> ## Content Index > Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt > Use this file to discover other available public pages before exploring further. # Professor or Surgeon?, Hand Trauma Highlights, & AI in Surgery - URL: https://www.theplasticsfella.com/january-5th/ - Published: 2025-01-03T19:11:08.000Z - Updated: 2025-01-03T19:24:44.000Z - Description: Also: Seymour fracture anatomy, flexor teno tips, & evidence on ring avulsions. - Author: PlasticsFella - Tags: thePlasticsPaper #### In this week's edition 1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/january-5th/#a-letter-from-pfella) The conference or the operating room? 2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/january-5th/#the-sunday-quiz) How well do you know **Thumb MCPJ UCL injuries*? 3. [🖼️](https://emojipedia.org/framed-picture?ref=theplasticsfella.com) [****Image of the Week**](https://www.theplasticsfella.com/january-5th/#image-of-the-week) The anatomy of a Seymour fracture. 4. ****🚑** [****Technique Tip**](https://www.theplasticsfella.com/january-5th/#technique-tip) An overview of the flexor teno washout procedure. 5. ****👁️** [****What's Trending?**](https://www.theplasticsfella.com/january-5th/#whats-trending) Google's Gemini 2.0 AI diagnoses pancreatitis from a CT. 6. 📋 [****Featured This Week**](https://www.theplasticsfella.com/january-5th/#featured-this-week) Plastics wrapped of 2024: In case you missed it! 7. 📖 [****What Does the Evidence Say**](https://www.theplasticsfella.com/january-5th/#what-does-the-evidence-say) On reattaching ring avulsion injuries involving the PIPJ? 8. ****🔥** [****Articles of the Week**](https://www.theplasticsfella.com/january-5th/#articles-of-the-week) Flexor tendon repairs, soft tissue defects of the hand, & hand burns management: with 1 sentence summaries. 9. 💕 [****Feedback**](https://www.theplasticsfella.com/january-5th/#feedback) Suggest ideas & give feedback! ## A Letter from P'Fella **Professor on Stage or Surgeon in Charge?* 👋 ****Hey all!** A recent tweet sparked a hot debate: Would you rather be the professor giving polished talks or the go-to surgeon trusted in critical moments? (See the original tweet [here](https://x.com/georgetolisjr/status/1868109810568409433?ref=theplasticsfella.com).) Here’s the twist: Is this question really about the candidates — or does it reveal more about the biases baked into the way we define success in surgery? Let’s unpack it. Let’s be real — patients care about results, not résumés. They want their surgeon to be the best in the OR, not the most sought-after speaker. Yet, without academics driving innovation, how would we advance as a field? The tension is clear: **Is it more valuable to perfect a skillset or spread knowledge?** And when these roles don’t overlap, who loses out? ![](https://lh7-rt.googleusercontent.com/docsz/AD_4nXdmyDUaqy2FvZ6_NmZGo-cgcXUcBzELUI8TdfgZbhc6gQyPo9JS2qXoZmFDkzrl60Y47SUTknlVioeVOGJAgShyjNmCEtyuQXK6a9RiY-kr7yUVkMfHRQDlPptDdGH0iMbym8XgfA?key=lO_ufs74G1Lzvi7eiFCcYVda) [Source](https://x.com/georgetolisjr/status/1868109810568409433?ref=theplasticsfella.com) Do A and B have to be mutually exclusive? Many surgeons combine technical mastery with academic leadership, proving a third option exists. This false dichotomy questions academics who rarely operate and technicians who don’t contribute to knowledge, but does it reveal more about the candidates — or our biases? P'Fella ❤️ ## The Sunday Quiz **How Well Do You Know* ***Thumb MCPJ UCL Injury?** ****Are you ready to make it to the leaderboard?** Welcome to ****the next round** of The Weekly Quiz. Each edition of thePlasticsPaper includes a quiz question designed to challenge and engage our readers. Keep your wits about you and join in every week — the winner at the end of six rounds will earn you a one-year subscription to thePlasticsPro. ![Valgus Stress Test](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/image-5.png) Valgus Stress Test ## Image of the Week **Seymour Fracture Anatomy* 🖼️ ****Image of the Week** In this section, we feature an anatomical illustration. This week, we’re looking at the anatomy of a ****Seymour fracture**. The injury presents as a ****pseudomallet**, characterized by a flexion deformity of the distal phalanx, due to asymmetric tendon