The Upper Hand: Chuck & Chris Talk Hand Surgery

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The Upper Hand Podcast feature Charles Goldfarb and Chris Dy from Washington University Department of Orthopedic Surgery. Our weekly podcast will discuss all things hand surgery, from the technical aspects of what we do (diagnosis, treatment) to our more personal approaches to events and opportunities that hand surgeons experience. We welcome feedback and audience engagement. We are grateful for the muscial contribution of @iamPeterMartin.

Recent Episodes
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Recent Reviews
  • Rundavejames
    CTS and more!
    Loved this and learned so much in medical school for all things CTS wrist, hand and elbow! Dr. Chuck is inspiring me to go back for a MBA! Dr. Chris’ shared on his athletic endeavors are fun too. Keep up the great work and thanks for lending a hand! -Dave James ND Naturopathic Physician Preceptee
  • Listening Lyss
    Handy Hydro-Dissection
    As a Hand APC this podcast has been a favorite of mine to listen to on the way to the hospital. I appreciate the conversations about different approaches to patient cases, pitfalls, and pearls. Simply great and easy to listen to. - as a side note, there was an episode on hand therapy for finger fractures. Macey had briefly touched on the idea of hydro-dissection with stenotic flexor tendons. I have had two similar patients. One with a hyper extension injury to 2-5 MCPs. As they had plateaued in therapy after 4 months and had mild tenderness with palpation on they A1 pulley I had done a flexor tendon sheath injection at the level of the pulley for one finger as something to try that we hadn’t. 2 days later patient had made notable gains in therapy describing it as a “night and day difference”. I went ahead and injected the other digits, and again very quickly after the injections the motion increased. What was interesting to me was the thickness and resistance that I had felt with the needle as I entered through the A1 pulley. I keep a finger at the level of the middle phalanx and near A0 to insure I am in the sheath. Long story short- I am intrigued at the possibly of hydro dissection for flexor tendon stenosis and think it may have value and avoid potential flexor tenolysis surgeries in some patient populations Allyssa
  • digit84
    Common sense
    Always common sense refreshing I can identify as a veteran hand surgeon! Thanks Rick singer
  • aimeeperreira
    5+++ Stars
    A fantastic, entertaining, and highly educational podcast! Thank you for taking the time to do this. It is invaluable to me and has helped my practice in all aspects.
  • brittmitchOTRL
    Thank you for all that you do!
    Chris and Chuck, I want to thank you so much for creating this podcast which has provided me the opportunity to listen and learn about the hand and upper extremity over the past year and half while I study for my CHT. I am happy to announce that I have successfully passed my CHT exam on the first attempt. Listening the to Upper Hand podcast helped me to understand the surgeon’s perspective. I really enjoyed and appreciated the collaboration episodes and discussions with Macy. You helped me make my studying experience more interactive and I have learned a great deal from you both. Thank you for answering my questions I had along the way while I studied for my exam. I plan to continue to listen and learn to the Upper Hand podcast as I continue into my professional career as a CHT.
  • sk8ing lady
    Great for wannabe CHTs
    I am an OT practicing in hand/UE rehab preparing for the CHT exam. I really enjoy this podcast as it gives great insight and detail into the surgical procedures I treat. I love hearing the respect and appreciation the MDs have for therapists. Thank you for this educational and enjoyable resource.
  • PodEnthused
    Lovely for Trainees
    I am a PGY2 in ortho hoping to be a hand surgeon. These episodes have been hugely helpful for the nuances of surgical technique that there simply isn’t enough time to discuss in the OR. Additionally, their input on patient selection and indications is valuable.
  • Jack Gregory 10
    Dr. Dy
    The ideal balance of education and entertainment! Their genuine passion for hand surgery and unique collegiality make this a must-listen for any resident interested in the upper extremity. Jack Graham, MD
  • Joe Basante
    Love the podcast!
