Plenary Session 8

Date/Time: Thu, November 19, 2020 7:00 PM to 8:30 PM

AAHS Incoming Presidential Invited: Dupuytren’s Disease: Collaborating on Collagen and Leading us to Better Outcomes


Despite nearly 200 years of study, Dupuytren’s Disease continues to frustrate surgeons and therapists. Outcomes range from excellent, which keeps us going, to mediocre, to complete and utter failure which leaves us scratching our heads and wondering if we have any understanding of the disease at all. Defeating the disease through control of cytokines such as TNF and their effect on the myofibroblast probably offers the best chance to ultimately cure the disease. In the meantime, surgeons and therapists will continue to do there best based on well established surgical principles to affect the best outcomes possible for their patients.


  • To know what works
  • What does not work
  • What we still need to know to have good outcomes


Closing Comments

International Invited Guest Lecture: Is Our Quest for the Best Flexor Tendon Protocol Realistic?


During my time, I will ask you to consider if we should be looking for one “best” flexor tendon protocol or should we consider adjusting our approach for each patient depending on what is observed and how the evidence guides us? My interpretation of the latest evidence on tendon healing, anatomy and kinesiology, the concepts of work of flexion, suture strength and pulley venting may encourage you to rethink how you are approaching your patients. I will demonstrate to you how I weave these evidence-based interpretations into management of patients after flexor tendon repair.


  • A non-protocoled approach to manage patients with flexor tendon repairs.
  • Altered intrinsic and extrinsic movement patterns that contribute to less effective exercises designed to restore FDP glide
  • Methods to critically assess clinical and evidence-based outcome measurements.