Instructional Concurrent Session III
Extensor Tendon Repair, Releases, Reconstruction and Rehabilitation
This course will cover surgical and therapy management of acute and chronic injury to the extensor mechanism. The course will include a brief anatomy review, description of surgical management for acute and chronic extensor tendon injury and current postoperative and conservative therapy management techniques. Principles of surgical and therapy management will be illustrated through lecture and case presentations. Topics discussed will include: Anatomy and biomechanics review Surgical Management of Acute Extensor Injury Therapy Management of Acute Extensor Injury Surgical Management of Extensor Tendon Imbalance and Reconstruction Therapy Management of Extensor Tendon Imbalance and Reconstruction Surgical Management of Tenolysis/Capsulectomy Therapy Management of Tenolysis/Capsulectomy
- Describe the extrinsic and intrinsic contributions to the extensor mechanism and how they affect management in different zones of injury
- Recognize the different finger deformities caused by extensor mechanism injury and analyze the biomechanics of the deformity
- Assess appropriate splinting and rehabilitation techniques for postoperative management of acute and chronic extensor tendon injury
Joint Hypermobiity: "Hyping" up Our Knowledge for Improved Patient Outcomes and Professional Collaboration
Symptomatic Joint Hypermobility Syndrome and asymptomatic Joint Hypermobility/laxity can greatly impact patient outcomes if not considered and addressed when planning treatment for our patients. Early recognition of joint laxity and the effect it may be having can be the key that unlocks the door to success when working to achieve functional restoration. Though historically neglected as an important factor across health care, most recently Health Professionals are becoming aware of the prevalence and implications of general and inherited connective tissue disorders. Collaboration between the patient, therapist, doctor and other allied health professionals can end years of unnecessary tests, procedures, pain, and frustration for our patients. In this session we will review the history, etiology, prevalence, diagnosis, recognition, and management for acute and chronic symptoms when working with patients having connective tissue disorders. Therapists will gain knowledge that will allow them to increase their ability to not only improve their patient outcomes and satisfaction, but also their ability to communicate with the wider multi-disciplinary team. This will be an interactive course where we will be using the screening tools discussed to assess the joint integrity of other participants. This course is intended for an intermediate audience.
- Provide clinical skills and knowledge for recognition of connective tissue disorders.
- Discuss medical and therapeutic management of inherited connective tissue disorders.
- Describe education and treatment techniques for patients and health professionals when managing connective tissue disorders.
Nerve Compression Syndromes: Differential Diagnosis from the Cervical Spine to the Fingertips!
Sharpen your skills with evaluating peripheral nerve compression in the upper extremity! Obtaining key information in your patient’s history and performing specific tests to confirm your working diagnosis is critical to establishing your plan of care. Using a systematic approach, this course will provide the opportunity to evaluate nerve compression at the cervical spine, shoulder, elbow, forearm, and wrist. Evidence-supported research, combined with hands-on lab time, will be provided to perform provocative testing for cervical radiculopathy, thoracic outlet syndrome, cubital tunnel syndrome, radial tunnel syndrome, lacertus tunnel syndrome, pronator syndrome, carpal tunnel and ulnar tunnel syndrome (Guyon’s canal). This course is appropriate for a newer clinician as well as a very experienced CHT!
- Perform tests to confirm/rule out cervical radiculopathy and disputed neurogenic thoracic outlet syndrome in patients with suspected distal nerve compressions.
- Acquire and apply the most up-to-date evidence to perform provocative testing for nerve compressions at cervical spine, thoracic outlet, elbow, forearm and wrist.
- Develop a systematic approach combining the patient’s history and clinical exam to apply the most efficient method of evaluating for nerve compressions in the upper extremity.
Reaching New Heights in the Successful Treatment of Simple to Complex Shoulder Injuries
As Hand Therapists, we often find ourselves broadening our skill set with splint-making and focusing on issues distal to the elbow. But we can't forget, the hand can only be placed where the shoulder is able to take it!! This intermediate course will include a review of the anatomy of the shoulder girdle to include the SC,AC, GlenoHumeral Joint and Scapulothoracic joints as well as the ligaments and muscles surrounding these. Mechanisms of normal motion at these joints and contributing factors limiting normal motion and/or strength. Discussion will include an overview of the degenerative progression from impingement to rotator cuff tear, traumatic tears of the rotator cuff and/or labrum and issues arising from hypermobility and laxity versus the tight or frozen shoulder and how to successfully treat these conditions through discussion of evidence based protocol management with case studies for reference. Communication between surgeon and therapist is critical to good outcomes for our patients, an in depth review of how to read and interpret operative reports for successful and individualized treatment planning with rotator cuff repairs, labral repairs, total shoulders and reverse total shoulders will also be provided.
- Identify the greatest contributing factors resulting in impingement of the shoulder and how to address these in treatment.
- Describe how the labrum and rotator cuff offer stabilization of the humeral head through functional motion and use of the shoulder.
- Describe timelines of healing for tendon vs bone vs muscle and how these impact decision making with selection of treatment.
- Identify benefits of a closed chain exercise program and describe methods of appropriate progression to open chain and interpretation of patient readiness to do so.
- Read and Interpret operative reports for common surgical procedures for customized treatment plan for the post surgical shoulder patient.