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, Wouters RM; Hand-Wrist Study Group; de Ridder WA. Understanding Why Certain Patients With Hand and Wrist Conditions Are Dissatisfied Despite Achieving Their Expressed Personal Improvement Goals Anchored at Satisfaction: A Qualitative Study. J Hand Surg Am. 2026 Jun;51(6):687-697. doi: 10.1016/j.jhsa.2025.12.009. Epub 2026 Jan...

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 preparation and caring for patients with ligamentous laxity/ Ehlers Danlos. Chuck references Christian Pean's Substack called 'Techy Surgeon' as a great resource for value based care and all things tech including AI insights. See www.practicelink.com/theupperhand for more information from our partner on job search and career opportun...

Chuck and Chris welcome Kathleen McKeon as our guest to discuss practice types, including: academicprivatePE-backed privatean employed positionsDr. McKeon has personal experience with PE and shares insights for us all to consider. We also learn a bit about her personal journey joining a well-known sports practice and succeeding in a "privatademic" environment. Dr. McKeon references Ben Schwartz' Substack called 'The Surgeon's Record' as a great resource. See www.practicel...

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 pearls of wisdom from Mark Baratz and learn alongside of us. 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 h...

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 highlights new and impactful scientific articles on our field. Wagner ER, Suh N. What's New in Hand and Wrist Surgery. J Bone Joint Surg Am. 2026 Mar 18;108(6):401-409. doi: 10.2106/JBJS.25.01568. Epub 2026 Feb 3. PMID: 41632853. We are still need of a podcast intern! We would appreciate any referrals! See www.practicelink.com...

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 discuss adolescent forearm instability, especially in congenital conditions, and the role of the one- bone forearm We are still 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 Uppe...

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 quarter and Chris and Chuck review the articles and discuss practical implications. See articles below. In addition, we discuss a case of possible pronator syndrome together with carpal tunnel syndrome including debate on the role of nerve studies, physical examination, and ultrasound. 1) Rames JD, Emanuels AF, Tunab...

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, a 5+ year old scaphoid nonunion, a nightstick fracture, and more. We also respond to listener submitted questions including 4th compartment tenosynovitis, CMC arthritis with MCP hyperextension including the role of CMC fusion, and ulnar nerve transposition. We are still in need of a podcast intern! We would a...

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 surgeon with a trauma focus at Wash U and is the JBJS AI Associate Editor. 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...

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 competitive jobs (like astronauts and orthopedic residents)! In addition, we hit the highlights from Rick Wright's visit as a Leadership lecturer. Rick spoke on 'How to be the best resident and attending' and we all learned a great deal. Chris and Chuck break this down. The Artemis II Effect: When Everyon...