The Upper Hand: Chuck & Chris Talk Hand Surgery
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.
Episodes
214 episodes
Global Hand Surgery with Guest Jim Chang
Chuck and Chris welcome Jim Chang from Stanford University for a deep dive on two really amazing topics. First, we discuss Jim's leadership of the IFSSH Triannual Meeting in Washington DC March 24-28. And second, we discuss global r...
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Season 6
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Episode 4
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38:20
IFSSH Preview with Guests Jeff Yao and Jeff Friedrich
Chuck and Chris welcome Jeff Yao and Jeff Friedrich to preview the IFSSH. We have a fantastic, wide ranging discussion about this leading, triannual meeting of surgeons and therapists. We follow up that with a discussion of Jeff and...
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Season 6
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Episode 4
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38:56
Mailbag and FPL Tendon Reconstruction
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.F...
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Season 6
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Episode 3
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33:09
The LRTI in 2025
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 ...
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Season 6
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Episode 2
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43:42
Wrist Arthroscopy with Sanj Kakar, part 2
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.&n...
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Season 6
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Episode 1
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42:52
The Future of Hand Surgery
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 ...
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34:54
AI and Medicine: A Discussion with Alpesh Patel
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 ...
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Season 5
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Episode 40
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59:11
Mailbag Cases and Reasons to be Thankful
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 s...
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Season 5
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Episode 39
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41:51
Advocacy- why it matters
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 p...
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41:12
Bennett Fractures, Rolando Fractures, and Guest Lecturer Sam!
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 loy...
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Season 5
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Episode 38
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39:49
Considerations on the Darrach Procedure
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...
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Season 5
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Episode 37
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30:48
The Business of Hand Surgery
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...
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Season 5
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Episode 36
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35:25
Ulnar Shortening Osteotomy
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/3iHGFpDSee www.pra...
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Season 5
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Episode 35
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42:23
Mailbag and Hand Society Preview
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 f...
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Season 5
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Episode 34
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41:55
The SL Ligament with Sanj Kakar
Chuck and Chris welcome Sanj Kakar, MD from the Mayo Clinic to discuss the SL ligament. We discuss Sanj's path to his current role and his approach to the SL ligament including diagnosis and treatment. We refer toScaphol...
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Season 5
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Episode 33
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46:34
Hand Injuries in Rock Climbing
Chuck and Chris discuss rock climbing injuries. We review general hand and wrist injuries but focus on the classic injuries to the fingers and flexor tendon sheath.We refer toUpper Extremity Injuries in RockClimbers: Diagnosis...
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Season 5
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Episode 32
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38:43
Advice for Graduating Fellows and Spanning Plates
Chuck and Chris provide 7 pearls for graduating fellows before diving into a discussion on spanning plates. Also in this episode- learn some of the ways that Chris is 'risk averse'.Subscribe to our newsletter: https://bit.ly...
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Season 5
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Episode 31
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46:16
Flexor Tendon Avulsion
Chuck and Chris have a good discussion on FDP tendon avulsions and repair options. We discuss whether the FDP should always be repaired in the setting of an intact FDS (a great deal of therapy is required and results are rarely excellent)...
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Season 5
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Episode 30
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40:33
The Leadership Journey with Steve Frick
Chuck and Chris welcome Steve Frick to discuss leadership. Steve is an exemplary leader who was Chief of Pediatric Orthopedic Surgery and Vice Chair at Stanford. He is now headed back to Atrium Health/ OrthoCarolina in a leadership ...
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Season 5
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Episode 29
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29:21
JBJS What's New in Hand Surgery, part 2
Chuck and Chris talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss a number of interesting hand surgery topics including: wrist and hand arthritis, distal radius fracture, scaphoid fractures, metacarpa...
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47:46
What's New in Hand Surgery 2024, part 1
Chuck and Chris talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss only two topics in our part 1- trigger finger and carpal tunnel release. A few key citations from some really interesting topics...
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Season 5
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Episode 11
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33:23
Mission Trips and Cases
Chuck and Chris catch up on life, travels and cases. We discuss Chuck's recent mission trip with World Pediatrics and pivot to discuss a few cases including care of the phalanx enchondroma and pain at the pisiform.Subscribe to our...
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36:22
Medical Marketing 101 with special Guest
Chuck and Chris welcome Amanda Lovelace who is the Marketing Director for our large orthopedic department. We share a fantastic first discussion including marketing directions, the importance of personal relationships, how social can be c...
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Season 5
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Episode 9
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39:35
Ray Resections and Clinical Practice Management
Chuck and Chris begin this episode with a discussion of ray resection and then pivot to discuss practice management and payer mix in our practices as well as the benefits and challenges of workers compensation.Subscribe to our newslette...
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Season 5
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Episode 8
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41:41
Hand Therapy for Finger Fractures with Macy
Chuck and Chris are joined by special guest Macy Stonner who brings her therapy expertise to the topic of finger fractures. This episode will revisit common fractures and the therapist perspective to outstanding outcomes.Subscribe...
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Season 5
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Episode 7
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39:41