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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.

science life sciences

All Episodes

32:31

Flexor Tendon Surgery and Rehabilitation

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/05/24

Episode 20. Chuck and Chris welcome Macyn Stonner, OTD, an amazing hand therapist with Milliken Hand Therapy in the Program of Occupational Therapy at Washington University. We discuss the challenge of these injuries including our surgical preferences and spend more time with Macy discussing therapy. Macy pulls back the curtain and shares her approach to treating these patients and working towards the best outcome.As always, thanks to @iampetermartin for the amazing introduction and conclusion

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30:32

Thumb UCL Injuries. Evaluation and Treatment in 2020

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/05/17

In Episode 19, Chuck and Chris discuss the diagnosis and assessment of thumb UCL injuries including the role of advanced imaging. We then discuss our treatment approaches on the operative and nonoperative care including patient counseling. We focus our operative discussion on the role of the classic repair techniques versus the use of suture tape.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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29:30

Interview 3: Marybeth Ezaki. Past ASSH President,...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/05/10

Episode 18. Our third guest on the Upper Hand Podcast is Marybeth Ezaki, MD. Dr. Ezaki is past President of the ASSH and remains the only female president of this organization. She is a critical thinker in the field of congenital hand surgery and is a mentor to many surgeons who practice in this field. She shares thoughts on women in surgery, dogma, and the evolution of hand surgery. As always, thanks to @iampetermartin for the amazing introduction and conclusion

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38:41

Dogma in Hand Surgery

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/05/03

Episode 17. Chuck and Chris discuss various dogma in hand surgery including topics such as cubital tunnel syndrome, metacarpal fractures, the development of wrist arthritis, etc. Join us and weigh on via twitter or email on dogma topics in hand surgery.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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32:07

Patient Centered Care and Basal Joint Arthritis

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/04/26

Episode 16: Chuck and Chris discuss patient centered care and decision aides in the context of thumb basal joint arthritis. This episode also marks our Facebook Live debut for Washington University Orthopedics and the conversation reflects a bit more of a patient focused approach. We also welcome the debut of a future podcast star- Chris' son Raffi!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

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24:03

Interview 2: Martin Boyer, President of the Hand Society

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/04/19

Episode 15. Our second guest on the Upper Hand Podcast is the current President of the American Society for Surgery of the Hand, Martin I. Boyer, MD. In our conversation with Dr. Boyer, we learn about his plans for his presidential year, focused on fellow education. We also learn about the response of the ASSH to COVID-19- with a concerted and highly effective effort to provide timely information for the membership.As always, thanks to @iampetermartin for the amazing

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29:19

Part 2: Hand Surgery Literature Update, 2019

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/04/12

Episode 15: Chuck and Chris review Chris' JBJS review on the hand surgery literature for 2019. This is the second part of the discussion of scaphoid nonunions, the role of denervation, tendon, replantation, and a brief discussion of opioids. theupperhandpodcast.wustl.eduAs always, in these stressful times, I always recommend more @iampetermartin- jazz piano relaxation.

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35:25

Part 1: Hand Surgery Literature Update, 2019

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/04/05

Episode 14: Chuck and Chris discuss Chris' 2020 JBJS review on the hand surgery literature for 2019. This is Part I of II with a discussion of thumb CMC arthritis and distal radius fractures, among other topics.Because of the crazy times, we also give some COVID-19 updates. theupperhandpodcast.wustl.eduAnd, in these stressful times, I always recommend more @iampetermartin- jazz piano relaxation.

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18:18

Emergency Podcast: COVID-19

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/03/25

Chris and Chuck review the impact of the COVID-19 pandemic on our community and our practices, our training program, and we share some of the adjustments that have been made. We recognize the rapid pace of change and the variability from community to community, state to state, and country to country.

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20:39

7 Clinical Pearls

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/03/22

Episode 11 evaluates 7 clinical pearls that Chuck and Chris use to maximize their practice efficiency. We hope that our discussion of these tips and tricks provide something for you to consider in your own practice. Really this is Chuck and Chris sharing some of our favorite pearls that we believe make us better hand surgeons (and give us more time for the personal and non- clinical work activities). And, of course, we hope that our thoughts generate discussion and feedback on twitter

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20:32

Interview 1: Brent Graham, Journal of Hand Surgery...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/03/22

Our first guest on the Upper Hand Podcast is the Journal of Hand Surgery Editor in Chief, Brent Graham. We learn about Dr. Graham's training, career, and path to Editor. We learn more about Dr. Graham's insights into the world of hand surgery and journal editing. Dr. Graham also hosts a podcast for the Journal of Hand Surgery, so he is no stranger to this medium. As always, thanks to @iampetermartin for the amazing music.

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25:38

7 Wack Gigs

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/03/15

Episode 10.7 Wack Gigs explores what we can learn when surgeries don't go quite like we planned. Wack definition- "bad, messed up". Gig definition- "live musical performance'We are indebted to @iampetermartin for both his music and the concept of exploring this concept. We evaluate what we can learn when surgeries veer off the planned path. We share 7 lessons that Chuck and Chris have learned in this podcast.

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29:40

Scaphoid 2- Surgical Treatment, the Volar Approach,...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/03/08

In Scaphoid 2, we discuss our most common strategies for operative management, including when and how to go dorsal vs volar, when and how we like to use bone graft, and when angular correction is needed. We review our postoperative protocols for immobilization, therapy, and return to activity. Technical pearls shared. Thank you to @iampetermartin for his musical contribution.

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32:34

Scaphoid 1- Diagnosis and the Dorsal Approach

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/03/01

Scaphoid 1. In this episode, we discuss the diagnosis of scaphoid fractures including the role of advanced imaging. We then discuss our approaches on the operative and nonoperative care including patient counseling. In this episode, we focus our operative discussion on the dorsal approach including tips and technical tricks for the surgical approach. Thanks to @iamPeterMartin for the amazing music.

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25:35

Carpal Tunnel Syndrome 2- Surgery and Outcomes

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/02/23

Chris and I talk about the technical aspects of carpal tunnel surgery including our approach, open versus endoscopic, and other controversies. Thanks to @IamPeterMartin for the amazing jazz piano.

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27:35

Carpal Tunnel Syndrome 1- Diagnosis and Initial...

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/02/16

We talk about one of the most common diagnoses in any upper extremity surgeon's practice- carpal tunnel syndrome. This episode is mostly about our approach to the patient and the steps we take in assessing the patient and making a diagnosis. We review important considerations such as: key patient complaints, which diagnostic tests help most, and how we use steroid injections. Thanks to @IamPeterMartin for the amazing jazz piano.

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25:06

Hands in the News: Metacarpal Fractures

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/02/11

We discuss our general approach to metacarpal fractures, which were recently in the news due to Steph Curry’s injury. We talk through our decision tree, how we treat non-operatively, how we treat surgically, and return to activity/play considerations.

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28:20

Chuck & Chris: background and motivation

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/02/09

Learn a little more about your co-hosts and why we decided to launch a podcast about hand surgery. Chuck describes his experience with a highly successful patient education blog. Chris describes his failed blog and his hot/cold relationship with Twitter.

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28:54

Cubital Tunnel 1 – Diagnosis and Initial Treatment

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/02/01

In our first episode, we discuss our approaches to the diagnosis and work-up of a patient with cubital tunnel syndrome. We review the pertinent history, our preferred physical exam, and our thoughts regarding diagnostic testing. We also discuss our initial treatment and counseling regarding prognosis and expectations. Thanks to @IamPeterMartin for his advice and amazing jazz piano.

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34:16

Cubital Tunnel 2 – Surgery and Postoperative Protocols

The Upper Hand: Chuck & Chris Talk Hand Surgery ·

2020/02/01

Episode 2: we continue with the case vignette on cubital tunnel syndrome discussed in the first episode. We discuss our preferences regarding choice of procedure – when we like doing an in situ decompression or an ulnar nerve transposition (and which types). We also get into details regarding our surgical technique and postoperative protocols after each surgery. Thanks to @IamPeterMartin for his advice and amazing jazz piano.

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