The Upper Hand: Chuck & Chris Talk Hand Surgery – Details, episodes & analysis

Chuck and Chris welcome Sanj Kakar, MD from the Mayo Clinic to discuss the SL ligament.  We discuss Sanj's path to his current role and his approach to the SL ligament including diagnosis and treatment.  

We refer to
Scapholunate Instability: Diagnosis and Management e Anatomy, Kinematics, and Clinical Assessment. Part I Lauren E. Wessel, MD,* Scott W. Wolfe, MD† 2023 (also part 2)

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See 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 products as well as good general information about nerve pathology.

 
Please complete our Survey: bit.ly/3X0Gq89

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.

Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris discuss rock climbing injuries.  We review general hand and wrist injuries but focus on the classic injuries to the fingers and flexor tendon sheath.

We refer to
Upper Extremity Injuries in RockClimbers: Diagnosis and Management byLaura A. Sims, MD.  J Hand Surgery 2022; 47:662-72

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.

See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology.

 
Please complete our Survey: bit.ly/3X0Gq89

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.

Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck and Chris are joined by special guest Macy Stonner who brings her therapy expertise to the topic of finger fractures.  This episode will revisit common fractures and the therapist perspective to outstanding outcomes.

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.

See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology.

 
Please complete our Survey: bit.ly/3X0Gq89

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.

Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Season 2 Episode 46.  Chuck and Chris discuss TFCC injuries and repair.  We briefly review examination diagnosis but the deep dive focuses on repair technique.  The importance of foveal TFCC injury and repair is highlighted.

Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Season 2 Episode 45.  Chuck and Chris celebrate Thanksgiving by discussing why we feel thankful including specific people (think nurses, medial assistants, and hand therapists) places (ie Division and Department), and surgical instruments! (sounds odd but it flowed well)

Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Season 2 Episode 44.  Chuck and Chris welcome Lauren Wessel and her suggestion for a new segment: Half full or Half empty?  Lauren put together a list of controversial concepts and Chris and Chuck weigh in.  And, for those of you who like disagreement, there is plenty!

Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Season 2 Episode 43.  Chuck and Chris review 3 new journal articles pertinent to the practice of hand surgery.  Two are focused on steroid injection and the role this treatment has, especially in the treatment of carpal tunnel syndrome.  The third focuses on complications with local only surgery in a large database study. 

Yoshiaki Yamanaka, MD, PhD, Takafumi Tajima, MD, PhD, Yoshitaka Tsujimura, MD, et al (Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan)
Molecular and Clinical Elucidation of the Mechanism of Action of Steroids in Idiopathic CarpalTunnel Syndrome J Bone Joint Surg Am. 2021;103:1777-87

Nikolas H. Kazmers, MD, MSE, Kate Peacock, MPH, Katelin B. Nickel, MPH, et al (University of Utah and Washington University Data Center) Comparison of Complication Risk Following Trigger Digit Release Performed in the Office Versus the Operating Room: A Population-Based Assessment
J Hand Surg Am. Vol. 46, October 2021

Manfred Hofer, BSc; Jonas Ranstam, PhD; Isam Atroshi, MD, PhD. (Department of Orthopedics, Kristianstad Hospital, Kristianstad, Sweden (Hofer, Atroshi);Department of Clinical Sciences–Orthopedics, Lund University, Lund, Sweden (Ranstam, Atroshi).)  Extended Follow-up of Local Steroid Injection for Carpal Tunnel SyndromeA Randomized Clinical Trial.  JAMA Network Open. 2021;4(10):e2130753. doi:10.1001

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Sign up for The Upper Hand Podcast Newsletter: http://eepurl.com/hH5qfT

Episode 42, Season 2.   Chuck and Chris are joined again by Jeff Stepan and Steve Lanier, two previous fellows both in their second year in hand surgery practice.  Jeff and Steve share their experiences starting practice in Chicago, in somewhat different practices.  Jeff is at the University of Chicago, Steve at NorthShore.   They share insights from their successful symposium at the ASSH:  Free Solo: Letting Go of the Rope - Lessons Learned from the First Year in Practice.  Finally, both are in the midst of the Boards process- lots of helpful information!

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Survey Link:
Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

Episoe 41, Season 2.  Chuck and Chris take a deep dive on leadership around The Great Resignation.  Employees across the USA are reconsidering their job, their careers, and their lives and are resigning in unprecedented numbers.  We use 2 HBR articles to frame our discussion.  We hope that listeners will engage and share their experiences.

References mentioned: 
1) The 3 Phases of Making a Major Life Change, Herminia Ibarra. HBR Augst 6, 2021
2) How to Help Your Team Get Out of a Lull, Merete Wedell- Wedellsborg  Oct 12, 2021

We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 

Survey Link:
Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.

Episoe 40, Season 2.  Chuck and Chris are joined by Becky Neiduski, hand therapist and Dean of Health Sciences at Elon University.  This is a live taping of the podcast with a great discussion of flexor tendon injuries including the surgeon and therapist perspective.  Thanks to the ASHT for inviting and for sharing the recording!

We plan a newsletter launch soon.  Subscribe here:  https://wustl.us6.list-manage.com/subscribe?u=c6fe13919f69cbe248767c4e8&id=10e0c1dd85 

Survey Link:
Help Chuck and Chris understand better what you like and what we can improve.  And be entered for drawing to win a mug!  https://bit.ly/349aUvz

As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
theupperhandpodcast.wustl.edu.  And thanks to Eric Zhu, aspiring physician and podcast intern.