
The Upper Hand: Chuck & Chris Talk Hand Surgery
The Upper Hand: Chuck & Chris Talk Hand Surgery
Favorite and Not-So-Favorite Surgeries
Chuck and Chris discuss a few of their favorite surgeries and some that are not so favorite right now. We invite you to share your favorites and any tips or tricks that you value.
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Summary
Chuck and Christopher discussed their podcast's progress, with over 220 episodes and 500,000+ downloads. They also shared a 5-star review from Dave James, who appreciated their carpal tunnel episode. Chuck mentioned an outpouring of interest in congenital topics at a recent meeting and a chance encounter with a fan. Chuck revealed a business school project idea for a podcast network.
Surgical Procedures and Suture Preferences
In the meeting, Christopher and Charles discussed their favorite and least favorite surgical procedures. Christopher's current favorite is LRTI, which he finds enjoyable and predictable with strong outcomes. He also mentioned his preference for dissolvable sutures in carpal tunnel surgeries. Charles's current favorite is carpal tunnel surgery, which he finds simple and predictable with excellent outcomes. They also discussed their experiences with trigger finger surgeries, with Christopher noting that some patients have had painful scars. Charles shared his experience with pollicization surgeries, which he finds satisfying and functional.
Nerve Injury Treatments and Pronunciations
Christopher shared his knowledge about the use of a vascularized ulnar nerve flap in cases of nerve avulsion, which he learned from a friend in Taiwan. He also mentioned his experience with a nerve injury case involving a cable graft. Charles expressed his admiration for the use of the word "milieu" in Christopher's explanation. They also discussed the pronunciation of a French word, Bouvier, and the potential for a Mahjong club meeting with their wives.
Surgeon Preferences and Challenges Discussed
Charles enjoys elbow and wrist arthroscopy, especially for ulnar-sided pathology, with about half his surgeries now being arthroscopic. Christopher finds revision thumb CMC arthroplasty challenging due to difficulties locating structures in scar tissue. Charles dislikes cubital tunnel surgery due to unpredictable outcomes. Chuck enjoys bony work like scaphoid and distal radius fractures, while Christopher finds straightforward distal radius fractures satisfying but proximal phalanx fractures stressful yet rewarding when successful.