The Upper Hand: Chuck & Chris Talk Hand Surgery

ASSH Annual Meeting in Vancouver Live Podcast

Oct 12, 2025
Live from Vancouver, the hosts dive into the latest in hand surgery, tackling topics like using ultrasound for nerve assessment and the debate over in-office ultrasound purchases. They share insights from hands-on courses, highlight needle aponeurotomy techniques for Dupuytren's disease, and discuss post-op splinting strategies for distal radius fractures. The community aspect of the Hand Society is celebrated, along with practical tips for early career surgeons. A unique perspective on congenital hand surgery adds depth to the lively conversations.
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ADVICE

Use Ultrasound To Guide Nerve Assessment

  • Use ultrasound in the OR or clinic to assess nerve integrity and to guide distal procedures when available.
  • Consider training or collaborating with anesthesia or colleagues to perform point-of-care ultrasound safely.
INSIGHT

Meetings Spark Practice-Changing Adoption

  • A single meeting presentation plus the right patient can change your entire practice quickly.
  • Timing and patient opportunity often determine whether you adopt a new technique.
ADVICE

Needle For MP Disease Plus Early Splinting

  • For MP-only Dupuytren's, offer needle aponeurotomy and early hand therapy with a night splint for up to three months.
  • Bring patients back early if correction is incomplete to improve alignment.
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