The Upper Hand: Chuck & Chris Talk Hand Surgery

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

Always common sense refreshing I can identify as a veteran hand surgeon! Thanks Rick singer

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.

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.