
The Upper Hand: Chuck & Chris Talk Hand Surgery
The Upper Hand Podcast feature Charles Goldfarb and Chris Dy from Washington University Department of Orthopedic Surgery. Our weekly podcast will discuss all things hand surgery, from the technical aspects of what we do (diagnosis, treatment) to our more personal approaches to events and opportunities that hand surgeons experience. We welcome feedback and audience engagement. We are grateful for the muscial contribution of @iamPeterMartin.
Latest episodes

5 snips
Jul 6, 2025 • 43min
The Carpal Bones, More Fun Than You Think
Dive into the fascinating world of carpal bones, where each bone’s role is more intriguing than you might think! Discover the complexities of the trapezoid and its hidden challenges in hand surgery. Listen as the hosts share humorous anecdotes while discussing surgical insights into tricky wrist injuries. From exploring effective treatments for hook of the hamate fractures to the significance of dart thrower motion in rehab, this podcast blends lighthearted banter with expert advice on hand surgery.

Jun 22, 2025 • 33min
Chuck and Chris Talk Distal Biceps Ruptures
The hosts dive into the intriguing world of distal biceps ruptures, sharing a fascinating case study of a physician's injury. They discuss diagnostic challenges like the infamous 'Popeye sign' and explore various surgical techniques, favoring the one incision method for its advantages. Personal anecdotes and humorous reflections on balancing life and work add a relatable touch. Listeners are encouraged to participate in a feedback survey while the hosts reflect on their recent experiences at a resident graduation.

Jun 8, 2025 • 43min
CMCs, OCDs, and Leadership
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.

11 snips
May 25, 2025 • 39min
Nerve Conference, B-School, and Complex CMC Arthritis
The hosts dive into themes from a nerve conference, sharing insights on improving brachial plexus care. They discuss personal reflections from their recent business school journey and how AI is reshaping education. The integration of robotics in hand surgery is explored, alongside an analysis of the Checkpoint Edge Nerve Cutting Kit. Complex CMC arthritis cases are tackled, highlighting techniques and the importance of training residents with the latest methods. The balance between technology and hands-on skills takes center stage in this engaging conversation.

May 11, 2025 • 31min
Favorite and Not-So-Favorite Surgeries
The hosts delve into their most and least favorite surgeries, sharing personal anecdotes and humorous reflections. They discuss techniques such as LRTI and carpal tunnel surgeries, highlighting the importance of surgical skills and patient outcomes. A deeper dive reveals the emotional challenges of revision surgeries and the camaraderie in medical training. Listener engagement is encouraged as they explore the intricacies of hand surgery, emphasizing tailored postoperative care and sharing insights on navigating the surgical landscape.

10 snips
Apr 27, 2025 • 32min
What's New in Hand Surgery, 2025 Part 2
Two hand surgeons share a light-hearted reunion while delving into fascinating surgical advancements. They explore the complexities of ulnar nerve decompression and the decision-making in cubital tunnel syndrome treatment. Key discussions include innovations in joint arthroplasty, comparing silicone and pyrocarbon implants. The podcast also highlights the evolving role of wrist arthroscopy and challenges in nerve surgery, making for an insightful blend of humor and valuable medical knowledge.

4 snips
Apr 13, 2025 • 34min
Whats New in Hand Surgery, 2025
Dive into the exciting world of hand surgery as the hosts discuss recent advancements, including treatment strategies for scaphoid fractures and the debate on optimal bone healing. They explore the innovative Checkpoint Guardian Nerve Stimulator's role in orthopedic procedures and unpack the complexities of compressive neuropathies. Discover key insights into carpal tunnel syndrome, from critical symptoms to rapid recovery tips. Plus, enjoy anecdotes from recent travels and the importance of collaboration in this evolving field!

Mar 27, 2025 • 13min
IFSSH Day 5, Friday March 28th, 2025
The hosts reflect on the impactful conclusion of the IFSSH 2025 Congress, celebrating valuable connections made. They explore innovative sessions from the conference, discussing sustainable hand therapy and the integration of art in hand care. Personal stories about managing challenging patients and work-life balance are shared, underscoring global camaraderie among surgeons. With excitement for future events, they provide previews for the next meeting in Singapore, promising engaging programs and a vibrant closing ceremony.

Mar 26, 2025 • 11min
IFSSH Day 4, Thursday March 27th, 2025
Chuck and Wee Lam preview Wednesday, Day 4 of the IFSSH, filled with Symposia and Instructional Courses as well as special events including the Swanson Lecture with Pioneer Fu-Chan Wei and the Gala at the National Portrait Gallery Thursday evening.Please complete our survey: https://bit.ly/3iHGFpDThe Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.Subscribe to our newsletter: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog. Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Mar 25, 2025 • 11min
IFSSH Day 3, Wednesday March 26, 2025
Chuck and Wee Lam preview Wednesday, Day 3 of the IFSSH, filled with Symposia and Instructional Courses as well as special events including a Therapist Keynote Speaker: The Innovator in You and the Surgeon Presidential Guest Lecturer, Tony Smith, speaking on his quest to learn more about Sterling Bunnell and the book that has resulted. Use the App and plan your day carefully because there is an incredible amount of high level content taught by the international speakers.Please complete our survey: https://bit.ly/3iHGFpDThe Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.Subscribe to our newsletter: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog. Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx