The Hand, Wrist and Elbow Complex

Audience: OT, COTA, PT, PTA
Course level: Intermediate level
Date: March 24th and 25th, 2012
Check In Time: 8:00-8:30 am registration
Class Time: Day one: 8:30-5:30 pm
                       Day Two: 8:00-5:00 pm
Location:  Fairview Southdale Hospital.  6401 France Avenue S. Edina, MN 55435
International  Room A and B

Course Fee: $325.00
Contact Hours: 15

Register for this course.

Paul J. Bonzani, OTR/L, CHT, M.H.S.
Paul currently maintains a very busy clinical practice in Asheville, NC. Throughout his career he has had the fortunate opportunity to work with some of the finest hand surgeons and therapists in the country having held management positions at both The University of Vermont-Fletcher Allen Medical Center and Duke University Medical Center.  Additionally he has been an adjunct instructor in both the Duke University Physical Therapy Program and the Program in Occupational Science at the University of North Carolina-Chapel Hill.
Mr. Bonzani brings 23 years of clinical experience in orthopedic and industrial rehabilitation.  Paul has presented nationally in the areas of biomechanics and rehab of the shoulder, nerve compression syndromes, RSI/CTD management and pain syndromes.  He has published on the subjects of CTD/RSI management, thumb reconstruction and management of the rheumatoid elbow.
Clinical specialties include rehabilitation of the elbow and hand, chronic pain syndromes, TOS, nerve compression syndromes and neural tension disorders of the upper limb.  Current research interest's include functional outcome measures following fractures and upper quadrant sensate deficits.
Paul is a clinician, researcher and educator and considered to be one of the leading hand therapists in the care of shoulder, elbow and hand injuries in North America.

Course description
This two-day seminar will present a comprehensive overview of the structural and biomechanical basis of hand, wrist and elbow function and their relationship to the entire upper extremity.  This unique approach thoroughly examines the relationship of these structures to human performance and suggest strategies for functional improvement.  Common pathologies, mechanisms of injury, and progressive pre and post-operative treatment involving fractures, RSI/CTDs, tendon/nerve lacerations, arthritis, sprains/strains and dislocations will be covered with strong reference to their impact on function.  Course content includes medical screening, differential diagnosis, imaging, functional progression of treatment, splinting/casting, PAMs, pain management and the non-compliant patient.  This seminar will NOT present a "protocol driven approach" to rehabilitation.  Rather, the participant will learn a rapid synthesis of findings into a "dynamic treatment plan' designed to increase patient satisfaction and outcomes.

Participant will be able to:
  • Demonstrate a working understanding of the biomechanical systems of the elbow, wrist and hand and relate this information to functional impairments.
  • Demonstrate an appropriate physical examination of the elbow and wrist.
  • Identify sound biologically based treatment plans for osseous and soft tissue pathologies.
  • Identify appropriate splints and positioning devices to improve upper extremity performance. Identify psychosocial assessment techniques and motivational techniques designed to improve client compliance with therapy prescription.

Day one: Saturday
8:00-8:30 am           Registration/Check in
8:30-9:15 am           Functional biomechanics of the elbow: Osseous and soft tissue considerations
9:15-10:15 am        Osseous Pathologies/Functional considerations:  The distal humerus fracture, 
                                   radial head pathology, unique fractures of the elbow: Management through exercise 
                                   and splinting.
10:15-10:30 am      BREAK
10:30-11:00 am      Soft tissue pathologies of the elbow: Ligament injuries of the elbow.
                                   Biceps tendon issues.  Epicondolytis??
11:00-12:00 pm      Neurological pathology of the Elbow: Reconstruction of the flail elbow.
12:00-1:00 pm         LUNCH
1:00-2:45 pm           Cubital Tunnel Syndrome.  General pain syndromes of the elbow.
2:45-3:00 pm           BREAK
3:00-4:00 pm           General pain syndromes of the elbow Cont.
4:00-5:30 pm           Lab 1-Physical examination of the elbow.
                                   Questions and Answers

Day Two: Sunday
8:00-10:30 am         Biomechanical assessment & Functional Anatomy of the wrist.
10:30-10:45 am       BREAK
10:45-11:30 am       Osseous injuries & Neurological pathologies of the wrist. 
11:30-12:00 pm       Lab 2: Physical examination of the wrist.
                                   Section A  Radial & central wrist examination & mobilization
                                   Section B  DRUJ & ulnar wrist examination & mobilization
12:00-1:00 pm         LUNCH
1:00-1:30 pm           The Thumb
1:30-2:45 pm           Functional anatomy and biomechanics of the hand. 
                                   Osseous pathology of the hand:
2:45-3:00 pm           BREAK 
3:00-4:00 pm           Soft tissue/neurological pathology of the hand:  
                                   Can we really treat Carpal Tunnel Syndrome?
                                   Clinical tenosynovitis vs RSI: Strategies for assessment & management.       
4:00-5:00 pm           Lab 3: Hand examination and mobilization.
                                   Questions & Answers  

This course is eligible for American Occupational Therapy Association (AOTA) Approved Provider credit. The assignment of AOTA CEUs does not imply endorsement of specific course content, products or clinical procedures by AOTA.


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