197 episodes
The Upper Hand: Chuck & Chris Talk Hand Surgery Chuck and Chris
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- Science
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4.9 • 172 Ratings
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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.
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Flexor Tendon Avulsion
Chuck and Chris have a good discussion on FDP tendon avulsions and repair options. We discuss whether the FDP should always be repaired in the setting of an intact FDS (a great deal of therapy is required and results are rarely excellent) and we discuss how we each repair the FDP. We also reference a few items:1) Carroll Tendon Pulling Forceps (this allows easy passage through tendon sheath)2) Tendon weaver (passer). Sharp instrument used for tendon weaves with tendon transf...
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The Leadership Journey with Steve Frick
Chuck and Chris welcome Steve Frick to discuss leadership. Steve is an exemplary leader who was Chief of Pediatric Orthopedic Surgery and Vice Chair at Stanford. He is now headed back to Atrium Health/ OrthoCarolina in a leadership role. We sat down with Steve at the annual leadership meeting of the AOA- American Orthopedic Association (and apologize for the ambient noise) to discuss his path and his leadership style and principles.Steve references John Wooden's Pyramid of S...
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JBJS What's New in Hand Surgery, part 2
Chuck and Chris talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss a number of interesting hand surgery topics including: wrist and hand arthritis, distal radius fracture, scaphoid fractures, metacarpal fractures, pediatric injuries, among other topics. Great review of an important review of the literature from 2023.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partn...
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What's New in Hand Surgery 2024, part 1
Chuck and Chris talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss only two topics in our part 1- trigger finger and carpal tunnel release. A few key citations from some really interesting topics:1. Bookman J, Rocks M, Noh K, Ayalon O, Hacquebord J, Catalano L, Glickel S.Determining the optimal dosage of corticosteroid injection in trigger finger. Hand (NY). 2023 May 16:15589447231170326.2. Bitar H, Zachrisson AK, Bystr¨om M, Str¨omberg J. Day-...
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Mission Trips and Cases
Chuck and Chris catch up on life, travels and cases. We discuss Chuck's recent mission trip with World Pediatrics and pivot to discuss a few cases including care of the phalanx enchondroma and pain at the pisiform.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 produ...
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Medical Marketing 101 with special Guest
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 w...
Customer Reviews
Handy Hydro-Dissection
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
Always common sense refreshing
I can identify as a veteran hand surgeon!
Thanks
Rick singer
5+++ Stars
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.