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.
Latest episodes
Showing 20 · updated from the feed
Hand and Wrist: Bumps Part 1
Chuck and Chris tackle hand and wrist bumps, starting with some basic discussion in part 1 and then will proceed to more challenging pathologies in the next episode.
See
Oct 11 32 min
Live in Boston at the ASSH Annual Meeting
Chuck and Chris host a live podcast at the ASSH Annual Meeting in Boston. Special guest Greg Merrell discusses new initiatives at the Journal of Hand Surgery to kick thi
Sep 27 49 min
Difficult Phalanx Fractures
Chuck and Chris briefly review challenges with the US healthcare system but spend most of the episode discussing difficult hand fracture cases.
Meyer ZI, Goldfarb CA, Ca
Sep 13 31 min
Tips for Success: new attendings and new fellows
Chuck and Chris share thoughts and tips for success for new attendings and new fellows. Things such as the 3 A's and the 3 E's (tune in for this new one) and m
Aug 30 31 min
JHS Spotlight, Summer 2026
Chuck and Chris review 6 recent Journal of Hand Surgery articles with a variety of topics. Tune in and see below.
1) Arends GR, van Kooij YE, Stern BZ, Hovius SER, Wout
Aug 16 43 min
CMS, EDS, and ABOS
Chuck and Chris have a potpourri of topics including CMS proposed changes for 2027 (not good for hand surgery), cases, and two listener submitted topics: board preparatio
Aug 2 46 min
Practice Types and Private Equity: A discussion with Kathleen McKeon
Chuck and Chris welcome Kathleen McKeon as our guest to discuss practice types, including:
academicprivatePE-backed privatean employed positionsDr. McKeon has personal
Jul 19 34 min
Sustainability in Surgery and Other Pearls of Wisdom with Mark Baratz
Chuck and Chris welcome Mark Baratz as our guest to talk about a number of topics, including sustainability and surgery, book club, culture, and so much more. Join us for
Jul 5 40 min
Chuck and Chris discuss JBJS What's New in Hand Surgery
Chuck and Chris catch up and discuss the new JBJS 'What's New in Hand Surgery', written by Eric Wagner and Nina Suh. This takes us through 2025 and highli
Jun 21 43 min
Arcade of Struthers and Forearm Instability
Chuck and Chris catch up and discuss a few clinical scenarios including the Arcade of Struthers and indications to address it with ulnar nerve transposition. They also d
Jun 7 29 min
Pronator Syndrome and JHS Spotlight Manuscripts
Chuck and Chris continue the initiative working with The Journal of Hand Surgery on a quarterly journal club. Nash and Macerena choose the articles from the previous qua
May 24 45 min
Cases and Mailbag
Chuck and Chris catch up on recent travels including the Pediatric Hand Study Group meeting in Atlanta. We discuss a few cases including a 5th CMC fracture dislocation,
May 10 46 min
Practical AI in Medicine with Jason Strelzow
Chuck and Chris welcome Jason Strelzow to discuss AI in general, applications in medicine (including ambient listening), and his favorite chatbot. Dr. Strelzow is a hand
Apr 26 35 min
Artemis II and Being the Best Resident
Chuck and Chris spent a few minutes discussing Artemis II. So many interesting discussion points from this mission around the moon- we focus on selection criteria for co
Apr 12 35 min
Volar Plating for Distal Radius Fractures
Chuck and Chris discuss volar plating for distal radius fractures. What are the alternatives, what are some technical pearls, and more.
We are in need of a podcast int
Mar 29 35 min
Interesting Travels and Listener Feedback
Chuck and Chris share interesting information about Chuck's trip to India for the World Congenital Symposium and Chris' visit to the Curtis National Hand Center
Mar 15 33 min
JHS Spotlight, Part 2: Age and Nerves, Epitendinous Repair, and Weight bearing CT / SLIL
Chuck and Chris begin a new initiative working with The Journal of Hand Surgery on a quarterly journal club. Nash and Macerena will choose the articles from the previous
Mar 8 30 min
JHS Spotlight, Part 1: Basal joint arthritis, telemedicine, and GLPs
Chuck and Chris begin a new initiative working with The Journal of Hand Surgery on a quarterly journal club. Nash and Macerena will choose the articles from the previous
Feb 15 36 min
Challenges with "Simple" Procedures in Hand Surgery
Chuck and Chris review common, "straightforward" surgeries in hand surgery and what might go wrong. We specifically discuss trigger finger release, dequervains release,
Jan 29 34 min
Technical considerations: Ulnar Nerve and Thumb Ulnar Collateral Ligament
Chuck and Chris respond to listener submitted questions regarding cubital tunnel decompression and ulnar nerve transposition. We also discuss some nuanced cases of thumb
Jan 18 37 min
Chart trend
Position in the Life Sciences chart (US), last 90 days.
#1#54#106JulAugSepOct
#18
all-time peak
267
days in the top 50 since Nov 2024
Chart positions
Where The Upper Hand: Chuck & Chris Talk Hand Surgery ranks today in each Apple Podcasts chart (US, Oct 19, 2026).
A curated, balanced selection of Apple Podcasts reviews.
Like Dr Dy, I finished fellowship ten years ago. I have had great mentorship after fellowship but I also would have welcomed this podcast when I was a trainee and new attending. I am so gratified to have some of my own observations verified, and to learn some new things too. I was at a Wash U type place where “if we won’t do it, no one will” and had to learn quickly. Also great: Dr Boyer’s “ never miss the opportunity to do nothing.”
Mandy three · Jul 2025
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
Listening Lyss · Jul 2024
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.
aimeeperreira · Jan 2024
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.
brittmitchOTRL · Jul 2023
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