The Upper Hand: Chuck & Chris Talk Hand Surgery

Hand and Wrist: Bumps Part 2

The Upper Hand: Chuck & Chris Talk Hand Surgery

Summary

Chuck and Chris, hand surgeons at Washington University in St. Louis, delve into common hand conditions in their latest discussion, focusing on various types of hand lumps and bumps. They cover conditions such as enchondromas and giant cell tumors of the tendon sheath, emphasizing the importance of recognizing these lesions to avoid missing potentially serious issues. They highlight the typical presentation of enchondromas, often discovered incidentally during examinations for fractures, and discuss their treatment approaches, which have evolved to favor more immediate intervention rather than staging surgeries.

The conversation also addresses the evaluation of soft tissue masses, including epidermal inclusion cysts and nerve tumors. Chuck and Chris share their strategies for assessing these conditions, including the use of imaging and the importance of patient counseling regarding the risks and benefits of surgical interventions. They note that while benign tumors are common, the potential for recurrence and the need for careful monitoring remain critical considerations in their practice.

Additionally, they touch on the management of vascular lesions and the challenges posed by atypical presentations, such as infections from atypical mycobacteria. The episode underscores the significance of experience and pattern recognition in hand surgery, encouraging practitioners to remain vigilant and consult colleagues when faced with unusual cases.

Show Notes

Chuck and Chris address additional hand lumps and bumps in this part 2 episode. We discuss pathologies like nerve sheath tumor, giant cell tumor of tendon sheath, and many more. We learned of our Feedspot ranking amongst all of the orthopedic podcasts: we rank #3 out of the top 60 just behind Orthobullets and Nailed It Podcast! Amazing and thank you for your continued support! See www.practicelink.com/theupperhand for more information from our partner on job search and career opportuni...

More from The Upper Hand: Chuck & Chris Talk Hand Surgery

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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 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/. As always, thanks to @iampeterma...

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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...

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