The Upper Hand: Chuck & Chris Talk Hand Surgery Challenges with "Simple" Procedures in Hand Surgery
8 snips
Jan 29, 2026 A fast-paced breakdown of routine hand procedures that can surprise surgeons. They walk through trigger finger releases, de Quervain management, dorsal and volar ganglion techniques, and carpal tunnel pitfalls. Practical intraoperative troubleshooting and tips for avoiding recurrence and nerve or vascular trouble keep the focus on what can go wrong.
AI Snips
Chapters
Books
Transcript
Episode notes
Visiting Lectureship At Penn
- Chris Dy described giving talks on 'ulnar risk in TFCC' and impact at Penn, enjoying cross-program exchanges.
- He highlighted meaningful faculty feedback during the visit.
No Surgery Is Truly Simple
- 'Simple' hand surgeries still carry meaningful risks and variable outcomes despite expectations.
- Health-system incentives and patient preferences shape decisions toward surgery over injections.
When Trigger Release Still Clicks
- If trigger release still triggers in the OR, check for EDC subluxation and consider excising an FDS slip.
- Offer a steroid injection at 6–10 weeks before reoperation but respect patient preference for definitive surgery.
