Claim OwnershipThe Upper Hand: Chuck & Chris Talk Hand Surgery
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© 2024 The Upper Hand: Chuck & Chris Talk Hand Surgery
Description
The Upper Hand Podcast feature Charles Goldfarb and Chris Dy from Washington University Department of Orthopedic Surgery. Our weekly podcast will discuss all things hand surgery, from the technical aspects of what we do (diagnosis, treatment) to our more personal approaches to events and opportunities that hand surgeons experience. We welcome feedback and audience engagement. We are grateful for the muscial contribution of @iamPeterMartin.
206 Episodes
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Episode 44. Chuck and Chris discuss leadership during the COVID 19 pandemic. Maintaining positivity may be challenging and patience is also challenging. We discuss the importance of being a patient leader during these difficult times.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.Article referenced:Sluss, David Becoming a More Patient Lea...
Chuck and Chris discuss Bennett Fractures and Rolando Fractures as well as a few mailbag topics including central TFCC tears (and the role of ulnar shortening) and more on bowstringing from Sam Moghtaderi.A few citations courtesy of loyal listener Joe McLaughlin.1) Hulsizer, et al. Ulna- shortening osteotomy after failed arthroscopic debridement of the TFCC. JHS, 19972) Nishizuka, et al Simple debridement has little useful value on the clinical course of recalcitrant ulna wr...
Chuck and Chris discuss the Darrach procedure including our indications, alternatives, technical considerations, and more. We also share our amazing experiences at the ASHT!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information a...
Chuck joins David Wei, a hand surgeon who leads the Business of Hand Surgery Committee at the ASSH, to discuss a variety of topics. In what is really an interview of Chuck by David, a variety of topics are discussed. David began and leads the BOHS podcast which is an amazing resource of practical business and private practice topics. We had a great discussion on business school, the Upper Hand Podcast, Leadership education, and a number of other interesting topics. Check it ...
Chuck and Chris review the ASSH meeting, preview the ASHT meeting, and discuss a few tricks and tips for ulnar shortening osteotomy through a case presentation.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve patholog...
Chuck and Chris discuss a number interesting listener submitted questions including comments around our SL ligament episode and the rock climbing episode. We even take a (brief) deep dive into biomechanics! We also share out plans for the ASSH Annual Meeting in Minneapolis.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or w...
Chuck and Chris welcome Sanj Kakar, MD from the Mayo Clinic to discuss the SL ligament. We discuss Sanj's path to his current role and his approach to the SL ligament including diagnosis and treatment. We refer toScapholunate Instability: Diagnosis and Management e Anatomy, Kinematics, and Clinical Assessment. Part I Lauren E. Wessel, MD,* Scott W. Wolfe, MD† 2023 (also part 2)Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more i...
Chuck and Chris discuss rock climbing injuries. We review general hand and wrist injuries but focus on the classic injuries to the fingers and flexor tendon sheath.We refer toUpper Extremity Injuries in RockClimbers: Diagnosis and Management byLaura A. Sims, MD. J Hand Surgery 2022; 47:662-72Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpoi...
Chuck and Chris provide 7 pearls for graduating fellows before diving into a discussion on spanning plates. Also in this episode- learn some of the ways that Chris is 'risk averse'.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general infor...
Chuck and Chris have a good discussion on FDP tendon avulsions and repair options. We discuss whether the FDP should always be repaired in the setting of an intact FDS (a great deal of therapy is required and results are rarely excellent) and we discuss how we each repair the FDP. We also reference a few items:1) Carroll Tendon Pulling Forceps (this allows easy passage through tendon sheath)2) Tendon weaver (passer). Sharp instrument used for tendon weaves with tendon transf...
Chuck and Chris welcome Steve Frick to discuss leadership. Steve is an exemplary leader who was Chief of Pediatric Orthopedic Surgery and Vice Chair at Stanford. He is now headed back to Atrium Health/ OrthoCarolina in a leadership role. We sat down with Steve at the annual leadership meeting of the AOA- American Orthopedic Association (and apologize for the ambient noise) to discuss his path and his leadership style and principles.Steve references John Wooden's Pyramid of S...
Chuck and Chris talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss only two topics in our part 1- trigger finger and carpal tunnel release. A few key citations from some really interesting topics:1. Bookman J, Rocks M, Noh K, Ayalon O, Hacquebord J, Catalano L, Glickel S.Determining the optimal dosage of corticosteroid injection in trigger finger. Hand (NY). 2023 May 16:15589447231170326.2. Bitar H, Zachrisson AK, Bystr¨om M, Str¨omberg J. Day-...
Chuck and Chris welcome Amanda Lovelace who is the Marketing Director for our large orthopedic department. We share a fantastic first discussion including marketing directions, the importance of personal relationships, how social can be considered, among many other topics. Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or w...
Chuck and Chris begin this episode with a discussion of ray resection and then pivot to discuss practice management and payer mix in our practices as well as the benefits and challenges of workers compensation.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as wel...
Chuck and Chris are joined by special guest Macy Stonner who brings her therapy expertise to the topic of finger fractures. This episode will revisit common fractures and the therapist perspective to outstanding outcomes.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and it...
Chuck and Chris answer a few listener- submitted questions and then take a deep dive into their approach to finger fractures with a specific focus on Kirshner wires, k-wires.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about ...
Chuck and Chris welcome Ryan Nunley to the Podcast. Ryan is a total joint surgeon who has an amazingly busy clinical practice. We discuss practice efficiency, handling VIPs, and share updates on computer navigation and robotic surgery. There is so much we can learn!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www...
Chuck and Chris discuss patients with dupuytrens disease (in office and in the OR) including our protocols for care after formal surgery. We also discuss some challenges with needle procedures in the office. We touch on our trial of AI for clinic note generation and look forward to listener comments. And finally, we touch on leadership with a deep dive on the HBR article: The New Rules of Executive Presence by Sylvia Ann Hewlett. This article compares leadership criteria fro...
Chuck and Chris catch up on with listener submitted questions and then discuss the volar approach to the scaphoid for scaphoid nonunions.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology. Please complete...
Chuck and Chris catch up on with listener submitted questions on technical aspects of two procedures: a deep dive on CMC arthroplasty with suture tape suspension and the indications for subcutaneous vs submuscular ulnar nerve transposition. We close with a brief discussion of medial epicondyle fractures with ulnar nerve pathology.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and ca...
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