ABPS Surgery of the Hand study plan
ABPS Surgery of the Hand · Give each week a clear focus.
8 weeks · About 6 hours per week
Dupuytren Disease, Contracture, and Soft-Tissue Coverage & Hand and Wrist Trauma (Fractures, Dislocations, Soft-Tissue Injury)
Outline the etiology, pathologic cords, and staging of Dupuytren disease, including indications and timing for surgical versus injectable treatment.
Compare limited fasciectomy, needle aponeurotomy, and collagenase injection by recurrence rate, complications, and rehabilitation demands.
Describe flap and graft options for soft-tissue coverage of the hand and wrist, matching defect location and size to reconstructive choice.
Classify distal radius, scaphoid, and phalangeal fractures by mechanism, stability, and displacement pattern.
Explain compartment syndrome assessment and digital nerve/vessel injury evaluation in acute hand trauma.
Your checkpoint
Score at least 80% on a 40-question self-authored quiz covering Dupuytren disease, soft-tissue coverage, and wrist/hand trauma; log every missed concept in an error journal.
Nerve Injury, Compression Neuropathy, and Microsurgery
Map median, ulnar, and radial nerve motor and sensory territories and predict deficit patterns from lesion level.
Differentiate carpal tunnel, cubital tunnel, and Guyon canal compression by provocative tests, electrodiagnostic findings, and surgical indications.
Outline microneural repair principles: timing, tension-free coaptation, graft versus conduit, and postoperative protocol.
Describe nerve transfer and free flap options for major upper-extremity reconstruction.
Your checkpoint
Recreate a one-page nerve lesion localization table from memory and score 100% on a 20-case localization drill.
Tendon Injury and Tendon Reconstruction & Arthritis, Arthroplasty, and Joint Reconstruction
Classify flexor and extensor tendon zones and match repair technique, suture configuration, and rehabilitation protocol to each zone.
Explain tendon transfer principles for median, ulnar, and radial nerve palsy, including donor selection and tensioning.
Differentiate rheumatoid and osteoarthritis hand patterns and select arthroplasty, arthrodesis, or synovectomy.
Describe implant options and complications for MCP and PIP arthroplasty.
Your checkpoint
Build a zone-by-zone tendon repair and rehabilitation table covering all flexor and extensor zones; self-score it against a written checklist with at least 90% accuracy.
Infections of the Hand and Upper Extremity & Hand and Wrist Neoplasms and Soft-Tissue Masses
Differentiate cellulitis, flexor tenosynovitis, deep space infection, and necrotizing fasciitis by examination findings and urgency.
Outline antibiotic selection and surgical drainage principles for common hand infections, including bite wounds.
Classify common hand tumors such as ganglion, giant cell tumor of tendon sheath, enchondroma, and glomus tumor by presentation and imaging.
Describe biopsy principles and margin planning for suspected malignancy in the hand.
Your checkpoint
Score at least 80% on a 25-question infection and tumor quiz and produce a one-page red-flag triage sheet for hand infections and suspicious masses.
Congenital and Pediatric Hand Conditions & Vascular Disorders, Amputation, and Replantation
Outline timing and technique for syndactyly, polydactyly, and trigger thumb release in children.
Differentiate congenital hand differences by embryologic timing and classify common radial and ulnar deficiencies.
Describe amputation level selection and replantation indications and contraindications for digits and hand.
Explain vascular assessment and management of digital ischemia and hypothenar hammer syndrome.
Your checkpoint
Complete a 30-question mixed pediatric/congenital and vascular/replantation quiz with at least 80% and summarize three management algorithms in writing.
Hand and Wrist Trauma (Fractures, Dislocations, Soft-Tissue Injury) & Dupuytren Disease, Contracture, and Soft-Tissue Coverage
Rehearse management algorithms for metacarpal, phalangeal, and carpal fractures, including fixation choices.
Refine Dupuytren treatment selection for recurrent and aggressive disease, including skin management.
Plan soft-tissue coverage for exposed tendon, bone, and joint defects using local, regional, and free flaps.
Interpret common hand radiographs for fracture patterns and instability.
Your checkpoint
Score at least 85% on a 30-question trauma and coverage set and write a 300-word management summary for two complex scenarios.
Nerve Injury, Compression Neuropathy, and Microsurgery & Tendon Injury and Tendon Reconstruction
Reconstruct nerve deficit algorithms including graft, transfer, and conduit selection for gaps of varying length.
Apply tendon rehabilitation protocols such as early active, Kleinert, and dynamic extension to specific repairs.
Identify complications of tendon repair and revision strategies for adhesions and rupture.
Explain microsurgical anastomosis principles and postoperative flap monitoring.
Your checkpoint
Deliver a 10-minute recorded teach-back on nerve and tendon reconstruction, scored with a self-checklist at 90% or higher.
Hand and Wrist Neoplasms and Soft-Tissue Masses & Infections of the Hand and Upper Extremity
Integrate all nine domains into a differential diagnosis approach for 20 mixed clinical vignettes.
Review high-yield tumor and infection mimics that present as hand masses or swelling.
Audit the personal error log and rewrite weak-topic summaries for the five lowest-scoring domains.
Simulate timed examination conditions and manage time across 60 questions.
Your checkpoint
Complete a full 60-question cumulative mock examination with at least 80% and write a remediation plan for every missed item.
Milestones
Week 2: Baseline knowledge audit: complete a 25-question mixed-domain quiz before week 3 and record a baseline score plus the three weakest domains.
Week 4: Midpoint benchmark: score at least 75% on a 50-question cumulative quiz drawn from weeks 1 through 4, with no single domain below 60%.
Week 6: High-yield consolidation: score at least 85% on the trauma, Dupuytren, and soft-tissue coverage set and submit the two complex-scenario summaries.
Week 8: Readiness gate: score at least 80% on the full 60-question cumulative mock, complete the remediation plan, and demonstrate a 10-point improvement over the week 2 baseline.