
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

Sep 17, 2023 • 39min
The post surgical care of the CMC arthritis patient: recurring guest Macy Stonner returns!
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.

8 snips
Sep 3, 2023 • 36min
The pearls episode: median nerve repair and volar scaphoid fixation
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.

5 snips
Aug 20, 2023 • 39min
Transposition pearls, hook of hamate fractures, and more!
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.

Aug 6, 2023 • 47min
Distal Radius Malunion with special guest Megan Conti Mica
Megan Conti Mica, a hand surgeon at the University of Chicago and soon to be in Scottsdale, joins for a dynamic discussion. They dive deep into distal radius malunion, particularly in active patients like pickleball players. The trio explores surgical techniques, the importance of restoring volar tilt, and pain management complexities, including nerve blocks. Personal stories of mentorship and collaboration in the field add warmth, while their insights on upcoming conferences showcase the blending of professional growth with community connections.

Jul 23, 2023 • 39min
Deep Dive on the PIP Joint and the Stiff Finger
Dive into the complexities of the PIP joint and the challenges of treating stiff fingers. The hosts explore a captivating listener case, discussing treatment options and the intricacies of joint stability. Discover fascinating insights into rheumatoid hands and evolving surgical training. They also share personal anecdotes that bring humor and relatability to the podcast. This engaging discussion seamlessly blends medical expertise with heartfelt stories, making it a must-listen for anyone interested in hand surgery.

Jul 9, 2023 • 41min
Firework Injuries and Journal Club
Chuck and Chris discuss firework injuries and recent publications in hand surgery. Topics include machine learning algorithms for detecting Scaphoid fractures, outcomes of distal radius fractures, and ulnar wrist denervation. The podcast also touches on the challenges of treating hand injuries and the importance of specialized care.

13 snips
Jul 2, 2023 • 43min
Chuck and Chris discuss scaphoid nonunions
The hosts dive deep into the complexities of scaphoid nonunions, examining the nuances of treatment techniques and fixation methods. They discuss the importance of patient education and advanced imaging in decision-making. An engaging reflection on the rise of trauma cases in orthopedics ties in current societal issues. Humorous anecdotes about camping plans add a light touch, while their passion for educating and advocating within the orthopedic community shines through.

Jun 18, 2023 • 37min
Chuck and Chris discuss the impact of patient age on treatment
Chuck and Chris discuss the impact of patient age on treatment decisions for hand injuries, including scaphoid fractures and cubital tunnel. They explore the differences in treating young patients, the evidence behind surgical decisions, and the importance of not dismissing symptoms in children. The chapter also touches on assessing ulnar nerve stability in adolescent baseball players and tailoring treatment options based on patient age for optimal surgical outcomes.

Jun 4, 2023 • 29min
Chuck and Chris Discuss the Importance of Medical Communities
Season 4, Episode 15. Chuck and Chris discuss community and what it is so important. We begin, however, discussing kids, coaching and other activities before pivoting into a discussion on burnout and how community helps! More and more brunout is a topic that matters. While time away from work and time with family is one burnout remedy, another is connection or, for the purposes of this discussion, community. We discuss 7 important communities (actually more) that engage us and give us a connection that matters. Join us!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities. Please complete NEW Survey: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.

Jun 3, 2023 • 30min
Live from Singapore!
In a vibrant live session from Singapore, Dr. Yuan-Kun Tu, Superintendent at Ida Hospital in Taiwan, shares his inspiring approach to treating brachial plexus injuries. Known for his positive perspective and philanthropic spirit, he discusses using the violin as a therapeutic tool for young patients. He emphasizes that being a doctor is a lifelong mission, blending patient care with personal passions like music and rugby. Yuan-Kun's unique insights highlight the intersection of medical practice and community enrichment in the realm of hand surgery.