    I’m an OT/CHT in NJ. Your podcast is my “go to” for both hand surgery/ therapy topics and for entertaining banter! I love how you collaborate with your hand therapists and how much value you place in their experience and expertise. Both Dr. Goldfarb and Dr. Dy are unquestioned experts in their disciplines yet present complex material in a understandable and relatable manner! Thanks for all you do! Joe Basante OTD, OTR/L, CHT Rothman Institute Adjunct Professor of Occupational Therapy Stockton University of NJ
  • A gaston
    Amazing Learning Opportunity
    Thank you Dr. Goldfarb and Dr. Dy! I LOVE your podcast. I am a new CHT in Chicago, and I am always trying to learn more about various treatment options for hand conditions, surgical techniques, and how to best serve my patients. You both share so much insight in a way that keeps me entertained and informed! This podcast is a fabulous resource, and I appreciate your time spent recording this information! You two rock!
  • WyoLaura
    Such an easy listen!
    I’ve truly enjoyed you’re podcast! I’ve learned so much from it and find other podcast related to my CHT career rather dry. Thank you for the great work!
  • Farrar08
    Sarah, CHT in Texas
    I’m not a podcaster but your podcast is something I look forward to each week on my drive home from the clinic! I admire each of you and appreciate your time and effort on this endeavor. My CHT brain LOVES every single minute. I learn valuable tidbits in each episode. My passion for hand therapy leads me to grow and learn and your podcast is perfect for me! I appreciate hearing your rationale for certain procedures and most importantly appreciate your respect for the current as well as past research! Thank you so much for ALL you do for your patients and for the community. (I also shared your podcast information with my favorite hand surgeon here in Texas!)
  • Venketsamy
    Nisha OTR,CHT
    Thank you for sharing your experience! I appreciate that you keep it engaging and real. Hearing the descriptions and decision making behind the surgical procedures is so helpful as a therapist. I wonder if you see 3D printing useful in your practice, and if so how? Looking forward to hearing your talk about nerve transfers at our conference in California!
  • MinnieMauOT
    Happy 100th episode!
    Love the upper hand podcast. You guys are engaging, educational and entertaining. I especially love the deep dive episodes. As a hand therapist I don’t get to be in the OR with our docs as much as I’d like, so the descriptions of the surgeries, from approach to technique to trouble shooting really helps me visualize and understand what each surgery entails and helps guide my rehab. You both have a great sense of humor and seem to be humble, thoughtful and articulate surgeons. Have been listening since episode 1 and congrats on the upcoming 100th episode!
  • Emily from Ohio
    Great podcast
    This is such a great podcast! Love the humor and positive energy. Great to hear from surgeons so passionate about their careers. I’m an OT who transferred from an inpatient neuro rehab setting to outpatient Ortho and hands, constantly trying to learn and elevate my practice. This has been an entertaining and informative way to do just that! Thank you! Emily
  • chelseykratter
    Awesome for hand therapists
    As a hand therapist I love hearing the hand surgery perspective from Chris and Chuck. So often I am left guessing how surgeons make their decisions and it has elevated my clinical practice by hearing their well-informed perspectives. I’m excited to hear more episodes where guest hand therapists chime in :)
  • KSM's #1 Hand Healer
    Great podcast
    As a hand therapist I absolutely Love this podcast!
  • Moriarty moriarty moriarty
    Amazing
    Love listening to this podcast on the way to work. I’m an OT (in paediatrics, not even in hand therapy) but I just can’t get enough. Who knew hand surgery could be so entertaining?
  • Mark Greyson
    5 stars
    Terrific podcast guys. I just graduated from the UCLA hand fellowship and wanted something to listen to on the long drive to my first job in Colorado, and what a find! I crushed about 15 episodes and enjoyed your thoughtful insights and good humor. And I almost felt like many of the episodes were tailor made for someone in my shoes. I will be tuning in regularly.
  • Terry Light
    High energy hand geeks entertain and inform
    Chris and Chuck’s banter is terrific at uncovering their thinking behind what they do in the office, operating room and in their “free time.” They are the perfect companions for a walk, treadmill or drive time.
  • Matt Rode
    A fountain of information!
    Chuck and Chris, Hi! My name is Matt, and I am a second year medical student at Mayo Clinic and, hopefully, a future orthopedic hand surgeon! The podcasts are so full of great information I have to pause to make notes or flash cards. Keep it up! I was wondering if you could discuss your differential diagnosis for a patient with catching/snapping of fingers. Do you have any pearls about differentiating trigger finger from sagittal band rupture? Sincerely, Matt
  • Michael G Galvez
    Feels like I’m doing a mini fellowship at WashU for real.
