Instructional Concurrent Session III

Date/Time: Sat, October 9, 2021 7:15 AM to 8:15 AM

Everything You Want to Know about Thumb Basal Joint Arthritis

Description:

The thumb basal joint in a common site for arthritis in the hand. Arthritis at this area can cause significant pain and functional difficulties. This presentation will provide an overview of thumb basal joint arthritis including bony and ligamentous anatomy, clinical presentation, and treatment. The presenters will review techniques and outcomes of non-operative management including therapy, orthosis fabrication and injections and discuss the clinical reasoning for choosing each technique. Surgical techniques addressed will include arthroscopy, ligament reconstruction, suspensionplasty, implant arthroplasty and fusion. This will include a discussion on the expectations of treatment and the role of therapy both pre- and post-operatively. Working together, surgeons and hand therapists can help improve the quality of life of patients with thumb basal joint arthritis. Level: Introductory

Objective(s):

  • Identify the 9 structures that provide dynamic stability to the thumb
  • Name 3 surgical treatments for basal joint arthritis
  • Identify four treatments used in hand therapy to treat basal joint arthritis.

Hands-On Neuromuscular Re-education Techniques for the Wrist and Forearm!

Description:

Your patient has just come out of his short-arm cast, but he continues to move as if his wrist is still immobilized. How can I best facilitate motion to get his wrist and forearm moving? Join Ann Porretto-Loehrke as she provides a dynamic overview of the critical arthrokinematics of the wrist (radiocarpal and midcarpal joints) and forearm, followed by hands-on practice to facilitate motion at these joints. Perform specific manual techniques to facilitate motion at the radiocarpal joint, midcarpal joint, and proximal radioulnar joints to get your patients moving more today!

Objective(s):

  • Explain the arthrokinematics of the wrist at both the radiocarpal and midcarpal joints to optimize motion with neuromuscular re-education techniques.
  • Verbalize the arthrokinematics at the proximal radioulnar joint to facilitate radial head mobility to promote forearm pronation and supination.
  • Practice neuromuscular re-education techniques at the proximal and distal carpal rows to optimize wrist motion.
  • Perform manual techniques guiding motion of the radial head to facilitate forearm rotation.

Silicone Implant Arthroplasty for Proximal Interphalangeal Joints

Description:

This course will cover surgical and therapy management of silicone implant arthroplasty with the volar approach for the proximal interphalangeal joint. The course will include brief anatomy review, description and video of a silicone implant arthroplasty surgery and discussion of post-operative therapy management techniques.

Objective(s):

  • Describe the surgical approach to silicone implant arthroplasty for proximal interphalangeal joints.
  • View a dissection video of silicone implant arthroplasty to better understand the structures involved and how they relate to post-operative precautions.
  • Discuss post-operative splinting, rehabilitation techniques and precautions after silicone implant arthroplasty at the proximal interphalangeal joint

The Athlete: Surgeon and Therapist Management Strategies for Injuries to the Wrist and Hand

Description:

This session would be focused on an in-dept look at the surgical management and rehabilitation approach following wrist and hand injuries for athletes and getting them back as quickly and safely to their ideal level of play. An update on the state of the art of SL, TFCC, and ECU tendon surgeries including the rehab following these injuries. Also a look into common sports injuries in the hand and the approach to assist in rapid return to play.

Objective(s):

  • Discuss surgical strategies for wrist and hand athletic trauma
  • Review therapy techniques to maximize and speed recovery from sports injuries
  • Provide cutting edge insights in rapid return to play