Elbow, Wrist, and Hand Injury and Orthotic Fabrication
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Why should a physical therapist, occupational therapist, or athletic trainer take this elbow, wrist, and hand continuing education course?
A clinician should take this course to improve their understanding of the forearm wrist and hand’s anatomy, biomechanics, the relationship to injuries, and orthotic fabrication. The information provides the foundation for a greater understanding of common injuries, tissues implicated, and healing times. The in-depth understanding of the structures involved with specific injuries provides the foundation for developing effective treatment programs. This course heavily focuses on the anatomical tissues and structures involved with specific injuries to enhance the clinician’s overall understanding of healing and optimize treatment for improved functional outcomes.
Rehab clinical tools instructed in this elbow, wrist, and hand rehab continuing education course in order to enhance your functional outcomes.
- Mnemonics for palpating muscles and articulations of the forearm, wrist, and hand.
- Engaging demonstration of palpation techniques for the 20 muscle groups, joints, and bony prominences of the forearm, wrist, and hand.
- Step by step instruction and demonstration for fabricating: a thumb spica, volar cock up splint, Sarmiento brace, long arm orthosis, distal radius fracture splint
Specific instruction will enhance your understanding and ability to deliver better patient care.
- Anatomic tissues and structures are identified while associated with common injuries.
- A thorough discussion of functional anatomy, biomechanic nerve innervations.
- Fabricating specific orthotics while maintaining proper anatomical integrity and function.
- Demonstrations of orthotic fabrication using BSN material.
- Discussion of anatomic structures involved with common inquiries and surgical procedures.
- Discussion of specific case studies, and applying the information to real case scenarios such as distal phalanx amputation, CMC arthroplasty, and anterior interosseous nerve release, open reduction internal fixation of the fourth metacarpal, capitate and hamate, metacarpal fracture, distal humerus fracture.
This is an introductory-level course applicable for PT, PTA, OT, AT. Physical Therapy Accreditation: For specific states, information uses the accreditation verification menu and select your state of license. North American Seminars, inc. an AOTA Approved Provider of professional development. PD activity approval ID 4487. This online course is offered at the CEU listed in the pulldown menu below after selection of your state. These CEUs are introductory level, Occupational Therapy Service Delivery, evaluation, and intervention, and Foundation Knowledge: human body. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Athletic Trainers: BOC provider P2047, category A. This course has not been submitted for Evidence-Based BOC approval.
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Elbow, Wrist, and Hand Injury and Orthotic Fabrication
- CE Hours: 5.0 hrs, .5 CEU
- Delivered: Online
- Instant Online Access, PDF Manual for Download, 365 days of access, Mobile Ready
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1 Year Access with Annual Renewal
State specific course completion certificates.
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- 12 months of access to all online courses, course tests and state approval certificates.
- Meet all your CE requirements. Pre-approved for PT, PTAs in AK, AL, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KS, MA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, NY, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, and WY.
- AOTA approved.
- Designed for Physical Therapists, Occupational Therapists, Athletic Trainers and Assistants.
- Access to future courses and content.
- Start, stop and resume, right where you left off in a course.
- Real patient interviews.
- Medical expert contributors.
- 3D anatomy and medical illustrations.
- Easy to use learning system for fast access to your courses.
- Award winning content.
- Top instructors teaching evidence based skills and techniques.
Upon Successful Completion of this course, the participant will be able to:
- Identify the 20 muscle groups of the forearm.
- Palpate the 20 muscles of the forearm.
- Identify and palpate the bones and articulations of the elbow wrist and hand.
- Identify and palpate the intrinsic muscles of the hand.
- Identify nerve innervations and implications after injury.
- Discuss the importance of the position of the interosseous membrane during injury.
- Identify claw hand deformity, and Martin-Gruber anastomosis.
- Identify the action of the flexor digitorum profundus, pulley system, pulley injuries.
- Identify the function of the collateral ligaments at your MCP joint versus IP joints.
- Discuss a Boxers fracture, splinting, and healing implications on rotation, and the importance of understanding the specific options for surgical procedures.
- Identify distal radius fracture mechanism, common pain complaints, classifications of radial head fractures; Type I and Type II, surgical repair, splinting options.
- Discuss the importance of the TFCC.
- Describe how to initiate an evaluation for a distal radial fracture-closed reduction.
- Identify appropriate ways to measure edema.
- Describe common complications after a fracture and how to minimize them with proper rehab and splinting.
- Discuss the differences between the Galeazzi fracture, the Monteggia, and the Essex-Lopresti fracture.
- Describe post-surgical rehab management of mallet finger.
- Discuss radial head fractures, heterotopic ossification, and preparatory methods prior to ROM.
