Season 2 Episode 43. Chuck and Chris review 3 new journal articles pertinent to the practice of hand surgery. Two are focused on steroid injection and the role this treatment has, especially in the treatment of carpal tunnel syndrome. The third focuses on complications with local only surgery in a large database study. Yoshiaki Yamanaka, MD, PhD, Takafumi Tajima, MD, PhD, Yoshitaka Tsujimura, MD, et al (Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environ...
Nov 14, 2021•31 min•Season 2Ep. 43
Episode 42, Season 2. Chuck and Chris are joined again by Jeff Stepan and Steve Lanier, two previous fellows both in their second year in hand surgery practice. Jeff and Steve share their experiences starting practice in Chicago, in somewhat different practices. Jeff is at the University of Chicago, Steve at NorthShore. They share insights from their successful symposium at the ASSH: Free Solo: Letting Go of the Rope - Lessons Learned from the First Year in Practice. Finally, both are in the mid...
Nov 07, 2021•35 min•Season 2Ep. 42
Episoe 41, Season 2. Chuck and Chris take a deep dive on leadership around The Great Resignation. Employees across the USA are reconsidering their job, their careers, and their lives and are resigning in unprecedented numbers. We use 2 HBR articles to frame our discussion. We hope that listeners will engage and share their experiences. References mentioned: 1) The 3 Phases of Making a Major Life Change, Herminia Ibarra. HBR Augst 6, 2021 2) How to Help Your Team Get Out of a Lull, Merete Wedell-...
Oct 31, 2021•41 min•Season 2Ep. 41
Episoe 40, Season 2. Chuck and Chris are joined by Becky Neiduski, hand therapist and Dean of Health Sciences at Elon University. This is a live taping of the podcast with a great discussion of flexor tendon injuries including the surgeon and therapist perspective. Thanks to the ASHT for inviting and for sharing the recording! We plan a newsletter launch soon. Subscribe here: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link: Help Chuck and Chr...
Oct 24, 2021•58 min•Season 2Ep. 40
Episoe 39, Season 2. Chuck and Chris take a deep dive on another sports topic- thumb UCL repair. We discuss primary repair and suture tape augmentation. After a brief case introduction, we discuss the decisions the surgeon considers and the implications for cost and for recovery. Reference mentioned: Michelle Carlson, et al. Anatomy of the thumb metacarpophalangeal ulnar and radial collateral ligaments. J Hand Surg Am . 2012 Oct;37(10):2021-6. We plan a newsletter launch soon. Subscribe here: ht...
Oct 17, 2021•45 min•Season 2Ep. 39
Episoe 38, Season 2. Chuck and Chris welcome guest Jorge Orbey to discuss his pathway to success. Dr. Orbay has started two success companies and, more importantly, has directly impacted patient care with the volar plate and now with the internal elbow stabilizer. He reflects on his path and provides thoughts for future innovators in hand surgery or any field. We also learn technical pearls on the volar approach from Dr. Orbay. We plan a newsletter launch soon. Subscribe here: https://wustl.us6....
Oct 10, 2021•39 min•Season 2Ep. 38
Episode 37, Season 2. Chuck and Chris discuss the ASSH Annual Meeting with the definitive recap episode. Chris attended in person while Chuck attended virtually while holding down the fort in St Louis. We discuss various sessions, the hybrid format, and lessons learned. All in all, a great meeting under less than ideal circumstances. We plan a newsletter launch soon. Subscribe here: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link: Help Chuck ...
Oct 03, 2021•22 min•Season 2Ep. 37
Episode 36, Season 2: Chuck and Chris discuss their approach to a scapholunate ligament injury. We discuss how we think about and approach these injuries with specifics on surgical approach and technique. 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! https://bit.ly/349aUvz ...
Sep 26, 2021•41 min•Season 2Ep. 36
Episode 35, Season 2: Chuck and Chris discuss two HBR articles on presentations. While these reflect on non medical lectures/ presentations, there are many valuable lessons to consider for those in the medical world. Chris and I considered these lessons in preparation for the upcoming ASSH and ASHT meetings. HBR articles "What it takes to give a great presentation", Carmine Gallo 2020 "How to Give a Killer Presentation," by Chris Anderson 2013 We plan a newsletter launch soon. Subscribe here: ht...
