The Upper Hand: Chuck & Chris Talk Hand Surgery

Tony Smith, a hand surgery history researcher, and Steve McCabe, co-author of a biography on Sterling Bunnell, dive deep into the legacy of this pioneering figure in hand surgery. They discuss the founding of the Hand Society and reveal fascinating insights from their extensive research journey. The pair share personal anecdotes highlighting Bunnell's influence on surgical techniques and the evolution of hand care. They also touch on the importance of mentorship in the field, showcasing how historical context shapes modern practices.

Chuck and Chris discuss the adolescent medial epicondyle fracture and a group of patients with a challenging outcome.  This deep dive into the pathology and the technical considerations for treatment help us better understand the fracture, the relationship of the ulnar nerve, and moreSubscribe 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.  

Don Lalonde, a leader in effective patient communication, joins to discuss vital strategies for conversing with patients in the context of hand surgery. He emphasizes the importance of open-ended questions and positive reinforcement for fostering patient confidence during recovery. Challenges around managing recovery expectations and the significance of clear, supportive dialogue are key highlights. The conversation also touches on the importance of personal relationships in medical practice and the evolving norms of professionalism in healthcare.

Chuck and Chris discuss Chuck's executive MBA program, then dive into the technical aspects of the 'spaghetti wrist' laceration. They also touch on the treatment of perilunate dislocation, tendon and nerve surgery, and therapy process for finger range of motion.

Dr. Marschall Berkes, Chief of Orthopaedic Trauma at Washington University Orthopedics, joins Chuck and Chris to discuss clavicle fractures. Topics include nerve cases and the use of adjacent tissue, radiographic evaluation and treatment options for clavicle fractures, surgical approach and considerations for nerves, fixation methods, and releasing a high school football player with a clavicle fracture.

The hosts share insights from the Hand Society meeting in Toronto, highlighting community and collaboration in hand surgery. They dive into a pediatric case involving an elbow deformity, discussing treatment complexities and surgical techniques with precision. Transparency in sponsorships is emphasized as vital for authentic medical conversations. Personal anecdotes from the Young Surgeon Bootcamp showcase the camaraderie and learning opportunities among rising surgeons. To top it off, they share fun details about the Drake concert in Toronto!

Chuck and Chris discuss studies on thumb CMC arthritis treatment, endoscopic vs. open carpal tunnel release surgeries, and conduits vs. decellularized nerve allografts for digital nerve repairs. They share concerns about over-distracting in arthritis treatment and discuss the implications of higher revision rates in endoscopic surgeries. They also emphasize the importance of honest reporting in medical studies.

Macy Stonner, a renowned expert in CMC arthritis and post-surgical care, returns to share her valuable insights. The discussion dives into the complexities of post-surgical rehabilitation, addressing the ideal duration of immobilization after surgeries. Macy highlights the importance of personalized recovery strategies to enhance long-term outcomes while managing pain. Key exercises for rehabilitation between six to twelve weeks post-operation are also emphasized, along with novel treatment options like denervation, ensuring a comprehensive approach to patient care.

Dive into the intricacies of median nerve repair, tackling tension issues and surgical decisions. Discover innovative techniques in nerve and tendon repair that enhance recovery outcomes. Explore the volar approach for scaphoid surgeries—its advantages and the nuances that ensure successful healing. The dynamic discussion includes coding challenges in healthcare, vital for success in hand surgery. Plus, hear insights on managing complex cases and improving patient outcomes in nerve repair.

Dive into the intricacies of ulnar nerve surgery techniques and the challenges of managing hook of hamate fractures, particularly in athletes. Discover the balance between professional responsibilities and personal time, as the hosts share insights on the art of saying 'no.' They also reflect on teamwork in the operating room and discuss humorous anecdotes about podcast sponsorships. This engaging conversation covers both clinical complexities and relatable experiences in the demanding world of hand surgery.