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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/3iHGFpDSee 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/3X0Gq89As 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
Interested in hand injuries? What does a hand surgeon treat? Listen to our latest podcast as we sit down with Dr. Lauren Shapiro of the UCSF Department of Orthopedic Surgery.
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/3iHGFpDSee 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/3X0Gq89As 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
Listen to Dr. Dan London discuss the article "Readability of the Most Commonly Used Patient-Reported Outcome Measures in Hand Surgery" by Uppal et al that appears in the May 2025 issue of The Journal of Hand Surgery.
Dr. Graham interviews Dr. Avi Giladi, senior author of the paper "Prophylactic Antibiotics for Uncomplicated Upper-Extremity Lacerations: A Retrospective Cohort Study of Private Insurance Claims", which is the lead article in the May 2025 issue of the Journal of Hand Surgery.
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.CitationWager ER and Su N. What's New in Hand and Wrist Surgery. JBJS 2025; 107:543-51Please complete our survey: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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
Ben Criddle talks BYU sports every weekday from 2 to 6 pm.Today's Co-Hosts: Ben Criddle (@criddlebenjamin)Subscribe to the Cougar Sports with Ben Criddle podcast:Apple Podcasts: https://itunes.apple.com/us/podcast/cougar-sports-with-ben-criddle/id99676
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.CitationsWager ER and Su N. What's New in Hand and Wrist Surgery. JBJS 2025; 107:543-51Please complete our survey: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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
Send us a textBumps and lumps of the hand can be any number of things... all are classified as a hand tumor, but do they all require treatment, and which are a cause for concern? Host Debra Schindler explores the various types of hand tumors from the benign to malignant, with hand surgeon and Chief of the Curtis National Hand Center, Dr. James Higgins, and orthopedic oncologist, Dr. Mohammed Karim. Learn about the variety of hand tumors, treatment options, and the importance of early diagnosis. Don't let uncertainty hold you back— peace of mind is everything. If you have concerns about a hand tumor and would like to see a specialist call 877-34-ORTHO or 877-346-7846. If you're from outside the Maryland area, ask for a video consult appointment. If you would like to provide feedback on this podcast, or get more information on hand tumors, send Debra an email: debra.schindler@medstar.net. For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.
Listen to the perspective of Dr. Rachel Hooper on the article "The Mangled Digit Severity Score: Determining Salvageability of Severe Digital Injuries", which appears in the April 2025 issue of The Journal of Hand Surgery.
Dr. Graham interviews Dr. Kyle Eberlin regarding his article "The Mangled Digit Severity Score: Determining Salvageability of Severe Digital Injuries", which is the lead article in the April 2025 issue of the Journal of Hand Surgery.
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/3iHGFpDThe 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/3X0Gq89As 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/3iHGFpDThe 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/3X0Gq89As 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
Individuals interested in being reviewed and considered for surgery must visit their nearest public health facility including wellness Centres, Polyclinics, or Community Hospitals for registration and screening by Monday, March 31, 2025. Private healthcare providers may refer patients using the official referral form distributed by the office of the Chief Medical Officer (CMO). All registered patients, along with walk-ins, are required to attend a pre-surgical assessment on Sunday, April 6, 2025, at either the Owen King EU Hospital from 8:00 am to 4:00 pm, or the St. Jude Hospital from 10:00 am to 4:00 pm. Patients are kindly asked to bring any relevant diagnostic results or medical documents to support their review. The Ministry of Health, Wellness and Elderly Affairs urges members of the public with hand or upper extremity concerns to take full advantage of this extraordinary opportunity. For more information or assistance, please contact the Office of the Chief Medical Officer at (758) 486-5386.
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/3iHGFpDThe 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/3X0Gq89As 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/3iHGFpDThe 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/3X0Gq89As 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
Peter Murray, MD, FAOA, from the Mayo Clinic shares his groundbreaking insights on hand surgery and leadership. Discover how this unique specialty, sitting at the crossroads of general, plastic, and orthopaedic surgery, is not only evolving but also leading advancements in areas like wound management and peripheral nerve reconstruction. Dr. Murray sheds light on the exciting integration of genetic and regenerative medicine within hand surgery, emphasizing the growing demand for skilled surgeons in this dynamic field.Explore the cutting-edge developments in orthopaedic fracture treatment, where traditional methods meet innovative techniques. Learn about the transformative role of PCR testing in diagnosing atypical infections and the evolution of treatments for distal radial fractures. From the effectiveness of Volar plates to the promising use of spanning wrist plates for older patients, our discussion highlights a pivotal shift towards less invasive, more adaptable solutions that hold the promise of better patient outcomes.Finally, we turn our attention to the future of hand therapy and the evolving landscape of hand surgery education. The essential role of certified hand therapists is emphasized, along with emerging therapies like desensitization and mirror therapy. We also contemplate the training of future hand surgeons, where the balance between competency-based education and traditional residency models comes into play. Ending on a note of gratitude, we celebrate the camaraderie among orthopaedic professionals, acknowledging the AOA's support and relishing in 11 years of meaningful exchanges.
