In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Mark Richard, MD, of Duke University, to continue their discussion on the surgical management of distal radioulnar joint (DRUJ) arthritis. Dr. Richard shares his technical pearls for the Sauvé-Kapandji procedure across both inflammatory and post-traumatic arthritis patients, including resection sizing, fixation technique, and strategies for preventing bony regrowth and stump instability.

The conversation covers his stepwise approach to higher-demand patients with primary DRUJ osteoarthritis, including ulna shortening osteotomy, the Bowers hemi-resection interposition, and interposition arthroplasty. Dr. Kakar also discusses the Calamari procedure and the evolution toward meniscal allograft interposition.

The episode closes with a nuanced discussion on constrained total DRUJ prostheses — including key technical pearls for radial component placement — and management of proximal stump instability using the Sateriano interposition allograft technique.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Mark Richard, MD, of Duke University, to discuss the evaluation and management of distal radioulnar joint (DRUJ) arthritis. Dr. Richard shares his approach to distinguishing DRUJ arthritis from other causes of ulnar-sided wrist pain, including key historical factors, physical exam findings, and his imaging workup.

The conversation covers his surgical decision-making framework — centered on arthritis etiology and the presence or absence of instability — and how factors such as patient age, demand level, and ulnocarpal translocation influence his choice of procedure.

Dr. Richard also offers detailed technical pearls on performing the Darrach procedure, including the importance of minimal resection and soft tissue sleeve preservation, as well as his approach to the Sauvé-Kapandji procedure for higher-demand patients. The episode closes with a discussion on managing instability, convergence, and the nuances of preoperative planning.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Michael Gottschalk, MD, of Emory University, to discuss the full spectrum of treatment options for Dupuytren's disease. Dr. Gottschalk shares his approach to patient selection and intervention thresholds, including how he weighs objective clinical findings against functional limitations. The conversation covers management of early-stage nodules, counseling patients on the Dupuytren's diathesis, and how to choose between collagenase injection, needle aponeurotomy, and open fasciectomy.

Dr. Gottschalk also offers detailed technical pearls on his needle aponeurotomy technique, staged treatment for severe PIP contractures using the Digit Widget, open fasciectomy dissection strategies, and post-operative rehabilitation protocols. The episode closes with a discussion on managing recurrent disease, the role of radiation therapy, and emerging pharmacologic treatments on the horizon.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Christopher J. Dy, MD, MPH, FACS, to discuss peripheral nerve injuries including how to recognize and manage high- and low-energy mechanisms of nerve trauma, key considerations for nerve transfers versus grafts, updates on outcomes data, and the evolving role of ultrasound in diagnosis. Dr. Dy also shares valuable insights on timing of intervention, patient selection, post-operative rehab strategies, and how to set appropriate expectations for recovery.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Paige M. Fox, MD, PhD, FACS, to discuss Zone 2 Flexor Tendon Injuries including which diagnostic methods are most effective in determining flexor tendon injuries, when WALANT can be used in repairing Zone 2 injuries, when to use certain repair and surgical techniques like the Bruner or midaxial incisions, key post-operative care and therapy tips, other practical non-operative and operative treatment pearls from Dr. Fox, and more.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Dawn M. LaPorte, MD, to discuss cubital tunnel syndrome, how to help patients manage the condition, different diagnostic methods, how to determine if a patient has thoracic outlet syndrome vs cubital tunnel syndrome, practical non-operative and operative treatment pearls for surgeons, and more.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Scott W. Wolfe, MD, to discuss scapholunate instability, non-operative and operative treatment options, practical tips and tricks for surgeons, pearls from Dr. Wolfe's expertise on scapholunate instability, and more.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by A. Bobby Chhabra, MD, to discuss scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) in the wrist, non-operative and operative treatment options, practical tips and tricks for surgeons, pearls from Dr. Chhabra's expertise on SLAC and SNAC, and more.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Jennifer Moriatis Wolf, MD, PhD, to discuss basilar thumb arthritis, non-operative and operative treatment options, practical tips and tricks for surgeons, pearls from Dr. Wolf's expertise on basilar thumb arthritis, and more.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/

In this episode of the ASSH Handthology Podcast, host Sanjeev Kakar, MD, is joined by Warren Hammert, MD, to discuss stiff finger, practical tips and tricks for surgeons, evaluation and diganostic best practices, pearls from Dr. Hammert's expertise on treating stiff finger, and more.

The ASSH Handthology Podcast is a curated podcast for physicians and health care providers interested in hand surgery. Each episode will cover key topics related to the field of hand surgery including surgical techniques and treatment options, non-surgical treatment techniques and options, different hand, wrist, shoulder, and upper extremity conditions, and more.

Learn more about Handthology, your go-to resource for comprehensive knowledge on hand, wrist, shoulder, and upper extremity surgery, by the ASSH: https://handthology.assh.org/

Listen to other Handthology Podcast episodes: https://www.assh.org/hande/s/handthology-podcast

Learn more about the American Society for Surgery of the Hand (ASSH): https://www.assh.org/s/