Therapy Management for Scapholunate Injury

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Video Runtime: 82 Minutes; Learning Assessment Time: 46 Minutes

What is the most challenging diagnosis you see in the hand clinic? Is it the patient with a crush injury with multiple fractures and tendon repairs, or is it the 13-year-old gymnast with vague complaints of wrist pain? Wrist pain exacerbated by gripping and weight-bearing can often be difficult to evaluate, and determining an effective treatment plan can be challenging. This course is designed to guide occupational and physical therapists in the systematic evaluation and treatment of scapholunate (SL) injury using an evidence-supported approach. Gain insight on treatment ideas to provide protection for the healing ligament while addressing proprioceptive and strength deficits to optimize your patient’s functional recovery. This course also covers post-op expectations with surgical intervention for SL repair/reconstruction as well as salvage procedures due to scapholunate advanced collapse.

This course is part of our CHT Prep Program. Learn more about the full prep program here: MedBridge CHT Prep Program

Meet your instructor

Ann Porretto-Loehrke

Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is…

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Chapters & learning objectives

1. Understanding Wrist Mechanics Following Scapholunate Injury

This chapter covers the pathomechanics of SL injury and the progression from predynamic to static instability. Clinical testing to determine predynamic instability will be covered to set the stage for conservative management.

2. Conservative Management of Predynamic SL Instability

This chapter covers key elements of rehabilitation for predynamic SL instability. These include use of a protective orthosis, manual therapy techniques to address adjacent hypomobile segments, proprioceptive training, and muscle training to maximize recovery.

3. Therapy Considerations Following Scapholunate Repair/Reconstruction and Salvage Procedures

This chapter reviews surgical procedures to address SL injury with clinical expectations for therapy. It also addresses surgical intervention for scapholunate advanced collapse (SLAC) and expected outcomes to share with your patient.

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