Listen to Dr. Jason Palmer give his perspective on the article "Arthrodesis versus ligament reconstruction and tendon interposition for thumb carpometacarpal joint arthritis: A systematic review and meta-analysis" that appears in the March 2025 issue of The Journal of Hand Surgery.
Dr. Grahan interviews Dr. Warren Hammert regarding his paper "Association of Ultrasound and Electrodiagnostic Studies in Patients Evaluated for Ulnar Neuropathy" that is the lead article in the March 2025 issue of the Journal of Hand Surgery.
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/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and concluding music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Dr. Ryan Schmucker discusses the article "A 3-Dimensional Printed Dynamic External Fixator for the Treatment of Proximal Interphalangeal Fracture-Dislocations: A Biomechanical Study" that appears in the February 2025 issue of The Journal of Hand Surgery.
Dr. Graham interviews Dr. Francisco del Pinal about his paper "Outcomes of Median Nerve Release in Complex Regional Pain Syndrome Type 1 of the Hand: A Prospective Case Series", which is the lead article in the February 2025 issue of the Journal of Hand Surgery.
Chuck and Chris discuss several listener submitted questions and comments on the CMC joint as well as a case of TFCC pathology. Our focus is FPL rupture and reconstruction- we discuss interpositional tendon graft and FDS transfer.Flexor Pollicis Longus Reconstruction After Rupture Following Distal Radius Fixation With Volar Locking Plate: A Technique Guide.Welbeck A, Goldfarb CA, Calfee RP, Dy CJ.Tech Hand Up Extrem Surg. 2024 Sep 1;28(3):124-128. PMID: 38516925Our surgical follow- up article will be published in JHS Go but is not yet available.Please complete our survey: https://bit.ly/3iHGFpDSee www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.Check out this link for the lecture series from Checkpoint Surgical. https://checkpointsurgical.com/education/decision-point. Subscribe to our newsletter: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and concluding music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Chuck and Chris are joined again by Sanj Kakar from the Mayo Clinic. Sanj is a high volume arthroscopist and luminary in the field. He is leading the way with contributions to the field and new ways of considering wrist pathology. If you missed episode 1, we would recommend a listen but each episode stands alone.Please complete our survey: https://bit.ly/3iHGFpDSee 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. Subscribe to our newsletter: bit.ly/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Listen to the commentary of Dr. Ayesha Rahman on the article "Comparison of Early Versus Late Debridement Outcomes in the Management of Open Distal Radius Fractures" that appears in the January 2025 issue of The Journal of Hand Surgery.
Listen to Dr. Graham's interview of Dr. Charles Goldfarb, senior author of "Reliability of Wrist Arthroscopy in the Diagnosis and Treatment of Triangular Fibrocartilage Complex Tears", which appears in the January 2025 issue of the Journal of Hand Surgery.
On this episode, we are joined by Lori Algar and Katie Loomis, who both serve on ASHT's Research Division. They share with us the results of a recent research community survey that the division conducted to better understand the needs of our members when it comes to clinical research. Guest Bios: Lori Algar OTD, OTR/L, CHT is an occupational therapist and Certified Hand Therapist who works for Orthopaedic Specialty Group PC in Fairfield CT. She has been specializing in the outpatient treatment of individuals with orthopedic injuries to the upper extremity since 2006. She earned her clinical doctorate in occupational therapy from Rocky Mountain University of Health Professions in 2013. Lori joined ASHT's Research Division following the completion of her clinical doctorate program and is currently the Research Division Director. She has many publications in the Journal of Hand Therapy and Journal of Hand Surgery, including a randomized clinical trial completed during her clinical work. Katie Loomis, MA, OTR/L, CHT, is a PhD candidate in the Chan Division of Occupational Science and Occupational Therapy at the University of Southern California and a research assistant in the Musculoskeletal Sonography and Occupational Performance Laboratory. She has 12 years of clinical and research experience in hand therapy, is an active member of the ASHT Research Division, and an ad hoc reviewer for several rehabilitation-oriented journals. Katie's research interests center on facilitating large-scale, collaborative practice-based research to better understand and quantify the multidimensional process of upper extremity rehabilitation, and to advance care effectiveness and individualization.
