Clinical Management of Industrial Traumatic Hand Injury
Presented by Gary Solomon
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Non-Financial: Gary Solomon is the Vice Chairman of the American Hand Therapy Foundation and an Affiliate Board Member for the American Association for Hand Surgery. He has no competing non-financial interests or relationships with regard to the content presented in this course
This course is part of our CHT Prep Program. Learn more about the full prep program here: MedBridge CHT Prep Program.
Upper extremity injuries make up the largest category of occupational injuries requiring days missed from work, and these injuries create significant clinical challenges. This course examines potential impacted structures involved in upper extremity traumatic injuries, as well as management options. The presentation emphasizes factors that determine the ability to commence early motion or require immobilization of an injured structure. Recommendations for safe motion parameters are illustrated based on structures involved and surgical management. This course also prioritizes orthosis needs to provide protection and permit safe movement of injured structures and develops treatment plan priorities through case studies involving upper extremity traumatic injury. This course is recommended for occupational and physical therapists working in outpatient or inpatient settings, seeking strategies for the management of patients with traumatic hand injuries.
Meet your instructor
Gary Solomon
Gary graduated from the occupational therapy program at Washington University in St. Louis in 1993 and became a certified hand therapist in 1999. He also received his MBA in 2010. He has worked as the director of therapy at Chicago Metro Hand Therapy, alongside the physicians of Hand to Shoulder Associates, since 1998 and…
Chapters & learning objectives
1. Common Injury Mechanisms and Structures Involved in Traumatic Industrial Upper Extremity Injury
This chapter presents the unique characteristics of traumatic hand injuries. Potentially involved structures and external components influencing rehabilitation progression are introduced. The understanding and management of these factors can significantly influence ultimate patient outcomes.
2. The Search for Safe Motion
Early motion has been demonstrated to positively influence patient outcomes; however, each injured structure presents its own set of precautions. This section presents techniques for acute management of commonly injured structures, including tendon, nerve, artery, bone, and skin, within the framework of what factors permit or preclude initiation of safe early motion. Understanding of these factors is crucial when making important clinical management decisions.
3. Cases: Putting It All Together
Through three case presentations, strategies are provided to follow evidence-based (guided) practice and prioritize precautions and problems. These cases explore how treatment is guided by an understanding of healing and a balancing of established treatment guidelines and is progressed based on an understanding of healing and precautions. The strategies identified through these cases should provide the therapist with a consistent and successful approach for maximizing outcomes for the traumatically injured patient.
