The Upper Hand: Chuck & Chris Talk Hand Surgery

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...

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...