thePlasticsPaper - May 1st

Curated evidence-based Plastic Surgery, direct to your inbox. It's hard to keep up-to-date. thePlasticsPaper sends you 1 email per week - just the highlights!
thePlasticsPaper - May 1st

In this Week's Edition

1. ✍️ Letter from P'Fella - Twitter is better than a textbook. Here's why...

2. 🤓 Study on Sunday - Kanavel's signs

2. 🧐 Weekly Quiz Competition - Round 9!

4. 🎭 Upcoming Events - 15 webinars, events and conferences

5. 🐣 Tweets of the Week - Educational threads and videos!

6. 🚀 New features - flashcard update!

7. 📝 Articles of the Week - what happens if you don't operate on BCCs?

A Letter from P'Fella

Twitter is better than a textbook.

Every Sunday, you can get insights into P'Fella's thoughts and actions. 

🐣 Twitter is the best medical education platform.

The Plastic Surgery Twitter community is strong 💪 Every day, people tweet plastic surgery cases, questions and educational threads. And the best thing is you can see other people's thoughts, tips & tricks in the comments section.

If you're not on Twitter yet, you should sign up and follow these tremendous educational accounts: PLASTAUK, Canniesburn, Pulvertafthands, JPRASOpen, prsjournal, plasticstrainee, DrRodRohrich.

Here is an example of what to expect...

Check out thePlasticsFella on Twitter here

Study on Sunday

Kanavel's Signs in Flexor Tenosynovitis

Your weekly bite-sized topic to keep your knowledge fresh.

In the early 1900s, Allen B Kanavel (1874-1938) wrote a masterpiece on hand infections. A 6-volume collection just on infections. Pretty impressive. The cardinal signs of flexor tenosynovitis were first described in this publication. They have stood the test of time.

In this 1912 publication, Kanavel described 3 main signs:

  1. Tenderness over the sheath
  2. Flexion of the finger
  3. Pain on extension

You might ask, where did the commonly used 4th sign arise from? It's further down the page. It isn't listed as the main sign but rather another feature that may be present.

Weekly Quiz Competition

Round 9

Round 9! Second last round before the $100 prize.

Upcoming Events

15 Webinars, Conferences, and Courses

This is an incredibly comprehensive list of upcoming events in Plastic Surgery. If you want your event advertised, just reply to this email! 

  1. Stoke Mandeville: Limb Reconstruction - May 10th.
  2. Pulvertaft & Donald Summat - Language of the Hand - May 16th.
  3. BAAPS Masterclass in Aesthetic Practice - London, May 2022.
  4. RACS 90th Annual Scientific Conference - Brisbane, May 2022.
  5. British Burns Association Annual Meeting - Bristol, May 2022.
  6. Australian ASPS Congress - Goldcoast, June 2022
  7. Aesthetics In-Service Exam - Virtual, June 2022.
  8. ISAPS World Congress - Istanbul, July 2022
  9. ICCPCA Cleft Congress - Edinburgh, July 2022
  10. ASSH Annual Meeting - Boston, September 2022.
  11. BAAPS Annual Conference 2022 - London, September 2022.
  12. European Society of Craniofacial Surgery - Oxford, September 2022.
  13. BAPRAS Celtic Meeting - Dunblane, Scotland, September 2022
  14. Plastic Surgery, The Meeting - Boston, October 2022.
  15. AEC Limb Reconstruction - Virtual, October 2022

Tweets of the Week

If you're not on Twitter, you're not learning. Fact.


New Feature

More Flashcards!

Every week, P'Fella creates or updates the educational platform. All decisions are direct by one simple mantra: build great educational tools.

With this update, there are now even more evidence-based flashcards! Also in the pipeline to create more Anki-compatible cards *work in progress*

Articles of the Week

Every week, P'Fella links 3 articles you should read. There is also 1 deep-dive review for thePlasticsPro community.


  1. What to expect in lower limb nerve injuries? Qiu CS,  Hanwright PJ,  Khavanin N,  Tuffaha SH. Functional reconstruction of lower extremity nerve injuries. Plast Aesthet Res 2022;9:19.
  2. The Business of Plastic Surgery Ellsworth, Warren A. IV, M.D.; Gratzon, Andrew C. M.D.; Friedman, Jeffrey D. M.D. The Business of Employed Plastic Surgery: Creating Your Seat at the Table, Plastic and Reconstructive Surgery: April 2022 - Volume 149 - Issue 4 - p 989-998
  3. How to prevent seromas? David M Turer, MD, MS, Al Aly, MD, Seromas: How to Prevent and Treat Them—a 20-Year Experience, Aesthetic Surgery Journal, Volume 42, Issue 5, May 2022, Pages 497–504,

Deep Dive

P'Fella's personal analysis of the chosen article of the week. Key points, journal club critiques, and impact on your clinical practice.

This is for thePlasticsPro subscribers. Thank you for your support.

This week: What happens if you don't operate on a BCC?

A systematic review of observational management of cutaneous basal cell carcinoma. Goodall et al, JPRAS, April 2022.

This is for thePlasticsPro

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