Shows
The Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk Distal Biceps RupturesChuck and Chris discuss a new topic- distal biceps rutpures. This is one of Chuck's favorite procedures but a little out of the day to day for Chris. We discuss anatomy and treatment options including surgical technique.Thanks to all those who have taken the survey. For those who have not, please take 2 minutes and help us to better understand your preferences and help us understand how we can continue to improve the podcast! For those who complete the survey and share their email, we will have a drawing for Upper Hand Swag!https://forms.gle...2025-06-2233 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Discuss Clavicle Fractures with a Trauma SurgeonChuck 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 fractures, Marschall's perspective will be interesting to many listeners. We discuss indications, approach, technique, etc.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general inf...2023-10-2941 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris host Podcast Journal ClubChuck and Chris discuss a three new Journal of Hand Surgery articles for our podcast journal club. Join us and share any thoughts!Isaacs, Nydick, Means, Merrell, Ilyas, Levine and RECON study group. A multicenter prospective randomized comparison of conduits versus decellularized nerve allografts for digital nerve repairs. JHS 2023Guidi, et al Distraction arthroplasty for basal joint arthritis: 10 year follow- up JHS 2023; 48: 796-802Carroll, et al Endoscopoic versus open carpal tunnel surgery: risk factors and rates of revision surgery. JHS 2023; 48: 757-63Subscribe to our newsletter: https...2023-10-0130 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris discuss scaphoid nonunionsChuck and Chris spend a few minutes catching up before taking a deep dive into the assessment and care of the scaphoid nonunion. We discuss general approach before discussing the technical details of fixation.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu. 2023-07-0242 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris discuss the impact of patient age on treatmentChuck and Chris catch up before and after some major travel and then dive into the impact of patient age on treatment decisions. We use scaphoid fractures and cubital tunnel as the basis of this discussion. Do we make inappropriate assumptions about young patients' healing abilities? And when we operate, do we treat patients differently- what's the evidence?Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As al...2023-06-1836 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Discuss the Importance of Medical CommunitiesSeason 4, Episode 15. Chuck and Chris discuss community and what it is so important. We begin, however, discussing kids, coaching and other activities before pivoting into a discussion on burnout and how community helps! More and more brunout is a topic that matters. While time away from work and time with family is one burnout remedy, another is connection or, for the purposes of this discussion, community. We discuss 7 important communities (actually more) that engage us and give us a connection that matters. Join us!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee...2023-06-0429 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Discuss FPL Rupture after Distal Radius Volar PlatingSeason 4, Episode 13. Chuck and Chris spend the first 20 minutes of this nearly hour- long episode discussing past and future travel- the meetings, the patient care challenges, etc. Then we pivot to deep dive with a discussion on a case of FPL rupture after volar plating of a distal radius fracture. While uncommon, this problem can be a real challenge and we discuss efforts to minimize, diagnosis, and treatment. Join us!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opport...2023-05-2849 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk JBJS What's New in Hand Surgery Part 2Season 4, Episode 10. Chuck and Chris take a deep dive into Deborah Bohn's What's New in Hand Surgery in JBJS, part 2! Chuck also drops some news on a new endeavor.JBJS 2023; 105:428-34Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu. 2023-04-1640 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk JBJS What's New in Hand SurgerySeason 4, Episode 9. Chuck and Chris take a deep dive into Deborah Bohn's What's New in Hand Surgery in JBJS. The article covers key new articles into our favorite research topics in hand surgery. This is Part 1 of a two part series.JBJS 2023; 105:428-34Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.2023-04-0933 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris on Vegas, hand fellowship, research, and AIN PalsySeason 4, Episode 8. Chuck and Chris record a second episode in Las Vegas during the AAOS. We start by talking Vegas and Chris' dining choices. We discuss research pathways recognizing Chris's amazing accomplishment of winning the Kappa Delta Young Investigator Award. We share reflections on our recent fellowship interview day (and the remarkable candidates) before discussing a reader- submitted case on AIN palsy. Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89...2023-03-2630 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Discuss Claw HandSeason 4, Episode 2. Chuck and Chris return after one week off to catch up and begin a discussion on claw hand. We describe presentation and etiology and start to discuss surgical treatment. More to come on this topic.Referenced manuscript: Goldfarb CA and Stern PJ Low Ulnar Nerve Palsy Journal of the American Society for Surgery of the Hand, Feb 2003, 3:14-26Subscribe to our newsletter: https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq8...2023-01-1530 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck, Chris, and Macy on the Radial Nerve. Part IV, The Role of the Hand TherapistSeason 3, Episode 49. Chuck and Chris continue with this 4 part segment on radial nerve injuries. In this podcast, Macy joins us to discuss her role in patient assessment and her perspective on both tendon transfers and nerve transfers to address radial nerve injury/ palsy.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMT...2022-12-1829 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris on the Radial Nerve. Part III Tendon TransfersSeason 3, Episode 48. Chuck and Chris continue with this 4 part segment on radial nerve injuries. In this podcast, we discuss tendon transfers as treatment for the radial nerve injury. We discuss the three key transfers including wrist extension, thumb extension/ retropulsion, and finger MCP joint extension. We plan one additional episodes on therapy before and after radial nerve palsy treatment in this series. Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job...2022-12-1135 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris on the Radial Nerve. Part II Nerve TransfersSeason 3, Episode 47. Chuck and Chris continue with this 4 part segment on radial nerve injuries. In this podcast, we discuss nerve transfers as treatment for the radial nerve injury. We plan additional episodes on tendon transfer and therapy in this series. References:Ray WZ, Mackinnon SE. Clinical outcomes following median to radial nerve transfers. J Hand Surg Am. 2011 Feb;36(2):201-8. doi: 10.1016/j.jhsa.2010.09.034. Epub 2010 Dec 18. PMID: 21168979; PMCID: PMC3031762.Bertelli JA. Nerve Versus Tendon Transfer for Radial Nerve Paralysis Reconstruction. J Hand Surg Am. 2020 May;45(5):418-426. doi: 10.1016/j.jhsa.2019.12.009. Epub 2020 Feb 21. PMID: 32093993....2022-12-0424 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris on the Radial Nerve. Part ISeason 3, Episode 46. Chuck and Chris begin the first of a 4 part segment on radial nerve palsy. In this podcast, we discuss diagnosis, evaluation, and initial management of patients with radial nerve palsy. We plan episodes on tendon transfer, nerve transfer, and therapy in this population. Note- we apologize for some background noise (kids).Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complet...2022-11-2726 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris discuss marketing and competition in healthcareSeason 3, Episode 45. Chuck and Chris talk about a new HBR article by Bill Taylor, "Your Competitors Aren’t Always Who You Think They Are". We explore what this means in healthcare and how we can optimize the patient experience.https://hbr.org/2022/11/your-competitors-arent-always-who-you-think-they-areSubscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id...2022-11-2024 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk Mission TripsSeason 3, Episode 44. Chuck and Chris talk international 'mission' trips with Chuck's trip to St Vincent with the World Pediatric Project just finished. Grateful to supporters including the Touching Hands of the ASSH and Orthopediatrics as well. Hear more on thoughts on what makes a great team and a successful trip.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms...2022-11-1321 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris share Current Strategies for Dupuytrens,Season 3, Episode 43. Chuck and Chris discuss their current strategies in treating Dupuytrens disease. In an update from our previous Charlie Eaton interview , we describe our indications, treatment strategies, and outcomes with various procedures. We focus on open fasciectomy and needle aponeurotomy.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85See http://www.practicelink.com for more information from our partner on job search and career opportunities. Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b6...2022-11-0633 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk Common Peroneal NerveSeason 3, Episode 39. Chuck and Chris talk about Chris' favorite topic, NERVE! Today we discuss the common peroneal nerve. We discusse how patients come to us, how we assess preoperatively including workup, and the surgery- common peroneal nerve decompression. Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and c...2022-10-2342 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryLive with Chuck and Chris from Boston at the ASSHSeason 3, Episode 39. Chuck and Chris host a live podcast in Boston during the ASSH Annual meeting. This is our second live podcast and, we hope, a step forward in quality and content after our inaugural effort, the London IFSSH Live Podcast. Still some audio quality opportunities but we are making progress!There was great audience questions and this led to good discussion on life, balance, burnout, and other topics. We had a few audience luminaries jump right in include Jonathan Hobby and previous guest Sam Moghtaderi. Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscr...2022-10-0935 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Welcome Pete CarterSeason 3, Episode 37. Chuck and Chris welcome Pete Carter to discuss and introduce the next episode. In this episode, we introduce Pete and discuss some his personal story and how his interest in the founding of the ASSH developed.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and...2022-09-2529 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris continue the discussion on coaching and burnoutSeason 3, Episode 36. Chuck and Chris follow- up last week's discussion with Jen Barna from the DocWorking Podcast with more talk about coaching and why it makes sense for many of us. We also talk more about our personal solutions to resisting burnout.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for...2022-09-1829 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris talk with Jen Barna, host of DocWorking podcastSeason 3, Episode 35. Chuck and Chris are joined by DocWorking Podcast host Jen Barna to discuss her podcast and services, discussing key themes in including coaching, burnout, definitions of success and our individual approaches. Jen introduces us to her podcast and services in the first half and then we discuss these themes in the second half.Welcome to the Upper Hand Podcast. 0:03Introduction to Jen Barna, co-host of DocWorking Podcast 1:42Coaching as a normal part of professional development. 10:22Practical steps to consider to fight burnout 19:24Success is very individual and you have to be honest with yourself. 26:51https://docworking.comDocWorking provides coaching, courses, and...2022-09-1128 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris discuss thumb arthritis and joint balanceSeason 3, Episode 34. Chuck and Chris discuss nuances of the presentation of CMC arthritis with attention paid to hyperextension of the thumb MCP joint.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. 2022-09-0432 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk Surgical Techniques for Cubital Tunnel SyndromeSeason 3, Episode 32. Chuck and Chris discuss a case of central slip laceration before diving into cubital tunnel syndrome including decision- making for decompression vs transposition and technique preferences. Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4uAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. 2022-08-2139 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk Elbow OCDsSeason 3, Episode 31. Chuck and Chris share exciting podcast milestone and announce a new giveaway to celebrate. And then, we get down to a new topic- capitellar OCD, osteochondral defect, aka osteochondritis dissecans. We share thoughts on diagnosis and treatment- what works, what doesn't, and so much more.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Please complete NEW Survey: https://forms.office.com/Pages/ResponsePage.aspx?id=taPMTM1xbU6XS02b65bG1s4ZpoRI9wlPhXnSF2MnEXxURVRNVDNBMEVSMU1CWFpIQVA4SEtMTFcyMS4u...2022-08-1434 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Talk National SocietiesSeason 3, Episode 30. Chuck and Chris answer a listener question regarding national society involvement. We share our opinions on societies, leadership, leadership training, traveling fellowships, and so much more!Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Stay tuned- a new, updated survey is coming soon!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. 2022-08-0730 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Discuss UncertaintySeason 3, Episode 29. Chuck and Chris discuss overcoming uncertainty as based on the HBR article "How to overcome your fear of the unknown" by authors Nathan Furr and Susannah Harmon Furr. This article from the July-August issue is based on the book, "The Upside of Uncertainty." We found the article and its message fascinating and related the key points in this discussion.Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what w...2022-07-3140 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris Welcome Farsh GuilakSeason 3, Episode 28. Chuck and Chris welcome Farshid Guilak to discuss his remarkable research career and his approach to leadership, mentorship, and change. This fun and interesting discussion of topics is certain to be of interest. Farsh has a remarkable recor of research success (the only 3 time winner of the Kappa Delta Award) and built a thriving lab through supportive leadership and mentorship. We discuss these topics and more (work- life balance and generational differences)Subscribe to our newsletter: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey...2022-07-2440 minThe Upper Hand: Chuck & Chris Talk Hand SurgeryChuck and Chris talk cases and listener emailsSeason 3, Episode 26. Chuck and Chris return home and back to the familiar format. After catching up, we dive into cases before pivoting to listener emails. We close it out with pearls for the upcoming oral boards (although the tips apply to any question and answer session).We plan a newsletter launch soon. Subscribe here: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 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! ...2022-07-1039 min