The Upper Hand: Chuck & Chris Talk Hand Surgery

Chuck and Chris discuss tips for an efficient clinic and review a surgical approach for radial tunnel syndrome and pronator syndrome treatment. We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 Guyons Canal release indications and technical pearls along with treatment of hook of the hamate fractures. Also, Chris and Macy's book is available: https://www.amazon.com/Rehabilitation-Nerve-Transfers-Upper-Extremity/dp/3031920074 We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 had fun with this episode as we discuss listener comments, highlight an interesting elbow case, and take a deep dive on thought leadership based on a great piece written by Benjamin Schwartz. https://resources.nejmcareercenter.org/article/thought-leadership-101-getting-started/ Also, Chris and Macy's book is available: https://www.amazon.com/Rehabilitation-Nerve-Transfers-Upper-Extremity/dp/3031920074 We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 their approach to local only surgery include some basic pearls, building on previous episodes. They also discuss some local challenges including insurance companies. We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 host a live podcast in Vancouver at the ASSH Annual Meeting. Listen in for some fun and lively discussion about topics pertinent to all including dupuytrens, distal radius fractures and more! We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 are joined by the co-chairs of the ASSH Annual Meeting, Lindley Wall and Carl Harper. They share insights on ALL of the exciting plans for the robust annual meeting in Vancouver. Join us and get excited about the. meeting with a few insider tips. We mention a new book about Sterling Bunnell. If you are not going to the meeting and would like to purchase a copy, use this link. https://american-society-for-surgery-of-the-hand.myshopify.com/products/dr-sterling-bunnell-from-son-of-the-gold-rush-to-founding-father-of-hand-surgery We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 are joined by podcast regular Macy Stonner to discuss tennis elbow. Macy shares therapy perspectives on 'LET'. We also hear about about therapy for free functioning muscle transfers. We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 ulnar wrist, some listener submitted pearls on carpal tunnel release and close with a discussion of practical tips for an efficient practice. Join us to hear our thoughts and always feel free to share yours at [email protected] We mentioned this article as a key physical exam assessment: Ruland RT, Hogan CJ. The ECU synergy test: an aid to diagnose ECU tendonitis. J Hand Surg Am. 2008 Dec;33(10):1777-82. doi: 10.1016/j.jhsa.2008.08.018. We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 listener submitted query around handling referrals. We also discuss our tips and tricks around common surgeries including carpal tunnel release, trigger ringer release, and ganglion excxision. Join us to hear our opinions and always feel free to share yours at [email protected] We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 fellowship graduation, a case of AIN palsy, and advice for new fellowship graduates as the establish their practices. Join us to hear our opinions and always feel free to share yours at [email protected] We are in need of a podcast intern! We would appreciate any referrals! 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/. 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 "simple" diagnoses that may be overlooked in residency and fellowship training. Diagnoses like mucous cysts, ganglion cysts, and carpal boss. We definitely do not agree on management on many of these. Join us to hear our opinions and always feel free to share yours at [email protected] Also, we are in need of a podcast intern! We would appreciate any referrals! 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/. 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 their thoughts/ the relevance of each of the carpal bones and we promise this episode is more fun that you may think . We discuss how we think about each bone, the pathology associated and the interventions we consider. Thanks to all those who have taken our survey. For those who have not, please take 2 minutes and help us to better understand your preferences and help us understand how we can continue to improve the podcast! The survey will close on Friday July 11th . For those who complete the survey and share their email, we will have a drawing for Upper Hand Swag! https://forms.gle/MXmPMwYLYfYa6E347 Keep a lookout for our Summer Newsletter- check your inboxes and let us know if you are not on the list and would like to be. Feedback always welcome. 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/. 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 new topic- distal biceps rutpures. This is one of Chuck's favorite procedures but a little out of the day to day for Chris. We discuss anatomy and treatment options including surgical technique. Thanks to all those who have taken the survey. For those who have not, please take 2 minutes and help us to better understand your preferences and help us understand how we can continue to improve the podcast! For those who complete the survey and share their email, we will have a drawing for Upper Hand Swag! https://forms.gle/MXmPMwYLYfYa6E347 Keep a lookout for our Summer Newsletter- check your inboxes and let us know if you are not on the list and would like to be. Feedback always welcome. 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/. 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 number of stimulating topics. First up, Chuck shares a case of a large elbow osteochondritis dissecans lesion and the latest in treatment techniques. Next we discuss a listener submitted question on CMC pain in a young patient. And finally, we discuss an HBR article on leadership, particularly pertinent in 2025. Join us! HBR “The Work of Leadership”. Ronald A. Heifetz and Donald Laurie Reprint R0111K; Best of HBR, 2001 We have a brand new survey! Please take 2 minutes and help us to better understand your preferences and help us understand how we can continue to improve the podcast! https://forms.gle/MXmPMwYLYfYa6E347 Keep a lookout for our Summer Newsletter- check your inboxes and let us know if you are not on the list and would like to be. Feedback always welcome. 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/. 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 catch up on nerve conferences, business school, and review a difficult CMC arthritis case. Join us! 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 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. 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 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! 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 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. 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 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

Chuck and Chris welcome Jim Chang from Stanford University for a deep dive on two really amazing topics. First, we discuss Jim's leadership of the IFSSH Triannual Meeting in Washington DC March 24-28. And second, we discuss global reconstructive surgery and Jim's work in this area, specifically with Resurg International. Join us for interesting conversation (and then join us in DC). Jim had much to share about psychic compensation and 4 tenants to successful international work: finding the right host, being a good guest, making a lasting impact, and not competing with other organizations. 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. Complete podcast catalog at theupperhandpodcast.wustl.edu.