The Upper Hand: Chuck & Chris Talk Hand Surgery

Humerus Fracture with Radial Nerve Palsy, Part 1

16 snips
Mar 16, 2025
The discussion dives into radial nerve palsy linked to humerus fractures, exploring diagnosis and treatment options. Highlights include patient expectations surrounding nerve injuries and the importance of timely surgical interventions. The hosts reflect on their fellowship experiences, share stories of impressive applicants, and talk about exciting professional opportunities. The conversation also touches on the recovery process and the critical role of hand therapists in managing patient outcomes.
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ANECDOTE

Fellowship Interview Anecdote

  • Chris and Chuck discussed their fellowship interview experiences with Dr. Peter Stern.
  • Chuck humorously recalled missing a question in the OR, but still securing the fellowship.
ADVICE

Assessing EDC Function

  • Check for EDC function by asking the patient to make a fist and extend their MPs with IPs flexed.
  • Check against resistance and consider baseline MP joint compliance.
ADVICE

Wrist Splint Recommendation

  • Use a cock-up wrist splint for initial radial nerve palsy management.
  • A custom-made splint or a moldable Benik brace is preferable for better MP joint support.
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