A podcast built for plastic surgery trainees. Each episode reviews CME articles and topics from the ASPS Resident Curriculum, breaking them down into core concepts, clinical pearls, and exam-ready takeaways. Listen on your commute, between cases, or while studying—anywhere you want high-yield plastic surgery learning on the go.
Common Congenital Hand Anomalies: Function Guides Treatment
A visible hand difference does not tell you which operation, if any, will improve function.
In this episode of Plastics in Practice, we review how examination guides syndactyly timing, thumb duplication reconstruction and camptodactyly treatment.
Key takeaways:
• Observe reach, grasp and thumb use, then examine the whole limb and look for associated findings.
• Describe syndactyly by the digits involved and whether the connection is soft tissue alone or includes bone.
• A longer finger joined to a shorter neighbor can become tethered during growth. The anatomy helps determine when separation is needed.
• Adjacent-web releases are generally staged to protect the intervening digit’s blood supply.
• Thumb duplication needs a plan for stability and tendon balance. Size alone does not determine which tissue is useful.
• Test passive correction in camptodactyly. Mild, flexible contractures usually begin with stretching and splinting.
• Reassess worsening contracture and functional loss. Surgery can add stiffness, and a residual bend may remain.
This content is for educational purposes only and is not medical advice.
The podcast audio is generated with Google NotebookLM using AI voices. These are synthetic discussion voices, not clinicians or accounts of their personal experience.
YouTube Short: https://youtube.com/shorts/FtPgkLixl_0 (https://youtube.com/shorts/FtPgkLixl_0)
YouTube Explainer: https://youtu.be/U5NRtCU7ZAg (https://youtu.be/U5NRtCU7ZAg)
Instagram account: https://www.instagram.com/plasticsinpractice/ (https://www.instagram.com/plasticsinpractice/)
Free study guide: https://docs.google.com/document/d/1yUKzTHm_ctWN5Hg9o1A6RzntvVcYLd6w/edit?usp=sharing&ouid=102867791045307207856&rtpof=true&sd=true (https://docs.google.com/document/d/1yUKzTHm_ctWN5Hg9o1A6RzntvVcYLd6w/edit?usp=sharing&ouid=102867791045307207856&rtpof=true&sd=true)
#CongenitalHand #Syndactyly #ThumbDuplication #Camptodactyly #HandSurgery
References:
1. Seattle Children’s. Syndactyly. https://www.seattlechildrens.org/conditions/syndactyly/ (https://www.seattlechildrens.org/conditions/syndactyly/)
2. Children’s Hospital of Philadelphia. Thumb Duplication. https://www.chop.edu/conditions-diseases/thumb-duplication (https://www.chop.edu/conditions-diseases/thumb-duplication)
3. Boston Children’s Hospital. Camptodactyly. https://www.childrenshospital.org/sites/default/files/2022-04/camptodactyly-factsheet.pdf (https://www.childrenshospital.org/sites/default/files/2022-04/camptodactyly-factsheet.pdf)
11 Oct 2026
Management of the Burned Hand: Preserve Function
A closed burn wound can still leave a hand that barely moves.
In this episode of Plastics in Practice, we review how to recognize threatened circulation, reassess burn depth, and protect hand function while the wound heals.
Key takeaways:
• After immediate trauma priorities, remove rings and assess circulation, sensation and movement.
• Cool fingers, worsening sensation, delayed refill or deteriorating Doppler signals need urgent burn surgical assessment. Do not wait for pulse loss.
• Reassess depth and healing progress; a potentially deep hand burn needs early specialist input.
• Typical dorsal burns need wrist extension, knuckle flexion, straight interphalangeal joints and an open thumb web. Palmar injuries may need a different position.
• Combine edema control with supervised movement when the wound and deeper structures permit; protect vulnerable grafts and tendons.
• Follow finger flexion, extension and first web opening alongside wound closure.
This content is for educational purposes only and is not medical advice.
The podcast audio is generated with Google NotebookLM using AI voices. These are synthetic discussion voices, not clinicians or accounts of their personal experience.
Apple Podcasts: https://podcasts.apple.com/us/podcast/management-of-the-burned-hand-preserve-function/id1835564216?i=1000795827856 (https://podcasts.apple.com/us/podcast/management-of-the-burned-hand-preserve-function/id1835564216?i=1000795827856)
Amazon: https://music.amazon.com/podcasts/8bef056e-7c87-4224-978e-7e691b04554a/episodes/4efe33f7-ad92-4404-a609-1a9327ba513c/plastics-in-practice-resident-review-management-of-the-burned-hand-preserve-function (https://music.amazon.com/podcasts/8bef056e-7c87-4224-978e-7e691b04554a/episodes/4efe33f7-ad92-4404-a609-1a9327ba513c/plastics-in-practice-resident-review-management-of-the-burned-hand-preserve-function)
YouTube Short: https://www.youtube.com/shorts/OUw3t8iLu-w (https://www.youtube.com/shorts/OUw3t8iLu-w)
YouTube Explainer: https://www.youtube.com/watch?v=ACCIT9VLjo8 (https://www.youtube.com/watch?v=ACCIT9VLjo8)
Instagram account: https://www.instagram.com/plasticsinpractice/ (https://www.instagram.com/plasticsinpractice/)
Free study guide: https://drive.google.com/file/d/15wakng6DNTw10jCBKThua9Yj6dK-du5N/view (https://drive.google.com/file/d/15wakng6DNTw10jCBKThua9Yj6dK-du5N/view)
#HandBurns #BurnCare #HandSurgery #BurnRehabilitation #PlasticsInPractice
References:
1. American Burn Association. Guidelines for Burn Patient Referral. https://www.ameriburn.org/burn-care-team/resources/guidelines-for-burn-patient-referral (https://www.ameriburn.org/burn-care-team/resources/guidelines-for-burn-patient-referral)
2. NSW Agency for Clinical Innovation. Escharotomy for burn patients: a guide for clinicians. 2025. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/162633/ACI-Escharotomy-for-Burn-Patients.pdf (https://aci.health.nsw.gov.au/__data/assets/pdf_file/0003/162633/ACI-Escharotomy-for-Burn-Patients.pdf)
3. NSW Agency for Clinical Innovation. Burn physiotherapy and occupational therapy: clinical practice guide. 2025. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0018/236151/ACI-Burn-physiotherapy-and-occupational-therapy-guide.pdf (https://aci.health.nsw.gov.au/__data/assets/pdf_file/0018/236151/ACI-Burn-physiotherapy-and-occupational-therapy-guide.pdf)
10 Oct 2026
Management of Vasoconstriction: Look Beyond Spasm
Poor perfusion needs an explanation beyond the word spasm.
In this episode of Plastics in Practice, we review how to distinguish reversible narrowing from structural and mechanical problems, recognize threatened perfusion, and match treatment to the cause.
Key takeaways:
• Raynaud attacks do not always show the complete white-blue-red sequence; interpret the history, examination and nailfold findings together.
• Persistent pain, cold pallor, new sensory loss or tissue injury requires urgent assessment for threatened perfusion.
• Consider proximal arterial disease, emboli and trauma-related ulnar injury rather than attributing every ischemic digit to spasm.
• For systemic sclerosis-associated Raynaud, calcium channel blockers are first-line; consider PDE5 inhibitors and specialist IV iloprost for appropriate severe or refractory disease.
• Do not combine nitrates, including topical nitrate, with PDE5 inhibitors because of serious hypotension risk.
• Botulinum toxin has negative randomized trial results for routine SSc-Raynaud treatment; selected severe or refractory ulcer use and sympathectomy need specialist judgment and clear discussion of uncertainty.
• In microsurgical compromise, inspect inflow, outflow and the whole pedicle; supportive measures must not delay correction of a mechanical problem.
This content is for educational purposes only and is not medical advice.
The podcast audio is generated with Google NotebookLM using AI voices. These are synthetic discussion voices, not clinicians or accounts of their personal experience.
YouTube Short: https://www.youtube.com/shorts/mKttuP9TwF4
YouTube explainer: https://www.youtube.com/watch?v=1JRVgx-zJC4
Apple: https://podcasts.apple.com/us/podcast/management-of-vasoconstriction-look-beyond-spasm/id1835564216?i=1000795187132
Amazon: https://music.amazon.com/podcasts/8bef056e-7c87-4224-978e-7e691b04554a/episodes/2e14ba0e-7529-4f03-bba5-8378691e40e6/plastics-in-practice-resident-review-management-of-vasoconstriction-look-beyond-spasm
Instagram account: https://www.instagram.com/plasticsinpractice/
Free study guide: https://docs.google.com/document/d/1uplJBPSlofHyyXkVnoOWoNkVlHhqpMp6/edit
#RaynaudPhenomenon #DigitalIschemia #Microsurgery #HandSurgery #PlasticsInPractice
References:
1. Maverakis et al. International consensus criteria for the diagnosis of Raynaud’s phenomenon. https://pmc.ncbi.nlm.nih.gov/articles/PMC4018202/
2. EULAR recommendations for the treatment of systemic sclerosis: 2023 update. https://ard.bmj.com/content/early/2024/10/17/ard-2024-226430
3. British Society for Rheumatology guideline for management of systemic sclerosis, 2024. https://academic.oup.com/rheumatology/article/63/11/2956/7750184
4. Senet et al. Botulinum toxin versus placebo for SSc-associated Raynaud phenomenon. https://pubmed.ncbi.nlm.nih.gov/36066501/
5. World Scleroderma Foundation recommendations for local management of digital ulcers, 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC12084219/
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