The Upper Hand: Chuck & Chris Talk Hand Surgery

Episode 27, Season 2.   Chuck and Chris are joined by OT Macy Stonner to discuss therapy after finger fracture and therapy for the stiff finger.  Macy shares various tips and pearls to maximize patient outcomes. We referenced an AAOS ICL published here: Post Traumatic Reconstruction of the Hand.  JBJS 89A: 428- 435,  2007 As always, thanks to @iampetermartin for the amazing introduction and conclu...

Episode 26, Season 2.   Chuck and Chris discuss the stiff finger and the basic concepts required in assessment of these fingers.  We discuss the full range of issues from bone status to soft tissues,  tendon mobility to joint contractures. This will be part 1 with a more therapy focused colleague joining for part 2. We referenced an AAOS ICL published here: Post Traumatic Reconstruction of the Han...

Episode 25, Season 2.   Chuck and Chris review PIP joint injuries, focusing on fracture/ dislocations and pilon injuries.  These are challenging injuries with a multitude of treatment choices. 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 24, Season 2.   Chuck and Chris review 7 personal finance pearls.  This is an overview of critical points focused on a conservative approach to finance.  While it may be most appropriate for residents, fellows, and younger professionals, some tips will benefit everyone. We welcome feedback. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhand...

Episode 23, Season 2.   Chuck and Chris discuss radial tunnel syndrome.  They both believe in the diagnosis although find it uncommon.  We discuss diagnosis, conservative care and surgery. 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 and...

Episode 22, Season 2.   Chuck and Chris welcome noted pediatric sports medicine physician, Mark Halstead.  Mark has great experience caring for athletes at every level and we spend our talking youth sports, return to play, family dynamics and even pitch counts.  Mark shares pearls on many levels and explains why the athletic trainer relationships are so important. As always, thanks to @iampetermar...

Episode 21, Season 2.   Chuck and Chris talk lumps and bumps, specifically ganglion cysts.  While the topic may seem mundane, the banter is decidedly not.  Join us and learn about Chris' PTSD and Chuck thermal approach.  A few citations are relavent. Gross and Gelberman Metacarpal Rotational Osteotomy,  J Hand Surg 1985 10: 105-8 Balazs, Donohue, Drake, et al.  Outcomes of Open DWG excision i...

Episode 20, Season 2.   Chuck and Chris talk a reality of 2021: hybrid meetings.  We discuss current meetings and how the format might evolve.  And we discuss tips from a recent HBR article:  "How to Nail a Hybrid Presentation' by Sasrah Gershman and Rae Ringer. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And tha...

Episode 19, Season 2.   Chuck and Chris continue the new segment: deep dives on surgical technique.  We continue with another key procedure- the cubital tunnel decompression.  The focus is the exact technique that we use, from skin incision to treatment of the nerve to handling of the FCU. Let us know if you like this segment and we welcome suggestions on other procedures to dive into. As always,...

Episode 18, Season 2.   Chuck and Chris welcome Rob Kamal from Stanford to discuss distal radius fractures, the new Clinical Practice Guideline(CPG) on distal radius fracture, and quality in outcomes.    We do focus to unwind the CPG and highlight key points with Dr. Kamal who led this effort of the AAOS and ASSH. As always, thanks to @iampetermartin for the amazing introduction and conclusion mus...

Episode 17, Season 2.   Chuck and Chris introduce a new segment: deep dives on surgical technique.  We start with the most basic and yet important procedure in hand surgery, carpal tunnel release.  We share our mini open approach to release the transverse carpal ligament.  And then we pivot to discuss the setup and execution of wrist arthroscopy.   Let us know if you like this segment and we welco...

Episode 16, Season 2.  Chuck and Chris talk about two manuscripts that we both really appreciate.  The first is from HBR on Mentoring,  "Making Mentorship a Team Effort" published on March 17, 2020.  This article suggests that mentoring should be a team effort with a Launch Team, a Cruise Team and a Boost Team. The other is a recent J Hand Surgery manuscript, a prospective, randomized tr...

