Avsnitt
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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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Saknas det avsnitt?
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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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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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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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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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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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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
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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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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
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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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Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss a number of interesting hand surgery topics including: wrist and hand arthritis, distal radius fracture, scaphoid fractures, metacarpal fractures, pediatric injuries, among other topics. Great review of an important review of the literature from 2023.
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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.
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 talk through the 2024 JBJS 'What's New in Hand Surgery' written by Deb Bohn. We discuss only two topics in our part 1- trigger finger and carpal tunnel release. A few key citations from some really interesting topics:
1. Bookman J, Rocks M, Noh K, Ayalon O, Hacquebord J, Catalano L, Glickel S.Determining the optimal dosage of corticosteroid injection in trigger finger. Hand (NY). 2023 May 16:15589447231170326.
2. Bitar H, Zachrisson AK, Bystr¨om M, Str¨omberg J. Day-by-day symptom relief aftercorticosteroid injection for trigger digit: a randomized controlled
3. Wu RT, Walker ME, Peck CJ, Liu YJ, Hetzler P, Le NK, Smetona J, Thomson JG.Differential pulley release in trigger finger: a prospective, randomized clinical trial.Hand (N Y). 2023 Mar;18(2):244-9.
4. Blazar PE, Zhang D, Bryant JK, Benavent KA, Yeung CM, Earp BE. Patient perceivedoutcomes of recovery after trigger digit release. J Hand Surg Am. 2023May 3:S0363-5023(23)00167-3.
5. Koopman JE, Zweedijk BE, Hundepool CA, Duraku LS, Smit J, Wouters RM, SellesRW, Zuidam JM; Hand-Wrist Study Group. Prevalence and risk factors forpostoperative complications following open A1 pulley release for a trigger finger orthumb. J Hand Surg Am. 2022 Sep;47(9):823-33.
6. Matzon JL, Lebowitz C, Graham JG, Lucenti L, Lutsky KF, Beredjiklian PK. Risk ofinfection in trigger finger release surgery following corticosteroid injection. J HandSurg Am. 2020 Apr;45(4):310-6.
7. Straszewski AJ, Lee CS, Dickherber JL, Wolf JM. Temporal relationship ofcorticosteroid injection and open release for trigger finger and correlation withpostoperative deep infections. J Hand Surg Am. 2022 Nov;47(11):1116.e1-11.
8. Gray AM, Patel AC, Kaplan FTD, Merrell GA, Greenberg JA. Occult amyloiddeposition in older patients presenting with bilateral carpal tunnel syndrome ormultiple trigger digits. J Hand Surg Am. 2023 Jun 22:S0363-5023(23)00258-7.
9. Gannon NP, Ward CM.Results of implementation if amyloidosis screening forpatients undergoing carpal tunnel release. J Hand Surg Am. 2023 Jan 14:S0363-5023(22)00540-8.
10. Nelson JT, Gay SS, Diamond S, Gauger M, Singer RM. Warning signs: occultdiabetes and dysglycemia in the hand surgery patient population. Hand (N Y). 2022Dec 23:15589447221142893.
11. Meyers A, Annunziata MJ, Rampazzo A, Bassiri Gharb B. A systematic review ofthe outcomes of carpal ligament release in severe carpal tunnel syndrome. J HandSurg Am. 2023 Apr;48(4):408.e1-18.
12. Doi K, Marei AE, Mane SA, Hattori Y, Sakamoto S, Sonezaki S, Saeki Y. Reevaluationof the indications for the Camitz procedure in severe carpal tunnelsyndrome. J Hand Surg Am. 2023 May 12:S0363-5023(23)00171-5.
13. Piñal FD. Hand allodynia, lack of finger flexion, and the need for carpal tunnelrelease. J Hand Surg Am. 2023 Apr;48(4):370-6.
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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.
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 catch up on life, travels and cases. We discuss Chuck's recent mission trip with World Pediatrics and pivot to discuss a few cases including care of the phalanx enchondroma and pain at the pisiform.
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Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris welcome Amanda Lovelace who is the Marketing Director for our large orthopedic department. We share a fantastic first discussion including marketing directions, the importance of personal relationships, how social can be considered, among many other topics.
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Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris begin this episode with a discussion of ray resection and then pivot to discuss practice management and payer mix in our practices as well as the benefits and challenges of workers compensation.
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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris are joined by special guest Macy Stonner who brings her therapy expertise to the topic of finger fractures. This episode will revisit common fractures and the therapist perspective to outstanding outcomes.
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Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris answer a few listener- submitted questions and then take a deep dive into their approach to finger fractures with a specific focus on Kirshner wires, k-wires.
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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris welcome Ryan Nunley to the Podcast. Ryan is a total joint surgeon who has an amazingly busy clinical practice. We discuss practice efficiency, handling VIPs, and share updates on computer navigation and robotic surgery. There is so much we can learn!
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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris discuss patients with dupuytrens disease (in office and in the OR) including our protocols for care after formal surgery. We also discuss some challenges with needle procedures in the office. We touch on our trial of AI for clinic note generation and look forward to listener comments. And finally, we touch on leadership with a deep dive on the HBR article: The New Rules of Executive Presence by Sylvia Ann Hewlett. This article compares leadership criteria from 2012 to 2022 and the differences in priorities are great discussion points.
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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
Complete podcast catalog at theupperhandpodcast.wustl.edu. -
Chuck and Chris catch up on with listener submitted questions and then discuss the volar approach to the scaphoid for scaphoid nonunions.
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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. - Visa fler