Chuck and Chris celebrate the last episode of 2024 with a 'Future of Hand Surgery' episode. We prognosticate who will be performing carpal tunnel releases, how we will treat the CMC joint, what wrist arthroscopy will include, how we will repair nerves and tendons, and so much more. Join us and share your thoughts by email!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Listen to the commentary of Dr. Rachel Hooper on the article "Outcome of Trapeziectomy and Ligament Reconstruction and Tendon Interposition for Patients Aged Less Than 56 Years: A Retrospective Study With a Minimum 5-Year Follow-Up" which appears in the December 2024 issue of The Journal of Hand Surgery.
Dr. Graham interviews Dr. Sara Chevalley about her paper "Passive Mobilization With Place-and-Hold Versus Active Mobilization Therapy After Flexor Tendon Repair: 5-Year Minimum Follow-Up of a Randomized Controlled Trial" that is the lead article in the December 2024 issue of The Journal of Hand Surgery.
Chuck and Chris have a good discussion based on several questions submitted by Chris Gayton at Ortho South Carolina and share why we are thankful at this time of year. We discuss when we consider carpal tunnel release and cubital tunnel surgery together, when we consider a distal ulnar tunnel decompression, and the role of dry arthroscopy in the setting of SL ligament injury.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
In this episode of the Hand Surgery Resource Podcast, Dr. Larry Hurst shares more about Scapholunate Advanced Collapse (SLAC) Wrist, more popularly known as Wrist Osteoarthritis. Nearly 90% of the degenerative changes observed in patients with osteoarthritis of the wrist follow three predictable patterns, the most common of which is “scapholunate advanced collapse (SLAC)” wrist, coined by Watson and Ballet in 1984.1 Arthritic changes initially involve the radioscaphoid joint, and as cartilage disappears, the radial side of the wrist loses support. The capitate slides away from the radial side of the lunate, which in turn, leads to degeneration of the capitolunate joint and the hamatolunate joint. The radiolunate and lunotriquetral joints are often spared. The trapeziometacarpal joint is usually affected by arthritis that is unrelated to the SLAC wrist process. --- Support this podcast: https://podcasters.spotify.com/pod/show/hand-surgery-resource/support
Listen to the analysis of Dr. Dan London of the article "Impact of Possible Sarcopenia and Nutritional Status on Postoperative Quick Disabilities of the Arm, Shoulder, and Hand Score in Geriatric Female Patients with Distal Radius Fracture" by Hosokawa et al that appears in the November 2024 issue of The Journal of Hand Surgery.
Dr. Graham interviews Dr. Rachel Hooper, the lead author of "An Analysis of Surgeon Experience, Diagnostic Testing, and Treatment Recommendation For Carpal Tunnel Syndrome" which is the lead article in the November 2024 issue of The Journal of 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, 19972) Nishizuka, et al Simple debridement has little useful value on the clinical course of recalcitrant ulna wrist pain. The Bone Joint Journal, 20133) 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, 2011Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Ilse Degreef, MD, PhD joins the Hands of Change Podcast to discuss her passion and interest in improving patient outcomes for patients with Dupuytren's disease. Dr. Degreef is a Professor of Orthopedic Surgery and the Surgeon-in-Chief of the Hand Unit at Leuven University Hospitals in Leuven, Belgium. Her work encompasses Dupuytren's disease and fibrosis diathesis, evaluation of pharmacologic intervention to improve outcomes as well as advancing the field with novel micro-surgical techniques for Dupuytren's patients. Please join us as we discuss what fueled her initial interests in Dupuytren's, pioneering research, and continued focus on novel surgical techniques focused on improving outcomes for patients.
Chuck and Chris discuss the Darrach procedure including our indications, alternatives, technical considerations, and more. We also share our amazing experiences at the ASHT!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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!Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Listen to the commentary of Dr. Ayesha Rahman on the article "Does Addition of a Longer Acting Local Anesthetic Improve Postoperative Pain After Carpal Tunnel Release? A Randomized Controlled Trial" by Chan et al, that appears in the October 2024 issue of The Journal of Hand Surgery.
Dr Graham interviews Dr. Charles Goldfarb about his article "A Prospective Randomized Pilot Study: One-Year Outcomes of Ligament Reconstruction Tendon Interposition Versus Suture Tape Suspensionplasty for Thumb Carpometacarpal Joint Arthritis" that appears in th October 2024 issue of The Journal of Hand Surgery.
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.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.