Episode 15, Season 2.  Chuck and Chris talk about pediatric finger fractures including gamekeepers (aka skiers thumb) and bony mallet fractures. 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 and Chris understand better what you like and wh...

Episode 14, Season 2.  Chuck and Chris talk about Goldman Sachs work schedule, Chris' recent accomplishment, NCAA basketball and, oh right, pediatric phalanx fractures including extra octave fractures, subcondylar fractures, and Seymour fractures (amongst others). As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks...

Episode 13, Season 2.  Chuck and Chris use a new HBR article as the basis for this episode on thinking vs overthinking and share 5 steps to consider.  We talk intuition, perseveration, and other challenges in providing the best care for our patients.  The article link is below, author Melody Wilding. Article: https://hbr.org/2021/02/how-to-stop-overthinking-everything As always, thanks to @iampete...

Episode 12, Season 2.  Chuck and Chris use Chris' recent JBJS article on 'What's New in Hand Surgery' as a basis of discussing the literature and their approaches to common problems.  This is the third episode which focuses on the CMC joint, Dupuytrens, the scaphoid, and other exciting areas! Chris' article can be found at JBJS.org As always, thanks to @iampetermartin for...

Episode 11, Season 2.  Chuck and Chris use Chris' recent JBJS article on 'What's New in Hand Surgery' as a basis of discussing the literature and their approaches to common problems.  This is the second episode which focuses on nerve and distal radius. Chris' article can be found at JBJS.org As always, thanks to @iampetermartin for the amazing introduction and conclusion m...

Episode 10, Season 2.  Chuck and Chris use Chris' recent JBJS article on 'What's New in Hand Surgery' as a basis of discussing the literature and their approaches to common problems.  This episode focuses on carpal and cubital tunnel syndromes. Chris' article can be found at JBJS.org As always, thanks to @iampetermartin for the amazing introduction and conclusion music. th...

Episode 9, Season 2.  Chuck and Chris talk to Rob Gray from Chicago and Orrin Franko from the San Francisco Bay Area on their approaches to marketing.  In this episode, we focus on practice development and marketing with Rob and Chris who are not in the classic academic models.  We learn about their approach to all things marketing including patient reviews.   robgraymd.com https://ebhmc.com/dr-fr...

Episode 8, Season 2.  Chuck and Chris talk about CMC fracture/ dislocations including the Bennett Fracture and the 4/5 dislocation w hamate fracture.  We share our thoughts and strategies towards fixation and return to sports. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcas...

Episode 7, Season 2.  Chuck and Chris talk to Aaron Perlut, cofounder of Elasticity Marketing (https://goelastic.com) and author of "F!!ck Your Formula: Why Following Rules Is the Worst Marketing".  Aaron shares basic marketing principles including start with the "why".  We discuss various principles including online reputation management, SEO (search engine optimization) and t...

Episode 6, Season 2.  Chuck and Chris discuss a clinical topic between our marketing podcasts.  We share our thoughts on pronator syndrome- its diagnosis, the pertinent anatomy, and treatment. 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 5, Season 2.  Chuck and Chris discuss practice development and marketing.  We share our 'stories' on how our academic practices came to be and our priorities in this process.  We also share some brief thoughts on practice marketing, social media, and the like. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  A...

Episode 4, Season 2.  Chuck and Chris discuss residency and fellowship virtual interviews.  We discuss helpful tips and trends.  These interviews have been fascinating and there are both good and bad qualities to consider. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast in...

Episode 3, season 2.  Chuck and Chris talk more about Chris' favorite topic- nerve surgery.  Our 3rd in the series on nerve surgery.  We welcome a very special guest, Amy Moore.  Amy is a plastic surgeon who spent her entire career here at Washington University until about 1 year ago when she relocated to become the Chair of Plastic Surgery at Ohio State.  Amy's knowledge runs deep and b...