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

Mailbag and FPL Tendon Reconstruction

February 2, 2025

by the upper hand

Chuck and Chris discuss several listener submitted questions and comments on the CMC joint as well as a case of TFCC pathology. Our focus is FPL rupture and reconstruction- we discuss interpositional tendon graft and FDS transfer. Flexor Pollicis Longus Reconstruction After Rupture Following Distal Radius Fixation With Volar Locking Plate: A Technique Guide.Welbeck A, […]

The LRTI in 2025

January 19, 2025

by the upper hand

Chuck and Chris discuss a listener submitted case and use the topic for a deep dive on thumb CMC/ basal joint arthritis and the gold standard of care, the LRTI. Hear Chuck and Chris' thoughts on the technical aspects of the operation and hear how they differ in their approaches. Please complete our survey: https://bit.ly/3iHGFpD […]

The Future of Hand Surgery

December 22, 2024

by the upper hand

Chuck and Chris celebrate the last episode of 2024 with a 'Future of Hand Surgery' episode. We prognosticate who will be performing carpal tunnel releases, how we will treat the CMC joint, what wrist arthroscopy will include, how we will repair nerves and tendons, and so much more. Join us and share your thoughts by […]

Wrist Arthroscopy with Sanj Kakar, part 2

December 22, 2024

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Chuck and Chris are joined again by Sanj Kakar from the Mayo Clinic. Sanj is a high volume arthroscopist and luminary in the field. He is leading the way with contributions to the field and new ways of considering wrist pathology. If you missed episode 1, we would recommend a listen but each episode stands […]

AI and Medicine: A Discussion with Alpesh Patel

December 8, 2024

by the upper hand

Chuck and Alpesh Patel, Professor of Orthopedic Surgery and Neurosurgery at Northwestern, discuss artificial intelligence and its role in medical practice. In the first of a two- part discussion, Chuck and Alpesh start with the basics on what AI is and what it can reasonably do and they start to delve into more details around […]

Mailbag Cases and Reasons to be Thankful

December 1, 2024

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Chuck and Chris have a good discussion based on several questions submitted by Chris Gayton at Ortho South Carolina and share why we are thankful at this time of year. We discuss when we consider carpal tunnel release and cubital tunnel surgery together, when we consider a distal ulnar tunnel decompression, and the role of […]

Advocacy- why it matters

November 17, 2024

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Chuck and Chris discuss advocacy. In this episode, we start with an adolescent elbow case as a warm up and then pivot to advocacy. Starting with a simple definition and explaining why it is so important for all of us. We use practical examples for discussion on all types of advocacy and why we should […]

Bennett Fractures, Rolando Fractures, and Guest Lecturer Sam!

November 3, 2024

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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. […]

Considerations on the Darrach Procedure

October 20, 2024

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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/3iHGFpD See http://www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. See https://checkpointsurgical.com or http://www.nervemaster.com for information about the company and its products […]

The Business of Hand Surgery

October 6, 2024

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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 […]

Ulnar Shortening Osteotomy

September 22, 2024

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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/3iHGFpD See http://www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. See https://checkpointsurgical.com or http://www.nervemaster.com for information about the company and […]

Mailbag and Hand Society Preview

September 8, 2024

by the upper hand

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

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