The Upper Hand: Chuck & Chris Talk Hand Surgery CMCs, OCDs, and Leadership
Jun 8, 2025
Chuck shares a fascinating case of elbow osteochondritis dissecans and the latest treatment techniques. The hosts tackle listener questions on thumb CMC arthritis in young patients, discussing management strategies and research challenges. They dive into insights from a Harvard Business Review article on leadership, highlighting the difference between technical and adaptive challenges. Finally, they explore the evolving landscape of healthcare leadership, emphasizing the importance of engaging staff and fostering innovation in response to modern pressures.
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Mentorship Joy in Med School
- Chuck shares a story about his son assisting in an OB closure during med school, highlighting how little things bring joy to young medical students.
- The detailed surgical technique discussion excited him like a million dollars, showing how mentorship impacts learning.
OCD Overview and Outcomes
- Osteochondritis dissecans (OCD) involves loss of bone and cartilage detachment, commonly in young athletes.
- OCD lesions often cause pain and mechanical symptoms, but arthritis development long term remains uncertain and usually asymptomatic.
Treating Large OCD Lesions
- Use microfracture and debridement for small OCD lesions as they stimulate fibrocartilage healing.
- For lesions around or larger than 1cm, consider osteochondral autografts or allografts for better outcomes.
