Chuck and Chris catch up on nerve conferences, business school, and review a difficult CMC arthritis case.  Join us!

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See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Chris discuss a few of their favorite surgeries and some that are not so favorite right now.  We invite you to share your favorites and any tips or tricks that you value.

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See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

 
Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Chris discuss the new JBJS article, What's New in Hand Surgery, written by Drs Wager and Suh.  Lots of great content in Part 2 on many topics including distal radius fracture, nerve injury, arthroscopy, arthroplasty and so much more.

Citation
Wager ER and Su N.  What's New in Hand and Wrist Surgery.  JBJS 2025; 107:543-51

Please complete our survey:  https://bit.ly/3iHGFpD

See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

 
Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Chris discuss the new JBJS article, What's New in Hand Surgery, written by Drs Wager and Suh.  Lots of great content in Part 1 on many topics including scaphoid fractures, SL injuries, and nerve compression.

Citations

Wager ER and Su N.  What's New in Hand and Wrist Surgery.  JBJS 2025; 107:543-51

Please complete our survey:  https://bit.ly/3iHGFpD

See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

 
Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Wee Lam preview Friday, Day 5 of the IFSSH.  This is the final day but there is plenty of content.  Chuck and Wee also recap the meeting and highlight the 2028 IFSSH Meeting in Singapore!

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The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Wee Lam preview Wednesday, Day 4 of the IFSSH, filled with Symposia and Instructional Courses as well as special events including the Swanson Lecture with Pioneer Fu-Chan Wei and the Gala at the National Portrait Gallery Thursday evening.

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The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Wee Lam preview Wednesday, Day 3 of the IFSSH, filled with Symposia and Instructional Courses as well as special events including a Therapist Keynote Speaker: The Innovator in You and the Surgeon Presidential Guest Lecturer, Tony Smith, speaking on his quest to learn more about Sterling Bunnell and the book that has resulted.  Use the App and plan your day carefully because there is an incredible amount of high level content taught by the international speakers.

Please complete our survey:  https://bit.ly/3iHGFpD

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Wee Lam preview Tuesday, Day 2 of the IFSSH, filled with Symposia and Instructional Courses as well as special events including the Therapist Opening Ceremony and a Therapist Keynote Lecture: Rowing Solo Across the Atlantic Ocean...  Use the App and plan your day carefully because there is an incredible amount of high level content taught by the international speakers.

Please complete our survey:  https://bit.ly/3iHGFpD

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Wee Lam preview the IFSSH beginning with Day 1, filled with Precourses and ending with the Opening Ceremonies and Welcome Reception. There are amazing learning opportunities with the Precourses covering all aspects of hand surgery with an international list of remarkable speakers! Come learn who are the newly recognized Pioneers in Hand Surgery!

Please complete our survey:  https://bit.ly/3iHGFpD

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx

Chuck and Chris discuss a radial nerve palsy associated with a humerus fracture.  We discuss diagnosis, examination, and preliminary treatment options.  Part 2 will follow after the IFSSH meeting.  We also discuss upcoming, IFSSH- related episodes.

Some citations

1: Lieberdorfer A, Shivakumar N, Stonner MM, Brogan DM, Ray WZ, Mackinnon SE, Dy
CJ. Expectant Management, Tendon Transfer, or Nerve Transfer Surgery for Radial
Nerve Injury: A Qualitative Study Exploring Patient Expectations, Goals, and
Treatment Experiences. J Bone Joint Surg Am. 2023 Apr 19;105(8):600-606. doi:
10.2106/JBJS.22.01201. Epub 2023 Feb 16. PMID: 36795855.
 
2: Malikowski T, Micklesen PJ, Robinson LR. Prognostic values of
electrodiagnostic studies in traumatic radial neuropathy. Muscle Nerve. 2007
Sep;36(3):364-7. doi: 10.1002/mus.20848. PMID: 17587226.
 
3: Steenbeek ED, Pondaag W, Tannemaat MR, Van Zwet EW, Malessy MJA, Groen JL.
Optimal timing of needle electromyography to diagnose lesion severity in
traumatic radial nerve injury. Muscle Nerve. 2023 Apr;67(4):314-319. doi:
10.1002/mus.27787. Epub 2023 Jan 22. PMID: 36625338.

4.  PMID: 31714418
Radial Nerve Palsy Recovery With Fractures of the Humerus: An Updated Systematic Review.
Ilyas AM, Mangan JJ, Graham J.
J Am Acad Orthop Surg. 2020 Mar 15;28(6):e263-e269. doi: 10.5435/JAAOS-D-18-00142.


5. PMID: 32285189
Radial nerve palsy associated with closed humeral shaft fractures: a systematic review of 1758 patients.
Hendrickx LAM, Hilgersom NFJ, Alkaduhimi H, Doornberg JN, van den Bekerom MPJ.
Arch Orthop Trauma Surg. 2021 Apr;141(4):561-568. doi: 10.1007/s00402-020-03446-y. Epub 2020 Apr 13.

6.  PMID: 33335819
Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review.
Hegeman EM, Polmear M, Scanaliato JP, Nesti L, Dunn JC.
Cureus. 2020 Nov 15;12(11):e11490. doi: 10.7759/cureus.11490.
PMID: 33335819 Free PMC article. Review.

Please complete our survey:  https://bit.ly/3iHGFpD

See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.

The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.

 
Subscribe to our newsletter: bit.ly/3X0Gq89

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

For additional links, the catalog.  Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx