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Understanding and Evaluating Ulnar Wrist Pain

presented by Theresa Parry, OTR, CHT, COMT

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Disclosure Statement:

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

Nonfinancial: Theresa Parry has no competing nonfinancial 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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Video Runtime: 71 Minutes; Learning Assessment Time: 37 Minutes

Ulnar-sided wrist pain is often referred to as a "black box" or the "low back pain of the wrist," due to its being a challenging area with various etiologies. This course is the first in a two-part series and first aims to unpack all of the possible structures for ulnar wrist pathology by fostering a deep understanding of the anatomy and mechanics of the wrist. It then delves into how to complete a thorough wrist examination, including special tests that will enable you to feel confident in identifying the pain generator. The second course in this series tackles interpretation of the exam and discusses treatment. This course is designed for occupational therapists and physical therapists who treat wrist conditions.

Meet Your Instructor

Theresa Parry, OTR, CHT, COMT

Theresa Parry is a graduate of the University of Wisconsin-La Crosse with a master of science in occupational therapy and a bachelor's degree in psychology. Theresa is a certified hand therapist and also became a certified orthopedic manual therapist of the upper quadrant through the International Academy of Orthopedic Medicine in 2015 and is now…

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Chapters & Learning Objectives

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1. Bony Anatomy of the Wrist: Ulnar Side

This chapter explores the bony anatomy at the ulnar side of the wrist including the distal radius and ulna as well as the ulnar and central carpals. Understanding the bony anatomy sets the stage for understanding the need for ligamentous support.

2. Ligamentous Anatomy of the Wrist: Ulnar Side

This chapter unravels the ligamentous anatomy at the ulnar side of the wrist including the extrinsic, interosseous, and DRUJ ligaments. We develop an understanding of how these structures allow for, but also restrict motion and set the stage for, what happens when injury occurs.

3. Assessment of Ulnar Wrist Pain

This chapter explains the main components of a systematic wrist exam. This includes obtaining a detailed history, performing an active screen, assessing passive mobility to determine if a capsular pattern is present, and completing resisted testing.

4. Assessment of Ulnar Wrist Pain: Special Tests

The final chapter will build upon the basic clinical assessment by outlining and demonstrating the special tests that may be needed to conclude your exam, complete differential diagnosis, and improve your confidence in your findings. Tests for TFCC pathology, L-T instability, and midcarpal instability will be discussed.

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