The Upper Hand: Chuck & Chris Talk Hand Surgery

Episode 28.  Chuck and Chris talk tennis elbow.  We discuss the our beliefs on effective treatment including therapy, orthoses, injection, and surgery.  Sure to be controversial!As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

Episode 27.  Chuck and Chris talk tennis elbow.  We discuss the key pertinent features of the history and the physical examination including key differential diagnoses.  We review the role of nerve studies for radial tunnel as well as the role of diagnostic injection.  We begin the discussion of treatment with therapy. We hope for feedback from listeners.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

Episode 26.  Chuck and Chris talk side gigs or side hustles.  Clearly, our clinical work is consuming but there are benefits to side gigs including simply engaging in pursuits outside of typical medical care and many side gigs can be helpful in minimizin the risk of burnout.  Chuck and Chris discuss 7 common side gigs.  We hope for feedback from listeners.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

Episode 25.  Chuck and Chris discuss education.  In this episode, we review how we view educational changes over the last 20 years, key mentors and role models, how to prepare from the OR, and the benefits of a post- surgery review for each case.  We share thoughts on the value of the cadaver lab (hint: invaluable) as well as the use of video in preparation for the OR and surgical simulation as well.  Finally, we touch on the concept of coaching in surgical education.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

Sam Moghtaderi, an experienced MD specializing in WALANT hand surgery, shares his expertise on performing surgeries with patients wide awake. He discusses innovative teaching methods designed for surgical residents and emphasizes patient engagement, especially in the surgical timeout process. Moghtaderi dives into the challenges of ensuring patient comfort during procedures, highlighting effective communication and distractions like music. His insights shed light on the practical integration of WALANT techniques into hand surgery practices, enhancing overall patient experience.

Sam Moghtaderi is a seasoned MD known for his expertise in WALANT surgery. He discusses the transformative impact of Wide Awake Local Anesthesia No Tourniquet on hand surgeries, sharing personal experiences and insights. Key topics include the importance of effective patient communication to reduce anxiety, logistical challenges of WALANT procedures, and the environmental and cost benefits of this innovative approach. Tune in for practical tips and a deep dive into optimizing workflows for improved patient care!

Delve into the intricacies of ulnar sided wrist pain and TFCC pathology. Learn about various surgical strategies, including arthroscopic repairs and ulnar shortening osteotomy. The hosts discuss the challenges of interpreting injection outcomes and the importance of accurate MRIs for diagnosis. They also highlight the dynamics of collaborative surgery and tease future topics related to chronic wrist conditions. Expect a mix of clinical insights and light-hearted banter!

Dive into the intriguing world of ulnar-sided wrist pain as experts unravel its complexities. Discover how a thorough history and physical examination guide accurate diagnoses. Learn about unique diagnostic techniques like the 'ice cream scoop maneuver' and the impact of imaging on identifying conditions. The discussion also sheds light on the balance between surgical and non-surgical treatments, showcasing the effectiveness of braces and the importance of follow-ups. It’s a blend of medical insights and relatable experiences that keeps you engaged!

Episode 20.  Chuck and Chris welcome Macyn Stonner, OTD, an amazing hand therapist with Milliken Hand Therapy in the Program of Occupational Therapy at Washington University.  We discuss the challenge of these injuries including our surgical preferences and spend more time with Macy discussing therapy.  Macy pulls back the curtain and shares her approach to treating these patients and working towards the best outcome.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu

In Episode 19, Chuck and Chris discuss the diagnosis and assessment of thumb UCL injuries including the role of advanced imaging.  We then discuss our treatment approaches on the operative and nonoperative care including patient counseling.  We focus our operative discussion on the role of the classic repair techniques versus the use of suture tape.As always, thanks to @iampetermartin for the amazing introduction and conclusion music.theupperhandpodcast.wustl.edu