Special guests and hosts of "The Upper Hand" Podcast, Dr. Charles Goldfarb and Dr. Chris Dy from Washington University in St. Louis, join the podcast crew for a wide-ranging discussion on upper extremity conditions and the role of information technology in modern orthopedic care.  We review a recent article from the Wash U group about thematic analysis of online message boards for congenital upper extremity differences. Our guests contribute their insights on elbow stiffness and nerve injuries following pediatric trauma, as well as thoughts on bruise location in supracondylar humerus fractures, treatment of Monteggia injuries, cost-consciousness in parents, nerve transfers for brachial plexus birth palsy, and predicting radial head dislocations in MHE. Hosts of the episode are Craig Louer from Vanderbilt, Josh Holt from University of Iowa, Carter Clement from Children’s Hospital of New Orleans, and Julia Sanders from Children’s Hospital Colorado. Music by A.A. Alto.

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Feb 2022 Podcast Session Notes:

Guests – Charles Goldfarb MD, Chris Dy MD MPH

Hosts – Craig Louer MD, Carter Clement MD MBA, Joshua Holt MD, Julia Sanders MD

Links:

[email protected]

Twitter: @CraigLouer

Twitter: @CarterClementMD

Upper Hand Podcast:

https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Dr. Goldfarb Blog: https://congenitalhand.wustl.edu/

Dr. Goldfarb Twitter: @CongenitalHand

Dr. Dy Twitter: @ChrisDyMD

Primary article:

Cogsil T, Kim DJ, Morris M, Goldfarb CA, Wall LB. Congenital Upper-Extremity Differences: A Thematic Analysis of On-Line Discussion Boards. J Hand Surg Am. 2021 Apr;46(4):337.e1-337.e10. doi: 10.1016/j.jhsa.2020.08.006. Epub 2020 Oct 3. PMID: 33023778.

Lightning Round:

Schultz JD, Rees AB, Wollenman LC, Lempert N, Moore-Lotridge SN, Schoenecker JG. Bruise Location in Supracondylar Humerus Fractures Predicts Specific Neurovascular Injuries. J Pediatr Orthop. 2021 Dec 20. doi: 10.1097/BPO.0000000000002027. Epub ahead of print. PMID: 34923508.

Lawrence, J. Todd R. MD, PhD*,†; MacAlpine, Elle M. BA*,‡; Buczek, Matthew J. MSEd*; Horn, B. David MD*,†; Williams, Brendan A. MD*,†; Manning, Kassidy BSc*; Shah, Apurva S. MD, MBA*,† Impact of Cost Information on Parental Decision Making: A Randomized Clinical Trial Evaluating Cast Versus Splint Selection for Pediatric Distal Radius Buckle Fractures, Journal of Pediatric Orthopaedics: January 2022 - Volume 42 - Issue 1 - p e15-e20

doi: 10.1097/BPO.0000000000001980

Kluemper, Chase MD*; Aversano, Mike MD†; Kozin, Scott MD†; Zlotolow, Dan A. MD*,† Long Thoracic Nerve Transfer for Children With Brachial Plexus Injuries, Journal of Pediatric Orthopaedics: July 2021 - Volume 41 - Issue 6 - p 374-378

doi: 10.1097/BPO.0000000000001774

Hart, Christopher M. MD*; Alswang, Jared BS†; Bram, Joshua BS‡; Kim, Samuel T. BA§; Arkader, Alexandre MD‡; Silva, Mauricio MD*,† Operative Versus Nonoperative Management of Acute Pediatric Monteggia Injuries With Complete Ulna Fractures, Journal of Pediatric Orthopaedics: August 2021 - Volume 41 - Issue 7 - p 412-416

doi: 10.1097/BPO.0000000000001868

Feldman, D. , Rand, T. , Deszczynski, J. , Albrewczynski, T. , Paley, D. & Huser, A. (2021). Prediction of Radial Head Subluxation and Dislocation in Patients with Multiple Hereditary Exostoses. The Journal of Bone and Joint Surgery, 103 (23), 2207-2214. doi: 10.2106/JBJS.20.02205.