The Upper Hand

hosted by Chuck and Chris

other podcasts on orthohub

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.

all episodes

listen to The Upper Hand episodes on orthohub

Part 1: Tennis elbow, a discussion of the diagnosis and examination

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Episode 27. Chuck and Chris talk tennis elbow. We discuss the key pertinent features of the history and the physical examination including key differential diagnoses. We review the role of nerve studies for radial tunnel as well as the role of diagnostic injection. We begin the discussion of treatment with therapy. We hope for feedback […]

7 Side Gigs

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Episode 26. Chuck and Chris talk side gigs or side hustles. Clearly, our clinical work is consuming but there are benefits to side gigs including simply engaging in pursuits outside of typical medical care and many side gigs can be helpful in minimizin the risk of burnout. Chuck and Chris discuss 7 common side gigs. […]

Chuck & Chris Talk Education of Trainees

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Episode 25. Chuck and Chris discuss education. In this episode, we review how we view educational changes over the last 20 years, key mentors and role models, how to prepare from the OR, and the benefits of a post- surgery review for each case. We share thoughts on the value of the cadaver lab (hint: […]

WALANT Hand Surgery Part 2 with guest Sam Moghtaderi

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Episode 24, is part 2 of Chuck and Chris' discussion with guest Sam Moghtaderi, MD on wide awake local anesthesia no tourniquet (WALANT) surgery. We discuss surgical tips and pearls, education, and challenges in the OR and at the system level. Sam's experience with WALANT provides unique insights for the listeners. theupperhandpodcast.wustl.edu As always, thanks […]

WALANT Hand Surgery Part 1 with guest Sam Moghtaderi

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Episode 23, Chuck and Chris welcome guest Sam Moghtaderi, MD to discuss wide awake local anesthesia no tourniquet (WALANT) surgery. We discuss specific approaches to the patient consent process, specific surgical tips and pearls, and challenges in the OR and at the system level. Sam's experience with WALANT provides unique insights for the listeners. theupperhandpodcast.wustl.edu […]

Ulnar Sided Wrist Pain, Episode 2: TFCC Treatment

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In Episode 22, Chuck and Chris discuss ulnar sided wrist pain, focusing on treatment of TFCC pathology. We review the treatment of TFCC tears including arthroscopic and foveal repairs. We discuss therapy and reasonable expectations after surgery. We reference the Foveal RepairJ Hand Surg Am 2018 Jul;43(7):680.e1-680.e5. As always, thanks to @iampetermartin for the amazing […]

Ulnar Sided Wrist Pain, Episode 1: Diagnosis

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In Episode 21, Chuck and Chris discuss ulnar sided wrist pain, focusing on diagnosis. We review the differential diagnosis including diagnostic categories and how we work through the history and physical examination. We discuss key examination maneuvers and diagnostic tests including imaging and injections. We reference the ECU Synergy Test:Ruland and Hogan, J Hand Surg […]

Flexor Tendon Surgery and Rehabilitation

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Episode 20. Chuck and Chris welcome Macyn Stonner, OTD, an amazing hand therapist with Milliken Hand Therapy in the Program of Occupational Therapy at Washington University. We discuss the challenge of these injuries including our surgical preferences and spend more time with Macy discussing therapy. Macy pulls back the curtain and shares her approach to […]

Thumb UCL Injuries. Evaluation and Treatment in 2020

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In Episode 19, Chuck and Chris discuss the diagnosis and assessment of thumb UCL injuries including the role of advanced imaging. We then discuss our treatment approaches on the operative and nonoperative care including patient counseling. We focus our operative discussion on the role of the classic repair techniques versus the use of suture tape. […]

Interview 3: Marybeth Ezaki. Past ASSH President, Current Mentor and Sage

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Episode 18. Our third guest on the Upper Hand Podcast is Marybeth Ezaki, MD. Dr. Ezaki is past President of the ASSH and remains the only female president of this organization. She is a critical thinker in the field of congenital hand surgery and is a mentor to many surgeons who practice in this field. […]

Dogma in Hand Surgery

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Episode 17. Chuck and Chris discuss various dogma in hand surgery including topics such as cubital tunnel syndrome, metacarpal fractures, the development of wrist arthritis, etc. Join us and weigh on via twitter or email on dogma topics in hand surgery. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu

Patient Centered Care and Basal Joint Arthritis

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Episode 16: Chuck and Chris discuss patient centered care and decision aides in the context of thumb basal joint arthritis. This episode also marks our Facebook Live debut for Washington University Orthopedics and the conversation reflects a bit more of a patient focused approach. We also welcome the debut of a future podcast star- Chris' […]

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