The Upper Hand: Chuck & Chris Talk Hand Surgery Scaphoid Proximal Pole Nonunion
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Jul 17, 2022 The hosts share humorous mishaps from their podcast journey, creating a lighthearted atmosphere. They emphasize the importance of self-care for healthcare professionals and offer insights on navigating carpal tunnel surgery while addressing nerve injury concerns. A deep dive into proximal pole nonunions highlights various surgical techniques, imaging methods, and patient comfort. The conversation also touches on gratitude in patient care, showcasing strategies for fostering positive interactions.
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Proximal TCL Release Technique
- Visualize the TCL release during carpal tunnel surgery to avoid nerve injury.
- Carefully slide scissors proximally only with awareness of nerve locations and volarly directed tips.
Digital Block for PIP Fracture Dislocations
- Use a digital block when removing external fixators from PIP fracture dislocations.
- This allows immediate assessment of active motion and can break up adhesions.
Stiffness After PIP Fracture Dislocation
- Some surgeons feel PIP fracture dislocations treated with external fixators might as well be tendon joined due to post-op stiffness.
- Numbing the finger upon fixator removal can reveal hidden motion and break adhesions.