Management of Hand and Digital Fractures
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.
Fractures of the hand and digits compose the highest incidence of upper extremity fractures, and account for 21% of all workplace hand injuries. These injuries can result in significant functional loss due to residual stiffness and pain.
This course examines medical and surgical management as well as therapy strategies to protect, mobilize, and optimize functional outcomes. Therapeutic interventions through each of the phases of healing are demonstrated, as well as the use of orthoses to facilitate healing and restore digital motion and functional use.
This course is applicable to occupational and physical therapists working in outpatient and inpatient settings, with patients with hand and digital fractures in all phases of treatment, as well as to therapists looking for intervention and orthosis strategies to maximize outcomes.
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. Acute Fracture Healing and Management
This chapter examines the process of fracture healing and acute management of hand and digital fractures. Discussion includes conservative and operative indications and techniques as well as orthosis protection considerations to facilitate fracture healing and prevent complication.
2. Therapy Management of Hand Fractures
This chapter discusses specific therapy interventions for the treatment of hand and digital fractures. Examples of interventions to safely restore motion based on healing stage and tissue tolerance are emphasized. Strategies are provided for the management of typical residual symptoms such as loss of motion and hypersensitivity.
3. Orthoses and Strategies to Resolve Residual Stiffness
This chapter includes specific orthosis fabrication techniques to resolve motion loss due to intrinsic tightness, joint stiffness, and extrinsic tightness. Specific orthoses to address each cause of motion deficits are demonstrated.
