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PODCAST

The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chris

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.

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All Episodes

38:56

IFSSH Preview with Guests Jeff Yao and Jeff Friedrich

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2025/02/16

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 Jeff's preferences for treatment of CMC arthritis.Please complete our survey: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by

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33:09

Mailbag and FPL Tendon Reconstruction

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2025/02/02

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.Flexor Pollicis Longus Reconstruction After Rupture Following Distal Radius Fixation With Volar Locking Plate: A Technique Guide.Welbeck A, Goldfarb CA, Calfee RP, Dy CJ.Tech Hand Up Extrem Surg. 2024 Sep 1;28(3):124-128. PMID: 38516925Our surgical follow- up article will

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43:42

The LRTI in 2025

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2025/01/19

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 hear how they differ in their approaches.Please complete our survey: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.Check out this link for the lecture series from

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42:52

Wrist Arthroscopy with Sanj Kakar, part 2

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2025/01/05

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. If you missed episode 1, we would recommend a listen but each episode stands alone.Please complete our survey: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See

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34:54

The Future of Hand Surgery

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/12/22

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 repair nerves and tendons, and so much more. Join us and share your thoughts by email!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opp...

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59:11

AI and Medicine: A Discussion with Alpesh Patel

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/12/08

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 what AI is and what it can reasonably do and they start to delve into more details around practical applications.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and

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41:51

Mailbag Cases and Reasons to be Thankful

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/12/01

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 surgery together, when we consider a distal ulnar tunnel decompression, and the role of dry arthroscopy in the setting of SL ligament injury.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our

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41:12

Advocacy- why it matters

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/11/17

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 practical examples for discussion on all types of advocacy and why we should all engage in some manner.Jon Lundy can be reached at jlundy1313@gmail.comSubscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand fo...

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39:49

Bennett Fractures, Rolando Fractures, and Guest...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/11/03

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 loyal listener Joe McLaughlin.1) Hulsizer, et al. Ulna- shortening osteotomy after failed arthroscopic debridement of the TFCC. JHS, 19972) Nishizuka, et al Simple debridement has little useful value on the clinical course of recalcitrant ulna wrist pain. The Bone

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30:48

Considerations on the Darrach Procedure

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/10/20

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/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 information about nerve

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35:25

The Business of Hand Surgery

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/10/06

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 the BOHS podcast which is an amazing resource of practical business and private practice topics. We had a great discussion on business school, the Upper Hand Podcast, Leadership education, and a number of other interesting topics. Check it out after listening to

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42:23

Ulnar Shortening Osteotomy

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/09/22

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.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 information about nerve pathology. Please

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41:55

Mailbag and Hand Society Preview

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/09/08

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 for the ASSH Annual Meeting in Minneapolis.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

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46:34

The SL Ligament with Sanj Kakar

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/08/25

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 toScapholunate Instability: Diagnosis and Management e Anatomy, Kinematics, and Clinical Assessment. Part I Lauren E. Wessel, MD,* Scott W. Wolfe, MD† 2023 (also part 2)Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from

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38:43

Hand Injuries in Rock Climbing

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/08/11

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 and Management byLaura A. Sims, MD. J Hand Surgery 2022; 47:662-72Subscribe 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

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46:16

Advice for Graduating Fellows and Spanning Plates

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/07/28

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/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 information

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40:33

Flexor Tendon Avulsion

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/07/14

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) and we discuss how we each repair the FDP. We also reference a few items:1) Carroll Tendon Pulling Forceps (this allows easy passage through tendon sheath)2) Tendon weaver (passer). Sharp instrument used for tendon weaves with tendon transfer surgerySubscribe to

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29:21

The Leadership Journey with Steve Frick

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/06/30

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 role. We sat down with Steve at the annual leadership meeting of the AOA- American Orthopedic Association (and apologize for the ambient noise) to discuss his path and his leadership style and principles.Steve references John Wooden's Pyramid of Success:

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47:46

JBJS What's New in Hand Surgery, part 2

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/06/16

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, metacarpal fractures, pediatric injuries, among other topics. Great review of an important review of the literature from 2023.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partn...

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33:23

What's New in Hand Surgery 2024, part 1

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2024/06/02

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:1. Bookman J, Rocks M, Noh K, Ayalon O, Hacquebord J, Catalano L, Glickel S.Determining the optimal dosage of corticosteroid injection in trigger finger. Hand (NY). 2023 May 16:15589447231170326.2. Bitar H, Zachrisson AK, Bystr¨om M, Str¨omberg J

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