The Upper Hand: Chuck & Chris Talk Hand Surgery

Season 3, Episode 1.  Chuck and Chris are excited for Season 3!  We share some updates and then dive in with a case discussion for our classification- guided approaches to managing Kienbocks Disease. Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And than...

Season 2 Episode 48.  Chuck and Chris share and discuss a listener question about hand surgery call.  We then continue to listener submitted segment and share our 3 most memorable cases and lessons for our younger selves. This is our last episode for 2021.  Looking forward to 2022! Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT As always, thanks to @iampetermartin for the...

Season 2 Episode 47.  Chuck and Chris discuss an FPL rupture case and respond to a listener requested segment: 3 Influential Mentors.  Each of us share 3 mentors including why each was so influential to us. Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  A...

Season 2 Episode 46.  Chuck and Chris discuss TFCC injuries and repair.  We briefly review examination diagnosis but the deep dive focuses on repair technique.  The importance of foveal TFCC injury and repair is highlighted. Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpod...

Season 2 Episode 45.  Chuck and Chris celebrate Thanksgiving by discussing why we feel thankful including specific people (think nurses, medial assistants, and hand therapists) places (ie Division and Department), and surgical instruments! (sounds odd but it flowed well) Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT As always, thanks to @iampetermartin for the amazing int...

Season 2 Episode 44.  Chuck and Chris welcome Lauren Wessel and her suggestion for a new segment: Half full or Half empty?  Lauren put together a list of controversial concepts and Chris and Chuck weigh in.  And, for those of you who like disagreement, there is plenty! Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT As always, thanks to @iampetermartin for the amazing intro...

Season 2 Episode 43.  Chuck and Chris review 3 new journal articles pertinent to the practice of hand surgery.  Two are focused on steroid injection and the role this treatment has, especially in the treatment of carpal tunnel syndrome.  The third focuses on complications with local only surgery in a large database study.  Yoshiaki Yamanaka, MD, PhD, Takafumi Tajima, MD, PhD, Yoshitaka Tsujimura,...

Episode 42, Season 2.   Chuck and Chris are joined again by Jeff Stepan and Steve Lanier, two previous fellows both in their second year in hand surgery practice.  Jeff and Steve share their experiences starting practice in Chicago, in somewhat different practices.  Jeff is at the University of Chicago, Steve at NorthShore.   They share insights from their successful symposium at the ASSH:  Free S...

Episoe 41, Season 2.  Chuck and Chris take a deep dive on leadership around The Great Resignation.  Employees across the USA are reconsidering their job, their careers, and their lives and are resigning in unprecedented numbers.  We use 2 HBR articles to frame our discussion.  We hope that listeners will engage and share their experiences. References mentioned:  1) The 3 Phases of Making a Major L...

Episoe 40, Season 2.  Chuck and Chris are joined by Becky Neiduski, hand therapist and Dean of Health Sciences at Elon University.  This is a live taping of the podcast with a great discussion of flexor tendon injuries including the surgeon and therapist perspective.  Thanks to the ASHT for inviting and for sharing the recording! We plan a newsletter launch soon.  Subscribe here:  https://wustl.us...

Episoe 39, Season 2.  Chuck and Chris take a deep dive on another sports topic- thumb UCL repair.  We discuss primary repair and suture tape augmentation.  After a brief case introduction, we discuss the decisions the surgeon considers and the implications for cost and for recovery. Reference mentioned:  Michelle  Carlson, et al. Anatomy of the thumb metacarpophalangeal ulnar and radial collateral...

Episoe 38, Season 2.  Chuck and Chris welcome guest Jorge Orbey to discuss his pathway to success.  Dr. Orbay has started two success companies and, more importantly, has directly impacted patient care with the volar plate and now with the internal elbow stabilizer.  He reflects on his path and provides thoughts for future innovators in hand surgery or any field.  We also learn technical pearls on...

