During this 60-minute case-based panel the speakers will present cases highlighting advanced treatment options for several hand and wrist conditions. This will include cases discussing TFCC and DRUJ injuries, CMC arthritis, scapholunate instability and distal radius fractures. The evaluation, diagnosis, and pathology will be presented along with their associated treatment while discussing medical decision making, treatment alternatives, and differing strategies for the panelists. The session will conclude with an audience question and answer session.