Abstract Summary
Hand and wrist anatomy and biomechanics are among the most complex in the musculoskeletal system. Optimal function requires exacting interplay between several uniquely shaped and interdependent bones, articular surfaces, intrinsic and extrinsic ligaments and myotendinous units. Conditions that affect the neural input and cause articular degeneration challenge the surgeon and scientist to design alternatives to solve pain and provide optimal function. Reconstructive challenges will be presented.