Episode 25.  Chuck and Chris discuss education.  In this episode, we review how we view educational changes over the last 20 years, key mentors and role models, how to prepare from the OR, and the benefits of a post- surgery review for each case.  We share thoughts on the value of the cadaver lab (hint: invaluable) as well as the use of video in preparation for the OR and surgical simulation as well.  Finally, we touch on the concept of coaching in surgical education.

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

theupperhandpodcast.wustl.edu

Episode 24, is part 2 of Chuck and Chris' discussion with guest Sam Moghtaderi, MD on wide awake local anesthesia no tourniquet (WALANT) surgery.  We discuss surgical tips and pearls, education, and challenges in the OR and at the system level.  Sam's experience with WALANT provides unique insights for the listeners.

theupperhandpodcast.wustl.edu

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

Episode 23, Chuck and Chris welcome guest Sam Moghtaderi, MD to discuss wide awake local anesthesia no tourniquet (WALANT) surgery.  We discuss specific approaches to the patient consent process, specific surgical tips and pearls, and challenges in the OR and at the system level.  Sam's experience with WALANT provides unique insights for the listeners.

theupperhandpodcast.wustl.edu

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

In Episode 22, Chuck and Chris discuss ulnar sided wrist pain, focusing on treatment of TFCC pathology.  We review the treatment of TFCC tears including arthroscopic and foveal repairs.  We discuss therapy and reasonable expectations after surgery.

We reference the Foveal Repair
J Hand Surg Am 2018 Jul;43(7):680.e1-680.e5.  

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

theupperhandpodcast.wustl.edu

In Episode 21, Chuck and Chris discuss ulnar sided wrist pain, focusing on diagnosis.  We review the differential diagnosis including diagnostic categories and how we work through the history and physical examination.  We discuss key examination maneuvers and diagnostic tests including imaging and injections.

We reference the ECU Synergy Test:
Ruland and Hogan, J Hand Surg Am 2008 Dec;33(10):1777-82.  

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

theupperhandpodcast.wustl.edu

Episode 20.  Chuck and Chris welcome Macyn Stonner, OTD, an amazing hand therapist with Milliken Hand Therapy in the Program of Occupational Therapy at Washington University.  We discuss the challenge of these injuries including our surgical preferences and spend more time with Macy discussing therapy.  Macy pulls back the curtain and shares her approach to treating these patients and working towards the best outcome.

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

theupperhandpodcast.wustl.edu

In Episode 19, Chuck and Chris discuss the diagnosis and assessment of thumb UCL injuries including the role of advanced imaging.  We then discuss our treatment approaches on the operative and nonoperative care including patient counseling.  We focus our operative discussion on the role of the classic repair techniques versus the use of suture tape.

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

theupperhandpodcast.wustl.edu

Episode 18.  Our third guest on the Upper Hand Podcast is Marybeth Ezaki, MD.  Dr. Ezaki is past President of the ASSH and remains the only female president of this organization.  She is a critical thinker in the field of congenital hand surgery and is a mentor to many surgeons who practice in this field.  She shares thoughts on women in surgery, dogma, and the evolution of hand surgery.  

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

theupperhandpodcast.wustl.edu

Episode 17.  Chuck and Chris discuss various dogma in hand surgery including topics such as cubital tunnel syndrome, metacarpal fractures, the development of wrist arthritis, etc.  Join us and weigh on via twitter or email on dogma topics in hand surgery.

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

theupperhandpodcast.wustl.edu

Episode 16: Chuck and Chris discuss patient centered care and decision aides in the context of thumb basal joint arthritis.  This episode also marks our Facebook Live debut for Washington University Orthopedics and the conversation reflects a bit more of a patient focused approach.  We also welcome the debut of a future podcast star- Chris' son Raffi!

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

theupperhandpodcast.wustl.edu