Join us for an enlightening conversation with the distinguished Dr. Alejandro Badia, a world-renowned hand surgeon and healthcare advocate. Dr. Badia's journey from his immigrant roots to becoming a leading medical practitioner in Miami is truly inspiring. Learn how a childhood experience with his grandmother's rheumatoid arthritis ignited his passion for hand surgery, leading to his extensive training at N.Y.U. and a transformative fellowship in Pittsburgh. Dr. Badia provides fascinating insights into the evolution of medical practice, the complexities of Medicare and Medicaid, and his relentless pursuit of high-quality healthcare services. Dr. Badia's transition from group practices to establishing the Badia Hand to Shoulder Center is a tale of perseverance, specialization, and strategic branding. We discussed the challenges he faced when opting for a solo practice model and the importance of fair compensation and specialized outpatient care. Discover the thought process behind the innovative OrthoNOW model, which aims to rectify the inefficiencies of traditional referral systems by providing immediate and specialized orthopedic care. The journey of building a highly efficient surgical center and the significance of having on-site hand therapists for patient recovery are also highlighted. In this episode, we explore the pricing and operational hurdles of OrthoNOW and its shift to a licensing model for national growth. Dr. Badia shares his valuable insights on the role of social media in patient education, medical sales, and building a successful practice. From his rewarding experiences on medical missions to his advice for aspiring medical professionals and sales reps, Dr. Badia's wisdom is invaluable. Tune in for a lively discussion, including a lightning round on his latest reads, T.V. shows, and dining experiences, and gain practical tips from a seasoned medical expert reshaping the healthcare landscape. Meet the guest: Alejandro Badia, MD, F.A.C.S., F.R.C.S.I., is a hand and upper extremity surgeon, author, and healthcare entrepreneur in Doral (Miami), Florida. Badia studied physiology at Cornell University and obtained his medical degree at N.Y.U., where he also trained in orthopedics. An A.O. trauma fellowship followed a hand fellowship at Alleghany General Hospital in Pittsburgh in Freiburg, Germany. He runs an international hand fellowship, served on the review board of a hand surgery techniques journal, and previously organized a yearly Miami meeting for surgeons /therapists devoted to upper limb arthroscopy and arthroplasty. This international meeting was held at the renowned Miami Anatomical Research Center (M.A.R.C.), which Badia co-founded in 2005. In 2008 he created the Badia Hand to Shoulder Center, having previously co-founded the Miami Hand Center, and Surgery Center at Doral. In 2010, he launched OrthoNOW®, the first immediate orthopedic care center in South Florida, later franchising the concept, which can now be licensed to orthopedic colleagues and healthcare systems. He is currently seeking the optimal strategic healthcare partner. He is the past president of the International Society for Sport Traumatology of the Hand (ISSPORTH), is a member of several orthopedic societies (AAOS, A.S.S.H., AAHS, E.W.A.S.), honorary member of more than ten international hand surgery and arthroscopy associations, and served as honored professor at the prestigious Philadelphia Hand Course in 2012. Having lectured in all seven continents, he focuses on improving healthcare delivery in the orthopedics and sports medicine realm. Dr Badia has outlined his journey and delved into the major challenges and hurdles of delivering Healthcare in the U.S. through his Amazon best-selling book, "Healthcare from the Trenches," published during the COVID-19 pandemic, and similar issues are discussed in his biweekly 20-minute Podcast, Fixing Healthcare…from the Trenches. Connect with him: Website - https://drbadia.com/ His book Amazon - Healthcare from the Trenches: An Insider Account of the Complex Barriers of U.S. Healthcare from the Providers and Patients' Perspective Audiobook -https://play.google.com/store/audiobooks/details/Dr_Alejandro_Badia_Healthcare_from_the_Trenches?id=AQAAAEAybRItMM&hl=en_US&pli=1 Follow him on: X - https://x.com/drbadia TikTok - https://www.tiktok.com/@badiahand?lang=en LinkedIn - https://www.linkedin.com/in/drbadia/ Instagram -https://www.instagram.com/badiahand/ YouTube and Podcast - https://www.youtube.com/@drbadia
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 toScapholunate Instability: Diagnosis and Management e Anatomy, Kinematics, and Clinical Assessment. Part I Lauren E. Wessel, MD,* Scott W. Wolfe, MD† 2023 (also part 2)Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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 toUpper Extremity Injuries in RockClimbers: Diagnosis and Management byLaura A. Sims, MD. J Hand Surgery 2022; 47:662-72Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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'.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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 surgerySubscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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/Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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 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.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As 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 controlled3. 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.Subscribe to our newsletter: https://bit.ly/3iHGFpDSee 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/3X0Gq89As always, thanks to @iampetermartin for the amazing introduction and conclusion music.Complete podcast catalog at theupperhandpodcast.wustl.edu.