    It’s great to have a relatable podcast where the nuances of hand trauma, sports, congenital and nerve nerding out all come together. The bonuses of hearing of the challenges of being in practice are helpful especially for those of us early in our careers. We all have mentors and colleagues but it’s fantastic to hear the experience and thoughtfulness from you both! Gracias!
  • AOB^123
    Informative and Fun!
    Dr. Goldfarb and Dr. Dy: thank you for your awesome podcast. It’s both educational and fun. I appreciate that you cover topics from patient evaluation to operative pearls to practice development. Thank you for all your time and effort! - Andrew
  • mcheckr1
    Makes the commute worth while
    Hey guys, I’m an Occupational Therapist, CHT in Green Bay WI. I took a new position 6 months ago with a longer commute 3 days a week and your podcasts have made it so much more worthwhile. I truly enjoy the variety of topics, good humor and up to date research in our world of hand surgery and therapy. Keep up the good work. Hum question for Chuck, Chris feel free to answer too. What is the most important thing hand therapists need to do working with hand surgeons? Thanks again Megan
  • ETCalvert
    Two thumbs up
    Such a great idea to listen and learn with a conversational tone. And totally entertaining!
  • CNelson1429
    Incredible Resource!
    Incredible resource for surgeons, therapist and patients. As a young hand surgeon, I have found these to be a valuable tool in my continuing education. I truly look forward to my commute so I can catch another episode! - Clayton Nelson, MD
  • dturmanedbean
    Dear Upper Hand docs,
    I’m an occupational therapist in MS studying to take the CHT exam. I’ve worked in hand therapy for over 8 years and have craved a podcast such as this! Not only are y’all funny and a joy to listen to, but your topics are a great way to enhance my learning from a surgeon’s point of view. Thank you for creating such an interesting and valuable podcast. Dawn Bean, OTR/L, CLT
  • ErinSmithDallas,TX
    OT CHT from Dallas
    Yalls podcast are my favorite to listen to on my 30 minute commute to work! I first heard your interview on hand therapy heroes and was amazed by your knowledge in the field! I especially enjoy hearing Maci talk. I think if I lived in St. Louis we would be best friends. More therapy talks in the future I hope!
  • tatianaboyko
    Gotta hand it to you!
    What a great podcast! As a hand fellow I really appreciate this collection of topics which includes the perfect ratio of nerve, congenital AND sports ;).
  • inclanpm
    A “must” for trainees
    Wonderful Opportunity to “passively” learn pearls for the trainee, in a package that is entertaining to listen to. This has significantly strengthened both my fund of knowledge. The “non-hand” episodes are useful for surgeons and healthcare providers from all fields.
  • allie soko
    COTA fan!
    Thank you for the excellent driving material on my way to and from work, it’s super easy to listen to you both converse about my favorite subject! I’m one of the rare COTAs that happened to find my way into hand therapy (with a lot of effort and persistence!) Love hearing both your perspectives from the surgical end... much respect to you both! 😁👍👋 oh an how do I get one of your mugs?!?🙃 ☕️-Allie Sokolewicz
  • ENGilliland_08
    Laughing while learning
    I thoroughly enjoyed the radial sided wrist pain pt. 1 and 2 episodes. There was such great information and differential diagnosis rationale but it was such an enjoyable listen. I even caught myself laughing, especially when discussing the intersection syndrome. I am an OT beginning to study for the CHT exam. My question is, from the surgeon perspective what is the therapist role in addressing radial sided wrist pain specifically when tendinitis may be the culprit? Thank y’all for the extra work put into the podcast!
  • Bikesandbeer
    Love it
    I am a Midwest shoulder and elbow surgeon who dabbles in some basic hand surgery. The podcast has been great for me to brush up on some basic hand topics and confirm my treatment algorithm. Thanks so much for your time and teaching.
  • dmm314
    Great fun for all Hand and Nerve geeks
    Great listening for physicians and therapists interested in upper extremity care. Love the interaction of Chris and Chuck. Need more Nerve!!
  • courtwshr1
    Perfect for any hand attending or trainee
    Chris and Chuck are soothing, relaxed, and engaging. Glad I found this podcast and have added it to my regular rotation. Thank you!