Episode 37, Season 2.  Chuck and Chris discuss the ASSH Annual Meeting with the definitive recap episode.  Chris attended in person while Chuck attended virtually while holding down the fort in St Louis.  We discuss various sessions, the hybrid format, and lessons learned.  All in all, a great meeting under less than ideal circumstances. We plan a newsletter launch soon.  Subscribe here:  https://...

Episode 36, Season 2: Chuck and Chris discuss their approach to a scapholunate ligament injury.  We discuss how we think about and approach these injuries with specifics on surgical approach and technique. We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85  Survey Link: Help Chuck and Chris understand better...

Episode 35, Season 2: Chuck and Chris discuss two HBR articles on presentations.  While these reflect on non medical lectures/ presentations, there are many valuable lessons to consider for those in the medical world.  Chris and I considered these lessons in preparation for the upcoming ASSH and ASHT meetings. HBR articles "What it takes to give a great presentation", Carmine Gallo 2020...

Episode 34, Season 2: Chuck and Chris welcome Amy Moore and John Fowler, the Hand Society (ASSH) 2021 Annual Meeting Chairs, to discuss the San Francisco Meeting in San Francisco.   They share insights the meeting development, the program, the hybrid opportunity and so much more.   We start the discussion with a reader submitted question on loupe choices. We plan a newsletter launch soon.  Subscri...

Episode 33, Season 2: Chuck and Chris welcome Rachel Pigott and Nora Barrett, the President and Annual Meeting Chair, respectfully, of the American Society of Hand Therapists to discuss the ASHT Annual Meeting in St. Louis, October 7th-10th.   They share insights about the ASHT and specifics about the annual meeting including highlights.   Its going to be a great meeting with some focus on nerve b...

Episode 32, Season 2: Chuck and Chris revisit the Wheel of Hand Surgery.  The spin of the wheel generates our discussion and this week we talk 'Never Have I Ever'.  Tune in to learn about dogma, what we do in practice that the literature may not support.  Including tennis elbow amongst other topics. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. t...

Episode 34, Season 2: Chuck and Chris bring back "My Toughest Case" and Chris discusses a patient with scleroderma including evaluation and treatment options including sympathectomy. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuck...

Episode 33, Season 2: Chuck and Chris welcome Terry Light, a mentor to many, to the show.  Terry shares his medicolegal thoughts on both how to avoid issues as well as when to consider expert witness work.  Many pearls for listeners of all levels and training. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks to Eric...

Episode 32, Season 2: Chuck and Chris talk Operating Room (OR) efficiency, specifically about running two rooms.  We discuss tactics, when a surgeon might be ready, and how to make the most of the opportunity. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern. Survey...

Episode 31, Season 2: Chuck and Chris introduce a new segment: The Wheel of Hand Surgery.  And, the Wheel guided on discussion this week on SLAC Wrist.  A bit on pathophysiology and more on treatment preferences.   As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern. Su...

Episode 30, Season 2: Chuck and Chris talk vacations- the science and the practice.  Using HBR references (HBR Article : We All Really Need a Vacation. Here’s How to Make the Most of It. by Art Markman. May 12, 2021) and our own experience/ challenges, we discuss the need for vacation, making the most of the vacation and some of the questions we all consider such as:  Do you work on vacation?   Do...

Episode 29, Season 2.   Chuck and Chris start a new segment in their more structured approach.  This is the first episode of "My Hardest (recent) Case". Chuck shares a revision ulnar nerve case post subcutaneous transposition.  Chris and Chuck talk examination, nerve studies, technical approach and expectations.  Listen in! As always, thanks to @iampetermartin for the amazing introductio...

Episode 28, Season 2.   Chuck and Chris are joined by Jeff Stepan and Steve Lanier, two previous fellows both finishing their first year in hand surgery practice.  Jeff and Steve share their experiences starting practice in Chicago, in somewhat different practices.  Jeff is at the University of Chicago, Steve at NorthShore.   Jeff and Steve are leading a Symposium at the ASSH on Saturday October 2...