The Upper Hand: Chuck & Chris Talk Hand Surgery

Mailbag and FPL Tendon Reconstruction

Feb 2, 2025

The hosts dive into listener questions about CMC joints and TFCC pathology. They present insights on flexor pollicis longus (FPL) rupture, discussing innovative reconstruction techniques. There's a humorous exchange about winter weather and surgical experiences, blending lightheartedness with expert knowledge. The conversation also covers wrist pain management and the evolution of surgical practices, emphasizing the importance of tailored interventions. They share personal anecdotes linked to youth sports and the complexities faced in hand surgery.

33:09

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Quick takeaways

The podcast highlights the importance of personalized treatment plans in hand surgery, particularly regarding complex cases like wrist pain and FPL ruptures.

Listeners gain insights into the dynamics of surgeon-patient interactions during procedures, emphasizing communication in conscious but non-verbal surgical scenarios.

Deep dives

Hand Surgery Insights

The discussion revolves around the complexities and technicalities of hand surgery, particularly in relation to experiences of the surgeons. One surgeon shares a personal anecdote about undergoing a minor procedure that required local anesthesia while discussing the unusual dynamics of maintaining conversation during surgery. This leads to broader reflections on the nature of interactions between surgeons and patients, especially in non-verbal scenarios where the patient is conscious but cannot see the surgical field. The narrative emphasizes the long durations associated with some surgeries and how a surgeon's attention shifts between technical actions and dialogue.

Intro

2min

Hand Surgery Insights and Winter Challenges

5min

Mastering Surgical Skills and Wrist Pain Management

4min

Navigating Surgical Instability

4min

Evolving Surgical Techniques and Innovations in Biomaterials

2min

Navigating Surgical Challenges and Family Fun

16min

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: 38516925

Our surgical follow- up article will be published in JHS Go but is not yet available.

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See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

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As always, thanks to @iampetermartin for the amazing introduction and concluding music.

Complete podcast catalog at theupperhandpodcast.wustl.edu.

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