C Liam Dwyer1, Andrew J Creager1, John D Lubahn2. 1. UPMC Hamot, 201 State Street, Erie, PA 16550 USA. 2. UPMC Hamot, 201 State Street, Erie, PA 16550 USA ; Hand Microsurgery and Reconstructive Orthopedics, LLP, 300 State Street, Suite 205, Erie, PA 16507 USA.