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

Chuck and Chris host Podcast Journal Club

October 1, 2023

by the upper hand

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/ […]

Distal Radius Malunion with special guest Megan Conti Mica

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

Deep Dive on the PIP Joint and the Stiff Finger

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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 […]

Firework Injuries and Journal Club

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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." […]

Chuck and Chris discuss scaphoid nonunions

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Chuck and Chris spend a few minutes catching up before taking a deep dive into the assessment and care of the scaphoid nonunion. We discuss general approach before discussing the technical details of fixation. Subscribe to our newsletter: https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW […]

Chuck and Chris discuss the impact of patient age on treatment

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Chuck and Chris catch up before and after some major travel and then dive into the impact of patient age on treatment decisions. We use scaphoid fractures and cubital tunnel as the basis of this discussion. Do we make inappropriate assumptions about young patients' healing abilities? And when we operate, do we treat patients differently- […]

Chuck and Chris Discuss the Importance of Medical Communities

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Season 4, Episode 15. Chuck and Chris discuss community and what it is so important. We begin, however, discussing kids, coaching and other activities before pivoting into a discussion on burnout and how community helps! More and more brunout is a topic that matters. While time away from work and time with family is one […]

Live from Singapore!

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Chuck and Chris share a live podcast from Singapore at the 13th Congress of the Asian Pacific Federation of Societies for Surgery of the Hand, the 9th Congress of the APFSHT, and the 8th APWA. We are grateful to many for this opportunity, especially Soumen Das De. We interview Dr. Yuan-Kun Tu from Taiwan […]

Chuck and Chris Discuss FPL Rupture after Distal Radius Volar Plating

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Season 4, Episode 13. Chuck and Chris spend the first 20 minutes of this nearly hour- long episode discussing past and future travel- the meetings, the patient care challenges, etc. Then we pivot to deep dive with a discussion on a case of FPL rupture after volar plating of a distal radius fracture. While uncommon, […]

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