
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

Jan 30, 2022 • 35min
Chuck and Chris Talk Zoom Interviews
Season 3, Episode 3. Chuck and Chris share thoughts regarding zoom interviews in 2022. We discuss our opinions on the format and pearls for successful interviewing. Let us know your thoughts.Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.

Jan 23, 2022 • 39min
Resolutions and Cases
Season 3, Episode 2. Chuck and Chris share personal and work New Year's resolutions. Then we share two interesting cases, one an unexplained nerve issue and the other a difficult PIP joint fracture. Join us!Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.

Jan 16, 2022 • 33min
A Case Based Discussion of Kienbocks Disease
The hosts kick off their third season with humorous reflections on their podcasting journey and missed opportunities due to the pandemic. They delve into Kienbock's disease, discussing diagnostic challenges and comprehensive treatment strategies. Highlights include minimally invasive procedures like core decompression and the importance of MRI in diagnosing complex wrist conditions. Personal anecdotes about family and aspirations add a heartwarming touch, emphasizing the blend of professional and personal growth in medicine.

Dec 19, 2021 • 32min
Chuck and Chris Discuss Their 3 Most Memorable Cases
Season 2 Episode 48. Chuck and Chris share and discuss a listener question about hand surgery call. We then continue to listener submitted segment and share our 3 most memorable cases and lessons for our younger selves.This is our last episode for 2021. Looking forward to 2022!Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.

Dec 12, 2021 • 24min
Chuck and Chris Discuss Their 3 Most Influential Mentors
Season 2 Episode 47. Chuck and Chris discuss an FPL rupture case and respond to a listener requested segment: 3 Influential Mentors. Each of us share 3 mentors including why each was so influential to us.Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.

28 snips
Dec 5, 2021 • 44min
Deep Dives on Surgical Technique: TFCC Repair
Dive into the intricate world of TFCC injuries and their repair. Discover the nuances of wrist arthroscopy and diagnostic imaging techniques, including MRI. Learn about optimal setups for hand surgery, including equipment like the Linva Med Traction Tower. The hosts detail specialized repair techniques for triangular fibrocartilage, focusing on various tear types and the importance of rehabilitation. Mentorship and patient education are emphasized as key to successful surgical outcomes.

Nov 28, 2021 • 35min
Thanksgiving Episode 2021: Why Chuck and Chris are thankful
Season 2 Episode 45. Chuck and Chris celebrate Thanksgiving by discussing why we feel thankful including specific people (think nurses, medial assistants, and hand therapists) places (ie Division and Department), and surgical instruments! (sounds odd but it flowed well)Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.

Nov 21, 2021 • 38min
Half Full or Half Empty?
Season 2 Episode 44. Chuck and Chris welcome Lauren Wessel and her suggestion for a new segment: Half full or Half empty? Lauren put together a list of controversial concepts and Chris and Chuck weigh in. And, for those of you who like disagreement, there is plenty!Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfTAs always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.

Nov 14, 2021 • 31min
Fall 2021 Hand Surgery Journal Club
Season 2 Episode 43. Chuck and Chris review 3 new journal articles pertinent to the practice of hand surgery. Two are focused on steroid injection and the role this treatment has, especially in the treatment of carpal tunnel syndrome. The third focuses on complications with local only surgery in a large database study. Yoshiaki Yamanaka, MD, PhD, Takafumi Tajima, MD, PhD, Yoshitaka Tsujimura, MD, et al (Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan)Molecular and Clinical Elucidation of the Mechanism of Action of Steroids in Idiopathic CarpalTunnel Syndrome J Bone Joint Surg Am. 2021;103:1777-87Nikolas H. Kazmers, MD, MSE, Kate Peacock, MPH, Katelin B. Nickel, MPH, et al (University of Utah and Washington University Data Center) Comparison of Complication Risk Following Trigger Digit Release Performed in the Office Versus the Operating Room: A Population-Based AssessmentJ Hand Surg Am. Vol. 46, October 2021Manfred Hofer, BSc; Jonas Ranstam, PhD; Isam Atroshi, MD, PhD. (Department of Orthopedics, Kristianstad Hospital, Kristianstad, Sweden (Hofer, Atroshi);Department of Clinical Sciences–Orthopedics, Lund University, Lund, Sweden (Ranstam, Atroshi).) Extended Follow-up of Local Steroid Injection for Carpal Tunnel SyndromeA Randomized Clinical Trial. JAMA Network Open. 2021;4(10):e2130753. doi:10.1001As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu. And thanks to Eric Zhu, aspiring physician and podcast intern.Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT

Nov 7, 2021 • 35min
Free Solo Revised: Jeff and Steve Share Hand Surgery Practice Year 2 Insights
In this engaging chat, hand surgeons Jeff Stepan from the University of Chicago and Steve Lanier from NorthShore University share their second-year insights into hand surgery practice. They dive into innovative surgical techniques, including experiences from a thought-provoking symposium at the ASSH. The duo discusses building a practice, navigating board certification, and the vital balance between their demanding careers and personal lives, offering invaluable advice for aspiring surgeons while showcasing the evolving landscape of their field.