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
201 episodes since 2020
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...
September 08, 2024
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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...
August 25, 2024
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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...
August 11, 2024
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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...
July 28, 2024
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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)...
July 14, 2024
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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 ...
June 30, 2024
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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...
June 16, 2024
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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...
June 02, 2024
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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...
May 19, 2024
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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...
May 05, 2024
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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...
April 21, 2024
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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...
April 07, 2024
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Season 5
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Episode 7
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39:41
Finger Fractures
Chuck and Chris answer a few listener- submitted questions and then take a deep dive into their approach to finger fractures with a specific focus on Kirshner wires, k-wires.Subscribe to our newsletter: https://bit.ly/3iHGFpD<...
March 24, 2024
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Season 5
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Episode 6
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47:22
What can hand specialists learn from a total joint surgeon?
Chuck and Chris welcome Ryan Nunley to the Podcast. Ryan is a total joint surgeon who has an amazingly busy clinical practice. We discuss practice efficiency, handling VIPs, and share updates on computer navigation and robotic surge...
March 10, 2024
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Season 5
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Episode 5
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39:06
Executive Presence- What does it mean and why is it important in 2024?
Chuck and Chris discuss patients with dupuytrens disease (in office and in the OR) including our protocols for care after formal surgery. We also discuss some challenges with needle procedures in the office. We touch on our trial of AI fo...
February 25, 2024
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Season 5
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Episode 4
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37:58
Volar Approach to the Scaphoid: Technical considerations
Chuck and Chris catch up on with listener submitted questions and then discuss the volar approach to the scaphoid for scaphoid nonunions.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperh...
February 11, 2024
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Season 5
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Episode 3
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33:51
Listener Mailbag: CMC and UNT
Chuck and Chris catch up on with listener submitted questions on technical aspects of two procedures: a deep dive on CMC arthroplasty with suture tape suspension and the indications for subcutaneous vs submuscular ulnar nerve transposition.&nbs...
January 28, 2024
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Season 5
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Episode 2
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43:01
Technical Considerations in the treatment of Kienbocks
Chuck and Chris welcome 2024 and season #5 with a technical episode on the treatment of Kienbocks disease. We discuss patient evaluation and surgical considerations including radius shortening, vascularized bone flaps, carpal pinning, and...
January 07, 2024
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42:40
Positive Energy, Cases, and End of Year Discussion
Chuck and Chris with a bonus, year- end episode with listener questions, CMC fusion case discussion, and an HBR review on the importance of positive energy. This was a really a catch- up episode and we catch up on Chris' travel, Chuck's b...
December 31, 2023
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Season 4
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Episode 28
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55:55
The Story of Sterling Bunnell
Chuck and Chris welcome Tony Smith and Steve McCabe to discuss the founding of the Hand Society and Sterling Bunnell. The two have been on an amazing journey of primary research to learn more about Sterling Bunnell. They share insig...
December 24, 2023
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Season 4
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Episode 27
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44:35
Medial Epicondyle Fractures- considerations in challenging outcomes
Chuck and Chris discuss the adolescent medial epicondyle fracture and a group of patients with a challenging outcome. This deep dive into the pathology and the technical considerations for treatment help us better understand the fracture,...
December 10, 2023
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39:54
Patient Conversations: What to say and not say
Chuck and Chris build on a hand society symposium led by Don Lalonde- What to Say and What not to Say to patients. Chuck and Chris discussion tips to build the patient relationship and challenges in doing so. We look forward to your...
November 26, 2023
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Season 4
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Episode 25
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40:07
Spaghetti Wrist- A technical episode
Chuck and Chris have a brief discussion about Chuck's Executive MBA program and then take a deep dive on a laceration in the distal forearm- the so- called spaghetti wrist. We talk details including the technical aspects of the procedure ...
November 12, 2023
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Season 4
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Episode 24
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39:04
Chuck and Chris Discuss Clavicle Fractures with a Trauma Surgeon
Chuck and Chris are joined my Marschall Berkes, Chief of Orthopaedic Trauma at Washington University Orthopedics to discuss clavicle fractures. Recognizing that many hand surgeons treat the entire upper extremity including clavicle fractu...
October 29, 2023
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Season 4
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Episode 23
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41:13
The Hand Society, Elbow Deformity and Drake
Chuck and Chris discuss the Hand Society meeting in Toronto including the highlights for each of them. They also discuss a pediatric elbow case including dome osteotomy treatment. And, if you listen to the end, you will learn more a...
October 15, 2023
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Season 4
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Episode 23
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36:24