The Upper Hand: Chuck & Chris Talk Hand Surgery

Join the hosts as they dive into a challenging case of revision ulnar nerve surgery. They discuss the intricacies of cubital tunnel syndrome and the nuances of diagnostic tools. The episode highlights surgical techniques and how incision size impacts nerve alignment. Listeners will also gain insights into nerve conduction studies, EMG findings, and the complexities surrounding ulnar neuropathy treatment. With an emphasis on careful evaluation and patient care, this episode is a treasure trove for anyone interested in hand surgery.

Jeff Stepan, a hand surgeon at the University of Chicago, and Steve Lanier from NorthShore University Health System, share their enlightening experiences from their first year in practice. They discuss the challenges of patient referrals, the contrast between private and academic settings, and navigating the emotional highs and lows of surgical outcomes. The conversation dives into the importance of mentorship, teamwork in the operating room, and managing stress effectively—all while balancing personal and professional growth in the fast-paced world of medicine.

In this engaging discussion, Macy Stonner, an occupational therapist specializing in hand therapy, shares her expertise on post-operative care for stiff fingers. She emphasizes the importance of collaboration between hand therapists and surgeons for better patient outcomes. Macy introduces innovative rehabilitation techniques, highlighting the value of active motion versus passive motion in recovery. She also explores the benefits of static progressive splints and offers tips for managing joint pain, making the conversation both insightful and practical for those in the field.

Delve into the complexities of stiff fingers, where the hosts break down the critical assessment components from bone status to tendon mobility. They share unique surgical cases, including a nerve issue from a wrist cyst, and discuss innovative strategies like traction tenolysis. Expect insights into navigating flexor tenolysis under local anesthesia and the specifics of PIP contracture release, emphasizing patient engagement and surgical precision. Plus, there’s an exploration of post-surgery expectations and the evolving approaches to finger stiffness.

Explore the evolving treatment strategies for PIP joint fractures, with a spotlight on the shift from conservative care to surgical options, particularly in athletes. Discover the challenges of treating minimally displaced fractures, innovative fixation techniques for pylon fractures, and the significance of patient selection in surgery. The hosts blend surgical insights with personal anecdotes, showing the interplay of medicine and life. From classic TV references to upcoming adventures, it's a fascinating mix of expertise and storytelling!

Episode 24, Season 2.   Chuck and Chris review 7 personal finance pearls.  This is an overview of critical points focused on a conservative approach to finance.  While it may be most appropriate for residents, fellows, and younger professionals, some tips will benefit everyone.We welcome feedback.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.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/349aUvz

The discussion dives deep into the reality of radial tunnel syndrome, debating its legitimacy as a diagnosis. The hosts share personal experiences and emphasize the critical role of accurate patient assessments. They explore the complex decision-making between conservative care and surgical options. Highlights include the challenges of diagnosing the syndrome and the intricacies of surgical techniques for radial nerve decompression. Their insights also touch on the overlap of symptoms with other conditions like lateral epicondylitis, making for an engaging conversation on hand surgery.

Episode 22, Season 2.   Chuck and Chris welcome noted pediatric sports medicine physician, Mark Halstead.  Mark has great experience caring for athletes at every level and we spend our talking youth sports, return to play, family dynamics and even pitch counts.  Mark shares pearls on many levels and explains why the athletic trainer relationships are so important.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.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/349aUvz

The hosts dive into the quirky world of ganglion cysts, sharing personal anecdotes and medical insights that make for entertaining listening. They explore innovative surgical techniques, including a fascinating case of trauma-induced finger deformities. The conversation balances humor with serious discussions on patient education and management options for cysts. Listeners will enjoy the blend of medical wisdom and lighthearted banter, as they also reflect on the podcast's impact during fellowship interviews.

Episode 20, Season 2.   Chuck and Chris talk a reality of 2021: hybrid meetings.  We discuss current meetings and how the format might evolve.  And we discuss tips from a recent HBR article:  "How to Nail a Hybrid Presentation' by Sasrah Gershman and Rae Ringer.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.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/349aUvz