written by: Ritsaart F. Westenberg, Research Fellow

 

What an exciting day! Not just because the nerves were topic of discussion, but because this year’s Jupiter Forum was dedicated to the wrist. No subjects were untouched. The nerves of the wrist, the carpals, the distal radius, and even Kienbock’s disease has been topic of discussion. One thing was concluded very quickly. If it is Kienbock’s disease, refer the patient to Dr. Mudgal!

It was a day with tough and enriching discussions between physicians from all over the world. It was the mentor versus the mentee, the millennials versus the baby boomers, and not every discussion ended in consensus. But Dr. Fischer saw what he hoped to see, the student aspiring to be a better doctor than his teacher. One thing was concluded by all: more research is needed!

The morning concluded with a beautiful review of the treatment of distal radius fractures through the years by Dr. Jesse Jupiter. We went as far back in history as the Ming Dynasty and no questions were left after this great talk.

Following lunch, everybody was charged to continue the discussion. We talked about scaphoid fractures and its blood supply. The scaphoid is like Bolivia (the land-locked country of South-America), covered by cartilage with only a small access for arteries to supply it blood. Several questions were raised. Is the vascularized bone graft a myth that needs to be busted by Adam Savage? How long do you cast a non-displaced scaphoid fracture? The preferred treatment options and answers varied not only amongst US physicians, but also between the internationals. These differences were not only seen for the scaphoid fractures, but also for carpal tunnel release after fracture of the wrist. The rate of carpal tunnel release after carpal and distal radius fractures clearly differed between the US and Europe. Regarding the scaphoid one thing was certain, some nonunions of the scaphoid are more equal than others.

Dr. Thomas J. Fischer was the cherry on top of the day with his talk about the forearm axis. It once again showed the close relation of the wrist and elbow and the ring concept…which is not referring to Dr. Ring. If there is ever going to be a journal of wrist and elbow, then we found our editor(s) today.

Hopefully we will see you all and other bright minds next year at the 6th Annual Jesse B. Jupiter International Hand Forum.