, MD, FICS, FAANOS
Carolina Regional Orthopaedics
The patient in this case is a 1-year-old female with complex syndactyly of the right hand and simple syndactyly of the left hand. Here, Dr. Rao and Dr. Perlmutter release both sides, with the right side involving a full-thickness skin graft taken from the patient’s groin crease. This case was filmed during a surgical mission with the World Surgical Foundation in Honduras.
Ulnar Nerve Transposition
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery
In this cadaveric case, Dr. Asif Ilyas demonstrates the ulnar nerve transposition method for treating cubital tunnel syndrome, showing both the subcutaneous and submuscular techniques.
Cubital Tunnel Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery
Cubital tunnel syndrome, the second most common compressive neuropathy, causes tingling and numbness in the ring and small fingers and can be treated with either a cubital tunnel release or an ulnar transposition. In this case, Dr. Asif Ilyas demonstrates the former on a cadaveric hand.
De Quervain’s Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery
Instead of conducting a De Quervain's release on a patient with stenosing extensor tenosynovitis, Dr. Asif Ilyas walks through the procedure on a cadaver, demonstrating the approach to the first dorsal extensor retinaculum and providing tips to release it without injuring the radial sensory nerve.
Trigger Finger Release
Rothman Institute, Thomas Jefferson University
Asif Ilyas, MD, FACS
Professor of Orthopedic Surgery
Program Director of Hand Surgery
When the flexor tendons of the hand thicken or become inflamed, stenosing flexor tenosynovitis of the hand (also known as trigger finger) develops. Dr. Asif Ilyas demonstrates on a cadaver how to perform the most standard trigger finger release, releasing the A1 pulley and then decompressing or releasing the flexor tendon.