Chuck and Chris discuss the 4th of July and fireworks injuries.  We review the most common presentations and treatment including acute and delayed.  We then pivot to review three interesting and recent publications. Bulstra and the Machine Learning Consortium, "A Machine Learning Algorithm to Estimate the Probability of a True Scaphoid Fracture after Wrist Trauma."  J Hand Surg 2022: 47: 709-718 Schmidt, et al, "Association between radiographic and clinical outcomes following distal radius...

Chuck and Chris spend a few minutes catching up before taking a deep dive into the assessment and care of the scaphoid nonunion.  We discuss general approach before discussing the technical details of fixation. Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.   Please complete NEW Survey: bit.ly/3X0Gq89 As always, thanks to @iampetermartin for the amazing introduction and...

Chuck and Chris catch up before and after some major travel and then dive into the impact of patient age on treatment decisions.  We use scaphoid fractures and cubital tunnel as the basis of this discussion.  Do we make inappropriate assumptions about young patients' healing abilities?  And when we operate, do we treat patients differently- what's the evidence? Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on...

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...

Chuck and Chris share a live podcast from Singapore at the 13th Congress of the Asian Pacific Federation of Societies for Surgery of the Hand, the 9th Congress of the APFSHT, and the 8th APWA.    We are grateful to many for this opportunity, especially Soumen Das De. We interview Dr. Yuan-Kun Tu from Taiwan who is known internationally for his positive perspective, spirit of giving, and care of patients with brachial plexus injuries and congenital hand differences.  Listen how he uses the...

Season 4, Episode 13.   Chuck and Chris spend the first 20 minutes of this nearly hour- long episode discussing past and future travel- the meetings, the patient care challenges, etc.  Then we pivot to deep dive with a discussion on a case of FPL rupture after volar plating of a distal radius fracture.  While uncommon, this problem can be a real challenge and we discuss  efforts to minimize, diagnosis, and treatment.  Join us! Subscribe to our newsletter:  https://bit.ly/3iHGFpD See...

Season 4, Episode 12.   Chuck and Chris welcome two amazing guests: Mireia Esplugas from Barcelona, Spain and David McCombe from Melbourne, Australia.  Our guests join us to discuss the March 2023 special issue of JHS European, Unsolved problems in hand surgery.  David McCombe was the guest editor of this special journal.  We chose two articles to discuss with our guests.  Tham and McCombe authored "Trapeziometacarpal joint arthritis in the young patient" and Salva-Coll, Esplugas, Carreno,...

Season 4, Episode 11.   Chuck and Chris welcome Macy Stonner back, our good friend and friendly hand therapist extraordinaire!  Macy will lead our discussion on mallet fingers.  She will share tips and tricks and we will all share our thoughts about this 'routine' but sometimes challenging diagnosis. Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.   Please complete NEW...

Season 4, Episode 10.   Chuck and Chris take a deep dive into Deborah Bohn's What's New in Hand Surgery in JBJS, part 2!  Chuck also drops some news on a new endeavor. JBJS 2023; 105:428-34 Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.   Please complete NEW Survey: bit.ly/3X0Gq89 As always, thanks to @iampetermartin for the amazing introduction and conclusion...

Season 4, Episode 9.   Chuck and Chris take a deep dive into Deborah Bohn's What's New in Hand Surgery in JBJS.  The article covers key new articles into our favorite research topics in hand surgery.  This is Part 1 of a two part series. JBJS 2023; 105:428-34 Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.   Please complete NEW Survey: bit.ly/3X0Gq89 As always, thanks...

Season 4, Episode 8.   Chuck and Chris record a second episode in Las Vegas during the AAOS.    We start by talking Vegas and Chris' dining choices.  We discuss research pathways recognizing Chris's amazing accomplishment of  winning the  Kappa Delta Young Investigator Award.  We share reflections on our recent fellowship interview day (and the remarkable candidates) before discussing a reader- submitted case on AIN palsy.  Subscribe to our newsletter:  https://bit.ly/3iHGFpD See...

Season 4, Episode 7.  Chuck and Chris gather in Las Vegas during the AAOS meeting and spend some catching up.  The bulk of this podcast is Chris' interview with Lee Dellon, who has retired and is living in Las Vegas.  Dr. Dellon has done a great deal to advance the field of nerve surgery - authoring numerous publication, training many of today's nerve experts, and helping to establish key nerve related groups.  He shares his thoughts on various nerve topics including cubital tunnel...

Season 4, Episode 6.  Chuck and Chris gratefully review comments from listeners with a few listener questions sprinkled in.  And, we review a few cases with some interesting perspectives on revising an ulnar nerve and lengthening bone (Different cases). Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.   Please complete NEW Survey: bit.ly/3X0Gq89 As always, thanks to...