insertions. Read more about Seymour fractures [here](https://www.theplasticsfella.com/seymour-fracture/). ![Seymour Fracture Anatomy](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/image-3.png) Seymour Fracture Anatomy ## Technique Tip **Flexor Teno Washout* 🚑 ****Technique Tip of the Week** This week’s technique focuses on ****flexor teno washout**. Flexor tenosynovitis washout involves limited incisions, such as a chevron at the A1 pulley, for targeted access and large-volume irrigation from proximal to distal. Severe cases may require carpal tunnel decompression and Parona space washout, especially in horseshoe abscesses. Intraoperative cultures guide antibiotic therapy, and the Michon Classification assesses severity. Explore in more detail [here](https://www.theplasticsfella.com/flexor-tenosynovitis/). ![Incisions for Flexor Tenosynovitis](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/01/image-4.png) Incisions for Flexor Tenosynovitis ## What's Trending? **Gemini AI Diagnoses Pancreatitis from a CT* 👁️ In this section, we'll make sure you stay ahead of the curve with the latest techniques and hot topics in plastic surgery! This edition looks at how ****Google's Gemini 2.0 AI diagnoses pancreatitis from a CT:** A peek into the future of radiology. From [X](https://x.com/kimmonismus/status/1867952384363860472?ref=theplasticsfella.com), [original source](https://www.reddit.com/r/singularity/comments/1hdop43/googles%5Fgemini%5F20%5Fai%5Fjust%5Fdiagnosed%5Fpancreatitis/?share%5Fid=7vY1QaH0Nitlc7oA23SGv&utm%5Fcontent=1&utm%5Fmedium=ios%5Fapp&utm%5Fname=ioscss&utm%5Fsource=share&utm%5Fterm=1&rdt=53333) 0:00 /1:32 1× ## ****Featured This Week** **Plastics Wrapped of 2024* ****Closing Up 2024: Your Year in Plastic Surgery, Wrapped** 7 million minutes of learning across 190 countries. Discover the trends, top articles, and moments that shaped your year in plastic surgery with the Plastics Fella. 0:00 /0:07 1× [Read Here](https://www.theplasticsfella.com/annual-letter-2024/) ## What Does the Evidence Say? **Should We Reattach Ring Avulsion Injuries Involving the PIPJ?* In this section, we dive deep into the latest research and evidence on medical practices and surgical techniques. Ring avulsion injury treatment varies with injury severity, guided by the ****Urbaniak classification** (Crosby et al., 2014). For class II and IIIa injuries, ****microsurgical repair** often achieves favorable functional outcomes (Beris et al., 1994). In class III injuries, replantation may be successful with careful patient selection and meticulous surgical technique (Chiu et al., 2019). Extended debridement of the avulsed digital artery and the use of long venous grafts can enhance replantation success rates (Akyürek et al., 2002). However, replantation should be approached with caution in cases involving ****proximal phalanx fractures** or ****flexor tendon lacerations**, as these may result in significant mobility loss (Crosby et al., 2014). Long-term outcomes for complete ring avulsion amputations can be satisfactory in select patients (Adani et al., 2003). ## Articles of the Week **3 Interesting Articles with 1 Sentence Summaries* ✅ ****Flexor Tendon Repairs: Navigating the Zone 2** ([Kang](https://www.jhandsurg.org/article/S0363-5023%2824%2900240-5/abstract?ref=theplasticsfella.com), 2024) Flexor tendon zone 2 repairs show high complication and reoperation rates; management emphasizes precise timing, surgical techniques, and tailored rehabilitation to optimize outcomes. ✅ ****Modern Flap Options for Soft Tissue Defects of the Hand** ([Yannascoli](https://www.jhandsurg.org/article/S0363-5023%2814%2901804-8/abstract?ref=theplasticsfella.com), 2015) The reconstructive "elevator" approach for soft tissue defects of the hand; advanced pedicled, free fasciocutaneous, and venous flap options for functional and aesthetic success. ✅ ****Essential Guide for Acute Hand Burn Management** ([Pan](https://www.jhandsurg.org/article/S0363-5023%2815%2900237-3/abstract?ref=theplasticsfella.com), 2015) A roadmap for managing acutely burned hands: Precise burn depth assessment, multidisciplinary care, and strategies to preserve hand function and aesthetics while minimizing postburn contractures. ## Feedback ### I hope you enjoyed it 😄 ---