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.

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listen to The Upper Hand episodes on orthohub

Part 2: Radial Sided Wrist Pain

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Episode 31. Chuck and Chris talk radial sided wrist pain. Last time we focused on De Quervains tenosynovitis in Part 1 and for this episode we focus on less common topics like intersection syndrome, Wartenbergs syndrome, FCR tendonitis, and a few others. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu

Part 1: Radial Sided Wrist Pain

by the upper hand

Episode 30. Chuck and Chris talk radial sided wrist pain. We discuss the pertinent features of the history and the physical examination including key differential diagnoses. We focus on De Quervains tenosynovitis in Part 1 of radial sided wrist pain. A few digressions including anti inflammatory medications and general surgical principles around keeping nearby neurovascular […]

Microstresses in the Medical World

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Episode 29. Chuck and Chris talk about the concept of microstresses and how these impact our daily lives. We discuss common examples in our lives and how we attempt to address these. This discussion is based on the work in HBR by Cross, Singer and Dillon, "Don't Let Microstresses Burn You Out'. We hope for […]

Part 2: Tennis elbow- Treatment

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Episode 28. Chuck and Chris talk tennis elbow. We discuss the our beliefs on effective treatment including therapy, orthoses, injection, and surgery. Sure to be controversial! As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu

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 […]

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