
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

9 snips
Feb 2, 2025 • 33min
Mailbag and FPL Tendon Reconstruction
The hosts dive into listener questions about CMC joints and TFCC pathology. They present insights on flexor pollicis longus (FPL) rupture, discussing innovative reconstruction techniques. There's a humorous exchange about winter weather and surgical experiences, blending lightheartedness with expert knowledge. The conversation also covers wrist pain management and the evolution of surgical practices, emphasizing the importance of tailored interventions. They share personal anecdotes linked to youth sports and the complexities faced in hand surgery.

Jan 19, 2025 • 44min
The LRTI in 2025
Chuck and Chris dive into the complexities of thumb arthritis and the gold standard care, LRTI. They compare their techniques and discuss innovations in hand surgery. Personal stories about travel, productivity, and amusing notes on winter antics add a light touch. The duo evaluates post-surgical pain management challenges and explores the latest approaches to trapezium excision. Insights from clinical trials pave the way for future surgical practices, making it an engaging blend of humor and expertise.

8 snips
Jan 5, 2025 • 43min
Wrist Arthroscopy with Sanj Kakar, part 2
Sanj Kakar, a renowned hand surgeon from the Mayo Clinic, shares groundbreaking insights on wrist arthroscopy. He explores the innovative technique of dry arthroscopy, discussing its efficiency and the challenges of diagnosing TFCC tears. Kakar also highlights the revolutionary DREJ arthroscopy and nanoscope technology, emphasizing their roles in minimally invasive treatments. The conversation delves into scapholunate ligament injuries and the evolving approaches to wrist surgery, making complex techniques accessible for both practitioners and enthusiasts.

Dec 22, 2024 • 35min
The Future of Hand Surgery
The hosts dive into the exciting future of hand surgery, tackling advancements in techniques like nerve repair and tendon healing. They humorously reflect on the evolving role of non-hand surgeons in carpal tunnel releases. Innovations like nerve stimulation technology and gene therapy for congenital conditions are highlighted as potential game-changers. The discussion also touches on the importance of collaboration in surgery and the positive impact of educational podcasts. Listeners are encouraged to share their thoughts as the hosts celebrate their journey.

Dec 8, 2024 • 59min
AI and Medicine: A Discussion with Alpesh Patel
In this discussion, guest Alpesh Patel, a Professor of Orthopedic Surgery and Neurosurgery at Northwestern University, dives into the intersection of artificial intelligence and healthcare. He explains the basics of AI and its transformative potential, particularly in musculoskeletal health. The conversation covers the significance of machine learning, advancements in patient education with AI tools, and the crucial balance between technology and human connection in medical practice. Patel also highlights the importance of privacy in AI integration, ensuring patient data security.

5 snips
Dec 1, 2024 • 42min
Mailbag Cases and Reasons to be Thankful
The hosts delve into the nuances of carpal and cubital tunnel syndrome surgeries, discussing when to combine procedures. They explore innovative techniques like dry arthroscopy for ligament injuries and highlight new tools for nerve repair. Personal anecdotes bring a festive touch, as they reflect on the joys of collaboration and community gratitude, all while sharing quirky Halloween tales and cultural contrasts. It's a mix of surgical insights and heartfelt appreciation, wrapped in humor and engaging storytelling.

Nov 17, 2024 • 41min
Advocacy- why it matters
The hosts dive into the importance of advocacy in medicine, starting with an engaging adolescent elbow case. They share personal anecdotes that highlight the challenges faced by fellows in surgery. The discussion emphasizes collaboration among healthcare providers and the impact of advocacy on improving patient care. Medicare Advantage complexities and the need for strong advocacy in healthcare are explored, revealing the necessity for political engagement among medical professionals. It's an insightful look at the intersection of surgery and activism!

8 snips
Nov 3, 2024 • 40min
Bennett Fractures, Rolando Fractures, and Guest Lecturer Sam!
The hosts dive into the complexities of Bennett and Rolando fractures, offering insights on treatment options and the surgical techniques needed for proper management. They explore intriguing case studies from college football players, blending humor with medical discussions. The conversation also touches on ulnar shortening osteotomy and TFCC debridement, highlighting their effectiveness for wrist issues. Personal anecdotes add a light-hearted twist, making complex orthopedic topics accessible and engaging.

10 snips
Oct 20, 2024 • 31min
Considerations on the Darrach Procedure
Discover the intricacies of the Darrach procedure and its alternatives, as Chuck and Chris dive into the technical aspects of hand surgery. Hear personal anecdotes from the vibrant ASHT Conference, highlighting the spirit of camaraderie in the hand surgery community. They explore unique patient cases and emphasize the critical role of patient counseling and rehabilitation. Additionally, listeners gain insights into postoperative care strategies, balancing movement with immobilization for optimal recovery.

Oct 6, 2024 • 35min
The Business of Hand Surgery
Dive into the fascinating world of hand surgery and its business aspects. Discover the unique challenges faced by hand surgeons balancing medicine with practice management. Hear about the evolution of a popular podcast, shaped by the shift to remote interactions during the pandemic. The importance of mentorship and leadership in the medical community takes center stage, highlighting personal and professional growth. Strategies for engaging younger audiences and expanding community reach are discussed, showcasing modern approaches to medical communication.
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