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.
CTS and more!
Feb 17
Loved this and learned so much in medical school for all things CTS wrist, hand and elbow! Dr. Chuck is inspiring me to go back for a MBA! Dr. Chris’ shared on his athletic endeavors are fun too. Keep up the great work and thanks for lending a hand! -Dave James ND Naturopathic Physician Preceptee
Handy Hydro-Dissection
07/13/2024
As a Hand APC this podcast has been a favorite of mine to listen to on the way to the hospital. I appreciate the conversations about different approaches to patient cases, pitfalls, and pearls. Simply great and easy to listen to. - as a side note, there was an episode on hand therapy for finger fractures. Macey had briefly touched on the idea of hydro-dissection with stenotic flexor tendons. I have had two similar patients. One with a hyper extension injury to 2-5 MCPs. As they had plateaued in therapy after 4 months and had mild tenderness with palpation on they A1 pulley I had done a flexor tendon sheath injection at the level of the pulley for one finger as something to try that we hadn’t. 2 days later patient had made notable gains in therapy describing it as a “night and day difference”. I went ahead and injected the other digits, and again very quickly after the injections the motion increased. What was interesting to me was the thickness and resistance that I had felt with the needle as I entered through the A1 pulley. I keep a finger at the level of the middle phalanx and near A0 to insure I am in the sheath. Long story short- I am intrigued at the possibly of hydro dissection for flexor tendon stenosis and think it may have value and avoid potential flexor tenolysis surgeries in some patient populations Allyssa
Common sense
01/27/2024
Always common sense refreshing I can identify as a veteran hand surgeon! Thanks Rick singer
5+++ Stars
01/01/2024
A fantastic, entertaining, and highly educational podcast! Thank you for taking the time to do this. It is invaluable to me and has helped my practice in all aspects.
Thank you for all that you do!
07/05/2023
Chris and Chuck, I want to thank you so much for creating this podcast which has provided me the opportunity to listen and learn about the hand and upper extremity over the past year and half while I study for my CHT. I am happy to announce that I have successfully passed my CHT exam on the first attempt. Listening the to Upper Hand podcast helped me to understand the surgeon’s perspective. I really enjoyed and appreciated the collaboration episodes and discussions with Macy. You helped me make my studying experience more interactive and I have learned a great deal from you both. Thank you for answering my questions I had along the way while I studied for my exam. I plan to continue to listen and learn to the Upper Hand podcast as I continue into my professional career as a CHT.
Great for wannabe CHTs
06/13/2023
I am an OT practicing in hand/UE rehab preparing for the CHT exam. I really enjoy this podcast as it gives great insight and detail into the surgical procedures I treat. I love hearing the respect and appreciation the MDs have for therapists. Thank you for this educational and enjoyable resource.
Lovely for Trainees
06/09/2023
I am a PGY2 in ortho hoping to be a hand surgeon. These episodes have been hugely helpful for the nuances of surgical technique that there simply isn’t enough time to discuss in the OR. Additionally, their input on patient selection and indications is valuable.
Dr. Dy
12/04/2022
The ideal balance of education and entertainment! Their genuine passion for hand surgery and unique collegiality make this a must-listen for any resident interested in the upper extremity. Jack Graham, MD
Love the podcast!
06/15/2022
I’m an OT/CHT in NJ. Your podcast is my “go to” for both hand surgery/ therapy topics and for entertaining banter! I love how you collaborate with your hand therapists and how much value you place in their experience and expertise. Both Dr. Goldfarb and Dr. Dy are unquestioned experts in their disciplines yet present complex material in a understandable and relatable manner! Thanks for all you do! Joe Basante OTD, OTR/L, CHT Rothman Institute Adjunct Professor of Occupational Therapy Stockton University of NJ
Amazing Learning Opportunity
05/26/2022
Thank you Dr. Goldfarb and Dr. Dy! I LOVE your podcast. I am a new CHT in Chicago, and I am always trying to learn more about various treatment options for hand conditions, surgical techniques, and how to best serve my patients. You both share so much insight in a way that keeps me entertained and informed! This podcast is a fabulous resource, and I appreciate your time spent recording this information! You two rock!
About
Information
- CreatorChuck and Chris
- Years Active2020 - 2025
- Episodes220
- RatingClean
- Copyright© 2025 The Upper Hand: Chuck & Chris Talk Hand Surgery
- Show Website
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