Season 4, Episode 5.  Chuck and Chris are back, on our new every other week schedule.  In this episode, we discuss take-aways from two recent ASSH Webinars, one on wrist arthroscopy and one on the ulnar nerve.  Then, we take a deep dive on an HBR article, "How to Work with a Workaholic Colleague".   HBR, Feb 2023, written by Melody Wilding. Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and...

Season 4, Episode 4.  Chuck and Chris discuss major technical changes to their surgical practices as well as a few practice management changes.  Learn how we now approach ulnar nerve transposition, cmc arthritis, and other procedures differently today compared to 5 years ago.  We also share a MAJOR announcement- tune in and learn what's changing about our release schedule! Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from...

Season 4, Episode 3.  Chuck and Chris discuss Chris' visit to the AAHS in South Florida and then discuss practice development.  We brainstorm the best techniques to make others in the community, region, and medical world aware of your interests.  First, of course, take great care of patients.  And then...  Join us and learn more! Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our partner on job search and career...

Season 4, Episode 2.  Chuck and Chris return after one week off to catch up and begin a discussion on claw hand. We describe presentation and etiology and start to discuss surgical treatment.  More to come on this topic. Referenced manuscript: Goldfarb CA and Stern PJ Low Ulnar Nerve Palsy  Journal of the American Society for Surgery of the Hand, Feb 2003, 3:14-26 Subscribe to our newsletter:  https://bit.ly/3iHGFpD See www.practicelink.com/theupperhand for more information from our...

Season 4, Episode 1.  In our inaugural episode for season 1, Chuck and Chris welcome Amy Moore and Dominic Power to discuss nerve!  Specifically, in this journal club format we review 4 recent JHS European articles as a format to discuss current concepts in diagnosis and treatment of carpal tunnel syndrome.  Amy and Dom share their extensive experience and insights in this collaborative effort between The Upper Hand Podcast, Journal of Hand Surgery European, the British Society for Surgery of...

Season 3, Episode 50.  Chuck and Chris welcome Michael Galvez from Valley Childrens Hospital to discuss DE&I in hand surgery.  Michael co-edited, with Kevin Chung, the latest edition of Hand Clinics with a number of outstanding contributions from hand surgeons across the United States.  This volume of Hand Clinics has insights and practical recommendations for all of us considering the challenges and opportunities around diversity, equity, and inclusion.  Three months of free access...

Season 3, Episode 49.  Chuck and Chris  continue with this 4 part segment on radial nerve injuries.  In this podcast, Macy joins us to discuss her role in patient assessment and her perspective on both tendon transfers and nerve transfers to address radial nerve injury/ palsy. Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 See http://www.practicelink.com for more information from our partner on job search and career...

Season 3, Episode 48.  Chuck and Chris  continue with this 4 part segment on radial nerve injuries.  In this podcast, we discuss tendon transfers as treatment for the radial nerve injury.  We discuss the three key transfers including wrist extension, thumb extension/ retropulsion, and finger MCP joint extension.  We plan one additional episodes on therapy before and after radial nerve palsy treatment in this series.  Subscribe to our newsletter: ...

Season 3, Episode 47.  Chuck and Chris  continue with this 4 part segment on radial nerve injuries.  In this podcast, we discuss nerve transfers as treatment for the radial nerve injury.  We plan additional episodes on tendon transfer and therapy in this series. References: Ray WZ, Mackinnon SE. Clinical outcomes following median to radial nerve transfers. J Hand Surg Am. 2011 Feb;36(2):201-8. doi: 10.1016/j.jhsa.2010.09.034. Epub 2010 Dec 18. PMID: 21168979; PMCID: PMC3031762. Bertelli JA....

Season 3, Episode 46.  Chuck and Chris  begin the first of a 4 part segment on radial nerve palsy.  In this podcast, we discuss diagnosis, evaluation, and initial management of patients with radial nerve palsy.  We plan episodes on tendon transfer, nerve transfer, and therapy in this population.  Note- we apologize for some background noise (kids). Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 See...

Season 3, Episode 45.  Chuck and Chris  talk about a new HBR article by Bill Taylor, "Your Competitors Aren’t Always Who You Think They Are".  We explore what this means in healthcare and how we can optimize the patient experience. https://hbr.org/2022/11/your-competitors-arent-always-who-you-think-they-are Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 See http://www.practicelink.com for more information from our...

Season 3, Episode 44.  Chuck and Chris  talk international 'mission' trips with Chuck's trip to St Vincent with the World Pediatric Project just finished.  Grateful to supporters including the Touching Hands of the ASSH and Orthopediatrics as well.  Hear more on thoughts on what makes a great team and a successful trip. Subscribe to our newsletter:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 See http://www.practicelink.com for more information...