The Upper Hand: Chuck & Chris Talk Hand Surgery

Delve into the complexities of stiff fingers, where the hosts break down the critical assessment components from bone status to tendon mobility. They share unique surgical cases, including a nerve issue from a wrist cyst, and discuss innovative strategies like traction tenolysis. Expect insights into navigating flexor tenolysis under local anesthesia and the specifics of PIP contracture release, emphasizing patient engagement and surgical precision. Plus, there’s an exploration of post-surgery expectations and the evolving approaches to finger stiffness.

Explore the evolving treatment strategies for PIP joint fractures, with a spotlight on the shift from conservative care to surgical options, particularly in athletes. Discover the challenges of treating minimally displaced fractures, innovative fixation techniques for pylon fractures, and the significance of patient selection in surgery. The hosts blend surgical insights with personal anecdotes, showing the interplay of medicine and life. From classic TV references to upcoming adventures, it's a fascinating mix of expertise and storytelling!

Episode 24, Season 2.   Chuck and Chris review 7 personal finance pearls.  This is an overview of critical points focused on a conservative approach to finance.  While it may be most appropriate for residents, fellows, and younger professionals, some tips will benefit everyone.We welcome feedback.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

The discussion dives deep into the reality of radial tunnel syndrome, debating its legitimacy as a diagnosis. The hosts share personal experiences and emphasize the critical role of accurate patient assessments. They explore the complex decision-making between conservative care and surgical options. Highlights include the challenges of diagnosing the syndrome and the intricacies of surgical techniques for radial nerve decompression. Their insights also touch on the overlap of symptoms with other conditions like lateral epicondylitis, making for an engaging conversation on hand surgery.

Episode 22, Season 2.   Chuck and Chris welcome noted pediatric sports medicine physician, Mark Halstead.  Mark has great experience caring for athletes at every level and we spend our talking youth sports, return to play, family dynamics and even pitch counts.  Mark shares pearls on many levels and explains why the athletic trainer relationships are so important.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

The hosts dive into the quirky world of ganglion cysts, sharing personal anecdotes and medical insights that make for entertaining listening. They explore innovative surgical techniques, including a fascinating case of trauma-induced finger deformities. The conversation balances humor with serious discussions on patient education and management options for cysts. Listeners will enjoy the blend of medical wisdom and lighthearted banter, as they also reflect on the podcast's impact during fellowship interviews.

Episode 20, Season 2.   Chuck and Chris talk a reality of 2021: hybrid meetings.  We discuss current meetings and how the format might evolve.  And we discuss tips from a recent HBR article:  "How to Nail a Hybrid Presentation' by Sasrah Gershman and Rae Ringer.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

Dive into the intricate world of cubital tunnel decompression, where expert surgeons unravel the nuances of surgical techniques. They share invaluable tips on incision placement and nerve handling, ensuring the preservation of patient comfort. Personal anecdotes and audience feedback create an engaging atmosphere, highlighting critical reflections on their clinical practice. Listen as they explore preoperative evaluations and the significance of proper nerve positioning, all while fostering a sense of community in the evolving field of hand surgery.

Episode 18, Season 2.   Chuck and Chris welcome Rob Kamal from Stanford to discuss distal radius fractures, the new Clinical Practice Guideline(CPG) on distal radius fracture, and quality in outcomes.    We do focus to unwind the CPG and highlight key points with Dr. Kamal who led this effort of the AAOS and ASSH.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

Episode 17, Season 2.   Chuck and Chris introduce a new segment: deep dives on surgical technique.  We start with the most basic and yet important procedure in hand surgery, carpal tunnel release.  We share our mini open approach to release the transverse carpal ligament.  And then we pivot to discuss the setup and execution of wrist arthroscopy.  Let us know if you like this segment and we welcome suggestions on other procedures to dive into.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz