Management of Fingertip Injuries

presented by Gary Solomon, MBA, MS, OTR/L, CHT

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Disclosure Statement:

Financial: Gary Solomon receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

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

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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

Video Runtime: 50 Minutes, Learning Assessments: 32 Minutes

Fingertip injuries are the most common type of hand injury and are responsible for 20% of all ER visits. Proper management of these injuries is critical to restore functional hand use and return patients to unrestricted activity performance.

This course will help viewers develop a greater understanding of types of fingertip injuries and anatomical structures involved as well as teach viewers how to distinguish between various treatment options based on injury variants. Wound healing strategies based upon specific patient presentation are explored and options to integrate appropriate therapeutic management throughout the course of treatment are presented. In this course, strategies to prioritize protective options, wound care, and desensitization techniques to maximize patient outcomes are emphasized.

This course will help occupational and physical therapists working with patients with fingertip injuries in the outpatient or inpatient setting develop strategies to facilitate successful patient outcomes.

Meet Your Instructor

Gary Solomon, MBA, MS, OTR/L, CHT

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 has…

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1. Relevant Anatomy and Structures Involved in Fingertip Injuries

This chapter focuses on the relevant anatomy of structures potentially involved in fingertip injuries. Treatment priorities and reconstructive options are introduced, as well as important factors to consider with each patient.

2. Fingertip Injury Classification and Management

This chapter presents management methods for acute fingertip injuries based on location, size, and structures involved. Fracture management, nail injury, and skin coverage options, including secondary intention, grafts, and flaps, are presented for various fingertip injury patterns. This chapter will help the therapist gain a deeper understanding of advantages and disadvantages for each type of skin coverage.

3. Therapist Management of Fingertip Injury

This chapter presents the therapist’s role in fingertip injury management. Strategies and current wound care options are explored. This chapter also emphasizes peripheral and central nervous system desensitization strategies and specific recommendations for functional integration of the injured digit. The goal of this chapter is to provide treatment ideas to mitigate the significant functional deficits that can result from these injuries.

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