  • Concerned daughter
    Entertaining and educational
    I am a CHT and I love listening to this podcast! Very informative hearing how surgeons think about diagnoses and patients. Wondering how I can get The Upper Hand coffee mug?! I have my coworkers hooked on this as well. Love having discussions after listening to an episode
  • AnnaMLSlom
    Love! (Also have topics!)
    Love this podcast. Super helpful! I had two suggestions/topics if you are in need: 1. Tightrope surgeries (I have seen one for the thumb, anchored in the 2nd MCP), when do you call for it? 2. Do you use the Burton Pellegrini method for CMC arthroplasties? Comparing Burton Pellegrini versus other types of CMC arthroplasty surgery methods? 3. CRPS and Distal Radius Fractures (mostly conservative but occasionally a post-surgical)
  • edgewoodWinston
    Great, easy to digest, educational
    Current hand fellow- this is a great, easy listen when driving to different sites. As a plastic surgeon, I really appreciate the “ortho vs plastics” discussion on various topics, as well as the guests🤓
  • Horst19
    The Upper Hand
    Great podcast. Three E’s! Entertaining, easy and educational.
  • Stevehuish
    Thumbs Up Emoji
    Just found your podcast. Love it. I listen while riding my bike. U have bettered my hand surgery practice, while maybe slowing my Strava times!!!
  • Wes Thomas1
    Awesome podcast for all things hand surgery
    Started listening to this podcast back in February and have kept up with it ever since. I’m a hand and peripheral nerve Physician Assistant and have found their discussions on hand (and nerve surgery, keep up the nerve discussions Dr. Dy!) a welcomed outlook and informative resource. The podcast tends to come up in the OR and has sparked topics of discussions for our whole team. Thank you Dr. Dy & Dr. Goldfarb for producing such wonderful content, look forward to many more episodes!
  • @thehandot
    Occupational Therapist
    on the way to be a CHT. Love listening to these guys while driving to work.
  • Drew Reynolds, OT, CHT
    Amazing podcast!
    I am very grateful to have I found this podcast. I am an occupational therapist and a certified hand therapist. I appreciate the intricacies of the surgical interventions and examinations discussed here. I have definitely been able to advance aspects of my care based on this podcast. It’s great to hear the often unique perspectives of both Dr. Goldfarb and Dr. Dy. Thank y’all for doing this and looking forward to more great episodes!
  • Josh Hustedt
    Wonderful!!! Thanks.
    I am an academic hand surgeon in Phoenix and love listening to the podcast. I’m maybe one of the few (in chucks words) who likes the “nerve stuff.” I’d love an episode, Chris, on joint denervation. Sorry chuck. 😜
  • Marc Rothermich
    Strongly Recommended
    This podcast is a delight. I had the privilege to train under Chuck & Chris and am thrilled to get to continue to learn from them now years later. World class education and commentary from a couple of great guys. Only these two could keep a sports surgeon interested in a podcast about hand surgery!
  • Theodota
    Excellent!
    The discussions, particularly the podcasters’ thoughts on the recent JBJS publications relevant to hand and upper extremity surgery, are terrific. Keep it up; this is a huge help as a supplement to reading the literature alone.
  • Jenn OT CHT
    CHT fan of the Upper Hand
    I had the pleasure, years ago, of observing Dr. Goldfarb complete a few surgeries during fieldwork as an OT student. This podcast came recommended from one of the hand groups I follow on Facebook. These surgeons are knowledgeable, real, and funny! I look forward to the different selections of topics they present! I learn at least 3 new things to take back to my colleagues with each podcast.
  • Amarpateloc
    Terrific
    As a hand surgeon, this is one of the best podcasts I listen to every week!
  • JBrugz
    Great pearls and insight into practice!
    I love listening to this podcast! I am a CHT and love getting a chance to hear two hand surgeons (excellent ones at that!) talk candidly about their practice and their decisions. Helps me gain valuable perspective! All hand therapy professionals should give it a listen :)
  • micronervesurgeon
    Wow
    Love listening to this..especially when driving to work! Sometimes had to stay inside the car and leave it on just to finish an episode. Appreciate the hosts for arranging this. More nerve stuff if possible, Chris! (From Johnny)
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