Sep 19, 2021•36 min•Season 2Ep. 35
Episode 34, Season 2: Chuck and Chris welcome Amy Moore and John Fowler, the Hand Society (ASSH) 2021 Annual Meeting Chairs, to discuss the San Francisco Meeting in San Francisco. They share insights the meeting development, the program, the hybrid opportunity and so much more. We start the discussion with a reader submitted question on loupe choices. We plan a newsletter launch soon. Subscribe here: https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey...
Sep 12, 2021•30 min•Season 2Ep. 34
Episode 33, Season 2: Chuck and Chris welcome Rachel Pigott and Nora Barrett, the President and Annual Meeting Chair, respectfully, of the American Society of Hand Therapists to discuss the ASHT Annual Meeting in St. Louis, October 7th-10th. They share insights about the ASHT and specifics about the annual meeting including highlights. Its going to be a great meeting with some focus on nerve but a complete coverage of all pertinent hand therapist topics. Note this podcast is abbreviated- the ful...
Sep 05, 2021•35 min•Season 2Ep. 33
Episode 32, Season 2: Chuck and Chris revisit the Wheel of Hand Surgery. The spin of the wheel generates our discussion and this week we talk 'Never Have I Ever'. Tune in to learn about dogma, what we do in practice that the literature may not support. Including tennis elbow amongst other topics. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Ch...
Aug 29, 2021•44 min•Season 2Ep. 32
Episode 34, Season 2: Chuck and Chris bring back "My Toughest Case" and Chris discusses a patient with scleroderma including evaluation and treatment options including sympathectomy. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. 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! htt...
Aug 22, 2021•33 min•Season 2Ep. 34
Episode 33, Season 2: Chuck and Chris welcome Terry Light, a mentor to many, to the show. Terry shares his medicolegal thoughts on both how to avoid issues as well as when to consider expert witness work. Many pearls for listeners of all levels and training. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuck and Chris understand better what yo...
Aug 15, 2021•38 min•Season 2Ep. 33
Episode 32, Season 2: Chuck and Chris talk Operating Room (OR) efficiency, specifically about running two rooms. We discuss tactics, when a surgeon might be ready, and how to make the most of the opportunity. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuck and Chris understand better what you like and what we can improve. And be entered for...
Aug 08, 2021•25 min•Season 2Ep. 32
Episode 31, Season 2: Chuck and Chris introduce a new segment: The Wheel of Hand Surgery. And, the Wheel guided on discussion this week on SLAC Wrist. A bit on pathophysiology and more on treatment preferences. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuck and Chris understand better what you like and what we can improve. And be entered f...
Aug 01, 2021•23 min•Season 2Ep. 31
Episode 30, Season 2: Chuck and Chris talk vacations- the science and the practice. Using HBR references (HBR Article : We All Really Need a Vacation. Here’s How to Make the Most of It. by Art Markman. May 12, 2021) and our own experience/ challenges, we discuss the need for vacation, making the most of the vacation and some of the questions we all consider such as: Do you work on vacation? Do you answer emails and if you do, when? How do you prepare for re- entry? Do you leave an out of office ...
Jul 25, 2021•38 min•Season 2Ep. 30
Episode 29, Season 2. Chuck and Chris start a new segment in their more structured approach. This is the first episode of "My Hardest (recent) Case". Chuck shares a revision ulnar nerve case post subcutaneous transposition. Chris and Chuck talk examination, nerve studies, technical approach and expectations. Listen in! As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast inter...
Jul 18, 2021•37 min•Season 2Ep. 29
Episode 28, Season 2. Chuck and Chris are joined by Jeff Stepan and Steve Lanier, two previous fellows both finishing their first year in hand surgery practice. Jeff and Steve share their experiences starting practice in Chicago, in somewhat different practices. Jeff is at the University of Chicago, Steve at NorthShore. Jeff and Steve are leading a Symposium at the ASSH on Saturday October 2nd at 9:30am, Free Solo: Letting Go of the Rope - Lessons Learned from the First Year in Practice. Should ...
Jul 11, 2021•27 min•Season 2Ep. 28
Episode 27, Season 2. Chuck and Chris are joined by OT Macy Stonner to discuss therapy after finger fracture and therapy for the stiff finger. Macy shares various tips and pearls to maximize patient outcomes. We referenced an AAOS ICL published here: Post Traumatic Reconstruction of the Hand. JBJS 89A: 428- 435, 2007 As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern....
