The Upper Hand: Chuck & Chris Talk Hand Surgery

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 Leader.  HBR, Sept 2, 2020Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

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 its products as well as good general information about nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

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 nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

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.nervemaster.com for information about the company and its products as well as good general information about nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

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 from 2012 to 2022 and the differences in priorities are great discussion points.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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

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 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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris with a bonus, year- end episode with listener questions, CMC fusion case discussion, and an HBR review on the importance of positive energy.  This was a really a catch- up episode and we catch up on Chris' travel, Chuck's b-school, and other timely topics.HBR: The Best Leaders have Contagious Positive Energy.  Emma Seppala and Kim Cameron.  April 18, 2022.  Reprint HO6ZULSubscribe 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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris welcome Tony Smith and Steve McCabe to discuss the founding of the Hand Society and Sterling Bunnell.  The two have been on an amazing journey of primary research to learn more about Sterling Bunnell.  They share insights with us in advance of their expected biography.  Join us for some exciting history of hand surgery.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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris build on a hand society symposium led by Don Lalonde- What to Say and What not to Say to patients.  Chuck and Chris discussion tips to build the patient relationship and challenges in doing so.  We look forward to your thoughts and your tips.  We also discuss the medical school tradition of the white coat ceremony!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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris have a brief discussion about Chuck's Executive MBA program and then take a deep dive on a laceration in the distal forearm- the so- called spaghetti wrist.  We talk details including the technical aspects of the procedure and patient expectations.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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris are joined my Marschall Berkes, Chief of Orthopaedic Trauma at Washington University Orthopedics to discuss clavicle fractures.  Recognizing that many hand surgeons treat the entire upper extremity including clavicle fractures, Marschall's perspective will be interesting to many listeners.  We discuss indications, approach, technique, etc.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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris discuss the Hand Society meeting in Toronto including the highlights for each of them.  They also discuss a pediatric elbow case including dome osteotomy treatment.  And, if you listen to the end, you will learn more about the Drake show in Toronto!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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris discuss a three new Journal of Hand Surgery articles for our podcast journal club.  Join us and share any thoughts!Isaacs, Nydick, Means, Merrell, Ilyas, Levine and RECON study group.  A multicenter prospective randomized comparison of conduits versus decellularized nerve allografts for digital nerve repairs.  JHS 2023Guidi, et al Distraction arthroplasty for basal joint arthritis: 10 year follow- up JHS 2023; 48: 796-802Carroll, et al Endoscopoic versus open carpal tunnel surgery: risk factors and rates of revision surgery.  JHS  2023; 48: 757-63Subscribe 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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris welcome Macy Stonner back for an in depth discussion of CMC arthritis and post surgical management.  As usual, Macy brings great insights which are pertinent for anyone caring for patients with thumb pain.  We also discuss a listener submitted question on the differences between TMR and RPNI.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 our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris start with a brief discussion on coding before taking a deeper dive on acute median nerve repair based on a listener question regarding tension during repair (tension on the nerve, not tension of the surgeon).  We then pivot to volar scaphoid approach and pearls.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 NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris start with a deep dive on a few technical points with ulnar nerve surgery.  Next we tackle a listener question on management of hook of the hamate fractures.  And finally, we discuss life as a busy clinician and how we respond to different requests- it can be ok say 'no' to academic/ life requests if there simply is no time.Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris are joined by a special guest, Megan Conti Mica currently at the University of Chicago.  The three of us catch up a bit with a hand club discussion before diving in to a technical discussion of distal radius malunion.Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris discuss use a listener submitted case as the basis of a discussion of the PIP joint.  We break down treatment considerations for a dorsally subluxated PIP joint that is stiff in extension.  Dive in with us- complicated discussion!  We also briefly touch on FPL ruptures, the rheumatoid hand (and the disappearing art of treating it).The stiff finger was a part of our discussion- here is the reference which might be helpful.Jupiter, Goldfarb, Nagy, Boyer Posttraumatic reconstruction of the hand.J Bone Joint Surg Am; 2007 Feb;89(2):428-35.  Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris discuss the 4th of July and fireworks injuries.  We review the most common presentations and treatment including acute and delayed.  We then pivot to review three interesting and recent publications.Bulstra and the Machine Learning Consortium, "A Machine Learning Algorithm to Estimate the Probability of a True Scaphoid Fracture after Wrist Trauma."  J Hand Surg 2022: 47: 709-718Schmidt, et al, "Association between radiographic and clinical outcomes following distal radius fractures". J Bone Joint Surgery 2023; 1-12Loewenstein, et al "Ulnar wrist denervation..."  J Hand Surg 2023; 48: 544-552Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.