The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chris discuss various hand surgery topics like wrist and hand arthritis, fractures, pediatric injuries, and advancements in surgical techniques. They also explore the use of steroids for pain management and reducing opioid use in distal radius fractures.

Deb Bohn, author of the 2024 JBJS 'What's New in Hand Surgery', discusses trigger finger and carpal tunnel release. Key topics include optimal corticosteroid dosage, day-by-day symptom relief, differential pulley release, patient perceived outcomes, postoperative complications, and infection risks in trigger finger release surgery.

Chuck, a dedicated orthopedic surgeon, recently completed a mission trip with World Pediatrics. He shares his experiences providing care for pediatric patients in challenging conditions, highlighting the importance of education and sustainable healthcare. The discussion also covers complex cases, including the diagnosis and treatment of phalanx enchondromas, revealing the nuances of patient-centered approaches. Listeners will gain insight into the realities of surgery on the frontlines and the intricacies of managing benign tumors in a clinical setting.

Chuck and Chris welcome Amanda Lovelace who is the Marketing Director for our large orthopedic department.  We share a fantastic first discussion including marketing directions, the importance of personal relationships, how social can be considered, among many other topics.  Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Hand surgeons Chuck and Chris discuss challenging finger cases, bone cuts for patient satisfaction, and innovative solutions for nerve surgery. They also explore financial management in academic medicine and navigating patient reviews in healthcare practice.

Macy Stonner, a seasoned therapist in hand therapy, dives into the world of finger fractures. She discusses the complexities of rehabilitation for pinned versus plated fractures, emphasizing tailored treatment plans. With insightful anecdotes, she highlights the critical role of therapy in recovery and innovative strategies to manage scar tissue. The conversation also covers the importance of collaboration between surgeons and therapists, ensuring optimal outcomes for patients navigating their healing journey.

The hosts tackle listener-submitted questions about finger fractures and dive into the intricacies of using Kirshner wires for treatment. They discuss the unique challenges of metacarpal and proximal phalangeal fractures, emphasizing advanced fixation techniques. Personal anecdotes bring humor and depth as they reflect on their experiences in surgery and patient interactions. The conversation also highlights the importance of managing pain in hand surgery and the evolving strategies for rehabilitation and recovery.

Chuck and Chris welcome Ryan Nunley to the Podcast.  Ryan is a total joint surgeon who has an amazingly busy clinical practice.  We discuss practice efficiency, handling VIPs, and share updates on computer navigation and robotic surgery.  There is so much we can learn!Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris discuss patients with dupuytrens disease (in office and in the OR) including our protocols for care after formal surgery. We also discuss some challenges with needle procedures in the office.  We touch on our trial of AI for clinic note generation and look forward to listener comments.  And finally, we touch on leadership with a deep dive on the HBR article: The New Rules of Executive Presence by Sylvia Ann Hewlett.  This article compares leadership criteria from 2012 to 2022 and the differences in priorities are great discussion points.Subscribe to our newsletter:  https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology. Please complete our Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.  

The hosts dive into the intricacies of treating scaphoid non-unions through the volar approach. They share innovative techniques and discuss challenges like k-wire fixation and previous surgical complications. Personal anecdotes about patient positioning and surgical experiences add humor and authenticity. Exciting advancements in managing acute nerve injuries are also highlighted, showcasing the importance of education in the field. Their camaraderie makes for an engaging and informative conversation on hand surgery.