- Describe postoperative rehabilitation and re-education of any nerve repair or nerve transfers.
- Identify appropriate postoperative splinting for isolated digital nerve injuries.
- Identify extensor tendon Injury, complications, gapping and ruptures, and zones.
- Describe techniques for early mobilization for flexor tendon repairs.
- Describe the differences in post-op exudate on surgical bandages and the importance of managing the phases of healing.
- Difference between nonadherent,moisture-retentive dressings and the importance of application after surgery.
- Identify how to properly manage wound healing after a Mccash procedure.
- Discuss the biomechanics behind fabricating orthotics, and the function of basic universal splints.
- Discuss the blocking splint and proper wear times, precautions.
- Describe how to fabricate an orthotic after thumb ligament reconstruction.
- Describe how to fabricate a volar cock up splint and timelines for wearing.
- Identify complications, therapy, and wear time, for humeral bracing for the mid humeral fracture.
- Discuss the purpose of a long arm orthosis, with and without the wrist for either ulnar nerve compression, cubital tunnel compression, or a fracture.
- Describe the important components of an orthosis for radial and ulnar fractures.
- Describe the orthosis for a CMC arthroplasty.
Learn From the Expert -
Rozanni Senanayake, OT-RL, CEAS, CHT, MS
Rozanni Senanayake, OT-RL, CEAS, CHT, MS is an occupational therapist, hand occupational therapist, and physical rehabilitation occupational therapist. She has more than 26 years of experience as a clinician. Ms. Senayake has managed independent clinics and expanded her practice throughout the Washington area.
Anatomy, Biomechanics, and injuries
- Articulations of radioulnar, radiohumeral joint, and relation to mobilizations post-fracture
- Ligaments involved with specific injuries such as radial head fractures
- Importance of the interosseous membrane and forearm position during injury
- Nerve positions and implications during specific injuries
- Mnemonics for palpation of the 20 muscle groups of the forearm
- Action for the 20 muscle groups of the forearm
- Potential injuries to specific muscles and implications for rehab
- Mnemonics for palpating the carpal and metacarpal bones, discussion of common injuries
- Biomechanics of the wrist and implications for injuries
- The action of the flexor digitorum profundus, pulley system, pulley injuries, collateral ligaments at your MCP joint versus IP joints, distal radial fracture and Scaphoid fracture
- TFCC attachments and importance
- Boxers fracture, structures involved, surgical options
- “Gaming” Thumb
- Implications for falling on an outstretched hand
- The upper quadrant, distal radius fracture mechanism, common pain complaints, classifications of radial head fractures; Type I and Type II, surgical repair, splinting options
- Initial assessment
- Evaluation: history, observation, an example of an evaluation for a distal radial fracture-closed reduction; initial evaluation, post-surgical dressings, checking incisions, bony landmarks, UE eval, nerve tests
- DASH form
- Observing post-surgical dressings
- Nerve function
- Positive ulnar variance
- Edema measurements
Fractures and Injuries
- Intro to fractures, stiffness after fractures, phalange stiffness
- Three phases of healing and rehab
- Radiographs during the repair stage, callus formation, and ROM
- Complications that can occur
- Galeazzi fracture
- Monteggia fracture
- Essex injury
- Hand fractures
- Mallet finger
- Radial head fracture
- Activities and splinting
- Nerve compression and injury
- Postoperative rehabilitation and re-education of any nerve repair or nerve transfers.
- Postoperative splinting for isolated digital nerve injuries
- Extensor tendon injury, complications, gapping and ruptures, and zones
- Tips for fabricating orthotics for extensor injuries
- Techniques for early mobilization for flexor tendon repairs
- Reason for a dorsal blocking splint and application
- Patient education on the progression of activities
- McCash Procedure, wound management
- Post-op bandages, examination of exudate, three-color wound principle
- Surgical dressings: non adherent dressing, gauze, moisture-retentive dressing
- Orthotic fabrication using BSN material
- Clinical pearls, and reasoning for a specific orthotic for ligament reconstruction of the thumb
- Volar cock-up splint: finalizing the splint clearing the edging to ensure proper ROM, guidelines for wearing time
- Fabrication of a Sarmiento
- Complications, therapy, and wear time, for humeral bracing for the mid humeral fracture
- Longarm orthosis, with and without the wrist for either ulnar nerve compression, cubital tunnel compression, or fracture
- Review of biomechanics for fabricating orthotics, description of functional basic splints that can be fabricated for many diagnoses
- Example orthosis for radial and ulnar fractures
- Distal phalanx amputation
- CMC Arthroplasty and the Anterior Interosseous Nerve Release
- Fractured forearm and wrist
- Metacarpal fracture
- Right distal humerus fracture