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Smith Day & Jupiter International Hand Forum 2016

27th Annual Smith Day; April 29, 2016
3rd Annual Jesse B. Jupiter International Hand Forum; April 30 – May 1, 2016
Royal Sonesta Hotel, Cambridge

Hosted by: Hand & Arm Center, Massachusetts General Hospital, Boston, MA

Course Director: David Ring, MD, PhD & Kyle R. Eberlin, MD
Honored Sage: Jesse B. Jupiter, MD
27th Annual Richard J. Smith Day Orator: Joseph Upton, III, MD
3nd Annual Jesse B. Jupiter International Hand Forum Orator: Milan Stevanovic, MD

Smith Day & Jupiter Forum Continue reading

David Ring, New Chief of Hand & Upper Extremity Surgery

David Ring named New Chief of Hand & Upper Extremity Surgery David Ring, MD, PhD, has been appointed the new chief of Hand and Upper Extremity Service in the MGH Department of Orthopædic Surgery. Ring succeeds Jesse B. Jupiter, MD, who has been a vital part of the department for the past 18 years and who will remain active in the practice in the management of reconstructive problems in the hand and upper limbs.

“I am honored by the opportunity to lead MGH Hand Surgery,” says Ring, who was previously the director of research for the Hand and Upper Extremity Service. “I promise to carry the standard set by giants such as Dr. Jupiter, Drs. Richard Smith, James May and Richard Gelberman. I look forward to working with all of the experienced and dedicated hand surgeons with particular areas of expertise encompassing all of hand/upper extremity and microvascular surgery.” Continue reading

Jesse Jupiter: Innovation and Innovators

Jesse Jupiter at the Mass General Orthopaedic Surgery Grand Rounds, Innovators and InnovationInnovation & Innovators: Does it take 10,000 hours?
Jesse Jupiter, MD
Massachusetts General Hospital, Boston, MA
Grand Rounds presented on March 29, 2012 at the O’Keefe Auditorium, Massachusetts General Hospital, Boston, MA
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Intra-articular Distal Radius Fractures

Brandon Earp, MD, is an Hand & Upper Extremity Surgeon, at Brigham & Women’s Hospital and Instructor of Orthopaedic Surgery at Harvard Medical School.

Your patient comes in after a mechanical fall onto an outstretched hand. A significant deformity of the wrist and edema are noted clinically and the patient’s discomfort is obvious. Radiographs demonstrate a displaced, dorsally angulated distal radius fracture with loss of radial height, radial translation, and intra-articular involvement. You see the patient, perform an appropriate clinical workup, reduce and splint the fracture.

Post-injury PA view of the wrist demonstrates a displaced comminuted intra-articular distal fracture. CT scan was later obtained to better understand the fracture pattern for surgical planning. 
Trauma Rounds Intra-articular distal radius Fractures, Brandon Earp
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Repetitive Strain Injury

Repetitive Strain Injury or RSI describes a group of conditions associated with overuse of soft tissues such as muscles, tendons and nerves. RSI causing pain can affect the upper back, arms, hands, wrists, or fingers. Continuous and prolonged use of a computer keyboard, strumming a guitar, or wielding tools on an assembly line, have all been associated with RSI.
using contoured keyboard Repetitive Strain Injury

RSI is commonly misdiagnosed as carpal tunnel syndrome, frozen shoulder, tennis elbow and golfer’s elbow. Symptoms may be intermittent, and patients report some limitations in movement or loss of strength. While RSI may not be life threatening, it can cause crippling pain with an associated inability to perform skilled activity.

Considering the wide range of symptoms and activities associated with RSI, it is difficult to blame any one cause, and thus find one specific treatment. RSI has been attributed to poor posture in sedentary jobs, and repetitive actions using a limited number of muscles and tendons. Further, the difficulty with treating RSI is the lack of standardized assessment tools.

How to treat RSI? Continue reading