The Upper Hand: Chuck & Chris Talk Hand Surgery

Discussing academia and education, Chuck and Chris dive into a listener's case on nerve injury during carpal tunnel surgery. They share insights on workup and surgical technique. They also mention launching a newsletter and ask for listener feedback through a survey.

The hosts share light-hearted anecdotes, including a fun cycling story and a humorous listener email about an arm injury. They dive into the complexities of long bone fracture recovery and the challenges of explaining medical concepts to patients. Surgical insights unfold as they discuss nerve injuries from gunshot wounds and the innovative use of 3D models in complex hand surgeries. They also touch on the pressures of balancing medical standards with patient demands, highlighting the importance of communication in the medical field.

The podcast delves into the complexities of ECU tendon surgery in hand surgery, discussing diagnostic tests, surgical techniques for tendonitis patients, and post-operative care. The hosts also explore gestures of gratitude in the medical setting, personal insights on sacrifices for Lent and Passover, and engagement at academic meetings.

Chuck and Chris discuss important hand surgeries non-surgeons should know, including carpal tunnel surgeries and distal radius fractures. They also share insights on continuous education, financial flexibility, and their casual conversations on cooking plans.

The hosts tackle listener questions about the complexities of surgical coding, comparing practices in academia and private practice. They reflect on their experiences with patient rounds and teaching dynamics, while sharing insights on TFCC repair techniques and upcoming studies. The discussion also includes amusing anecdotes about coding confusion, emphasizing its importance for fair surgeon compensation. Their lively conversation encapsulates both the challenges and rewards found within the field of hand surgery.

Chuck and Chris discuss surgical techniques for radial tunnel decompression, comparing volar vs dorsal approaches. They also touch on the importance of mask-wearing, 3D printing prosthetics, and tennis elbow surgery outcomes.

Chuck and Chris discuss strategies for achieving sustained high performance based on the concept of the 'Corporate Athlete'. They delve into the importance of physical, emotional, mental, and spiritual capacities, as well as the necessity of recovery to prevent burnout. The podcast also touches on personal stories, rituals, visualization, and the balance between quantifiable and subjective factors for peak performance.

Hand surgery expert Steve Moran joins Chuck and Chris to discuss wrist salvage procedures like PRC and scaphoid excision. They explore technical aspects, neurectomies, order of operations, and more. Stay tuned for a newsletter launch and survey link to win a mug!

Season 3, Episode 9.  Chuck and Chris join the Peds Ortho Podcast, the official podcast of POSNA.  We introduce this special podcast which has been published on their channel and share the recording here.  The  podcast description from their site:Special guests and hosts of "The Upper Hand" Podcast, Dr. Charles Goldfarb and Dr. Chris Dy from Washington University in St. Louis, join the podcast crew for a wide-ranging discussion on upper extremity conditions and the role of information technology in modern orthopaedic care. We review a recent article from the Wash U group about thematic analysis of online message boards for congenital upper extremity differences. Our guests contribute their insights on elbow stiffness and nerve injuries following pediatric trauma, as well as thoughts on bruise location in supracondylar humerus fractures, treatment of Monteggia injuries, cost-consciousness in parents, nerve transfers for brachial plexus birth palsy, and predicting radial head dislocations in MHE.We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 Survey Link:Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvzAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Deb Bohn, a key contributor to hand surgery literature, and Kelsey Wise, co-author of significant manuscripts in the field, delve into exciting advancements in hand surgery. They discuss critical topics such as the challenges of pediatric fracture management and the long-term implications of tendon ruptures linked to volar plating. They also touch on the importance of monitoring bone health post-fracture and share engaging stories of teamwork and community spirit, underscoring the bond between healthcare professionals and their patients.