Jul 04, 2021•43 min•Season 2Ep. 27
Episode 26, Season 2. Chuck and Chris discuss the stiff finger and the basic concepts required in assessment of these fingers. We discuss the full range of issues from bone status to soft tissues, tendon mobility to joint contractures. This will be part 1 with a more therapy focused colleague joining for part 2. We referenced an AAOS ICL published here: Post Traumatic Reconstruction of the Hand. JBJS 89A: 428- 435, 2007 As always, thanks to @iampetermartin for the amazing introduction and conclu...
Jun 27, 2021•35 min•Season 2Ep. 26
Episode 25, Season 2. Chuck and Chris review PIP joint injuries, focusing on fracture/ dislocations and pilon injuries. These are challenging injuries with a multitude of treatment choices. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuck and Chris understand better what you like and what we can improve. And be entered for drawing to win a m...
Jun 20, 2021•35 min•Season 2Ep. 25
Episode 24, Season 2. Chuck and Chris review 7 personal finance pearls. This is an overview of critical points focused on a conservative approach to finance. While it may be most appropriate for residents, fellows, and younger professionals, some tips will benefit everyone. We welcome feedback. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuc...
Jun 13, 2021•38 min•Season 2Ep. 24
Episode 23, Season 2. Chuck and Chris discuss radial tunnel syndrome. They both believe in the diagnosis although find it uncommon. We discuss diagnosis, conservative care and surgery. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. 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! h...
Jun 06, 2021•38 min•Season 2Ep. 23
Episode 22, Season 2. Chuck and Chris welcome noted pediatric sports medicine physician, Mark Halstead. Mark has great experience caring for athletes at every level and we spend our talking youth sports, return to play, family dynamics and even pitch counts. Mark shares pearls on many levels and explains why the athletic trainer relationships are so important. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric...
May 30, 2021•36 min•Season 2Ep. 22
Episode 21, Season 2. Chuck and Chris talk lumps and bumps, specifically ganglion cysts. While the topic may seem mundane, the banter is decidedly not. Join us and learn about Chris' PTSD and Chuck thermal approach. A few citations are relavent. Gross and Gelberman Metacarpal Rotational Osteotomy, J Hand Surg 1985 10: 105-8 Balazs, Donohue, Drake, et al. Outcomes of Open DWG excision in active- duty military personnel. J Hand Surg 2015 40: 1739- 47 Gelberman and Blasingame The Timed Allen Test. ...
May 23, 2021•33 min•Season 2Ep. 21
Episode 20, Season 2. Chuck and Chris talk a reality of 2021: hybrid meetings. We discuss current meetings and how the format might evolve. And we discuss tips from a recent HBR article: "How to Nail a Hybrid Presentation' by Sasrah Gershman and Rae Ringer. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey Link: Help Chuck and Chris understand better what you...
May 16, 2021•28 min•Season 2Ep. 20
Episode 19, Season 2. Chuck and Chris continue the new segment: deep dives on surgical technique. We continue with another key procedure- the cubital tunnel decompression. The focus is the exact technique that we use, from skin incision to treatment of the nerve to handling of the FCU. Let us know if you like this segment and we welcome suggestions on other procedures to dive into. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.e...
May 09, 2021•37 min•Season 2Ep. 19
Episode 18, Season 2. Chuck and Chris welcome Rob Kamal from Stanford to discuss distal radius fractures, the new Clinical Practice Guideline(CPG) on distal radius fracture, and quality in outcomes. We do focus to unwind the CPG and highlight key points with Dr. Kamal who led this effort of the AAOS and ASSH. As always, thanks to @iampetermartin for the amazing introduction and conclusion music. theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern. Survey ...
May 02, 2021•1 hr 2 min•Season 2Ep. 18
Episode 17, Season 2. Chuck and Chris introduce a new segment: deep dives on surgical technique. We start with the most basic and yet important procedure in hand surgery, carpal tunnel release. We share our mini open approach to release the transverse carpal ligament. And then we pivot to discuss the setup and execution of wrist arthroscopy. Let us know if you like this segment and we welcome suggestions on other procedures to dive into. As always, thanks to @iampetermartin for the amazing intro...
Apr 25, 2021•43 min•Season 2Ep. 17
