The Upper Hand

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Technical Considerations in the treatment of Kienbocks

January 7, 2024

by the upper hand

Chuck and Chris welcome 2024 and season #5 with a technical episode on the treatment of Kienbocks disease. We discuss patient evaluation and surgical considerations including radius shortening, vascularized bone flaps, carpal pinning, and so much more. Subscribe to our newsletter: https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and […]

Positive Energy, Cases, and End of Year Discussion

December 31, 2023

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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. […]

The Story of Sterling Bunnell

December 24, 2023

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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 […]

Medial Epicondyle Fractures- considerations in challenging outcomes

December 10, 2023

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Chuck and Chris discuss the adolescent medial epicondyle fracture and a group of patients with a challenging outcome. This deep dive into the pathology and the technical considerations for treatment help us better understand the fracture, the relationship of the ulnar nerve, and more Subscribe to our newsletter: https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from […]

Patient Conversations: What to say and not say

November 26, 2023

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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 […]

Spaghetti Wrist- A technical episode

November 12, 2023

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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/3iHGFpD See www.practicelink.com/theupperhand for more information from our […]

Chuck and Chris Discuss Clavicle Fractures with a Trauma Surgeon

October 29, 2023

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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/3iHGFpD See www.practicelink.com/theupperhand for […]

The Hand Society, Elbow Deformity and Drake

October 15, 2023

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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/3iHGFpD See www.practicelink.com/theupperhand for more information […]

Chuck and Chris host Podcast Journal Club

October 1, 2023

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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 2023 Guidi, et al Distraction arthroplasty […]

The post surgical care of the CMC arthritis patient: recurring guest Macy Stonner returns!

September 17, 2023

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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/3iHGFpD […]

The pearls episode: median nerve repair and volar scaphoid fixation

September 3, 2023

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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/3iHGFpD See www.practicelink.com/theupperhand for […]

Transposition pearls, hook of hamate fractures, and more!

August 20, 2023

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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/ […]

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