The Upper Hand: Chuck & Chris Talk Hand Surgery

ASSH Annual Meeting in Vancouver Live Podcast

7 snips
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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