ABPS Surgery of the Hand study materials
ABPS Surgery of the Hand study resources

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

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.