The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chris discuss Bennett Fractures and Rolando Fractures as well as a few mailbag topics including central TFCC tears (and the role of ulnar shortening) and more on bowstringing from Sam Moghtaderi.

A few citations courtesy of loyal listener Joe McLaughlin.
1)  Hulsizer, et al.  Ulna- shortening osteotomy after failed arthroscopic debridement of the TFCC.  JHS, 1997
2) Nishizuka, et al Simple debridement has little useful value on the clinical course of recalcitrant ulna wrist pain.  The Bone Joint Journal, 2013
3) Kim and Song, A comparison of ulnar shortening osteotomy alone vs combined arthroscopic TFCC debridement and ulnar shortening osteotomy for ulnar impaction syndrome.  Clinics in Orthopedic Surgery, 2011


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Chuck and Chris discuss the Darrach procedure including our indications, alternatives, technical considerations, and more.  We also share our amazing experiences at the ASHT!

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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.

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

Complete podcast catalog at theupperhandpodcast.wustl.edu.  

Chuck joins David Wei, a hand surgeon who leads the Business of Hand Surgery Committee at the ASSH, to discuss a variety of topics.  In what is really an interview of Chuck by David, a variety of topics are discussed. David began and leads the BOHS podcast which is an amazing resource of practical business and private practice topics.  We had a great discussion on business school, the Upper Hand Podcast, Leadership education, and a number of other interesting topics.  Check it out after listening to our super fun discussion.  This is also a clear plug for the Hand P Podcast which takes on interesting and challenging issues for hand surgeons!

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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 review the ASSH meeting, preview the ASHT meeting, and discuss a few tricks and tips for ulnar shortening osteotomy through a case presentation.

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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 a number interesting listener submitted questions including comments around our SL ligament episode and the rock climbing episode.  We even take a (brief) deep dive into biomechanics!  We also share out plans for the ASSH Annual Meeting in Minneapolis.

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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 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

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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 provide 7 pearls for graduating fellows before diving into a discussion on spanning plates.  Also in this episode- learn some of the ways that Chris is 'risk averse'.

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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 have a good discussion on FDP tendon avulsions and repair options.  We discuss whether the FDP should always be repaired in the setting of an intact FDS (a great deal of therapy is required and results are rarely excellent) and we discuss how we each repair the FDP.  We also reference a few items:

1) Carroll Tendon Pulling Forceps (this allows easy passage through tendon sheath)
2) Tendon weaver (passer).  Sharp instrument used for tendon weaves with tendon transfer surgery

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 welcome Steve Frick to discuss leadership.  Steve is an exemplary leader who was Chief of Pediatric Orthopedic Surgery and Vice Chair at Stanford.  He is now headed back to Atrium Health/ OrthoCarolina in a leadership role.  We sat down with Steve at the annual leadership meeting of the AOA- American Orthopedic Association (and apologize for the ambient noise) to discuss his path and his leadership style and principles.

Steve references John Wooden's Pyramid of Success: https://www.thewoodeneffect.com/pyramid-of-success/

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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.