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.

Last refreshed: April 19th, 2026 at 3:12 AM ⓘ

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Episodes

Carpal Tunnel Syndrome 2- Surgery and Outcomes

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.

Feb 23, 2020•26 min•Season 1Ep. 7

Carpal Tunnel Syndrome 1- Diagnosis and Initial Treatment

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.

Feb 16, 2020•28 min•Season 1Ep. 6

Hands in the News: Metacarpal Fractures

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.

Feb 11, 2020•25 min•Season 1Ep. 5

Chuck & Chris: background and motivation

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.

Feb 09, 2020•28 min•Season 1Ep. 4

Interviewing for Residency and Fellowship – Perspectives from 2 faculty members

We just finished hosting residency interviews and we have our fellowship interviews coming up, so we have had some time to reflect on the process. We discuss our recent experiences interviewing candidates for our training programs. Hopefully our insights will be helpful to those on or soon to be on the interview trail! Thanks to @IamPeterMartin for his advice and amazing jazz piano.

Feb 01, 2020•27 min•Season 1Ep. 3

Cubital Tunnel 2 – Surgery and Postoperative Protocols

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.

Feb 01, 2020•34 min•Season 1Ep. 2

Cubital Tunnel 1 – Diagnosis and Initial Treatment

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.

Feb 01, 2020•29 min•Season 1Ep. 1

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