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presented by Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She serves as the clinical development coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through…
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1. Understanding the Anatomy & Kinematics of Forearm Rotation
Having an appreciation for the interosseous membrane and the interplay between the proximal and distal radioulnar joints is imperative when determining what structure is limiting forearm rotation. This chapter covers the anatomy of the forearm, including the interosseous membrane and key structures about the distal radioulnar joint, as well as the kinematics with forearm pronation and supination.
2. Distal Radioulnar Joint Assessment & Treatment
How do I know if my patient’s DRUJ is stable and in good alignment? This chapter reviews the testing of key ligamentous structures at the triangulofibrocartilage complex (TFCC) and provides guidance with appropriate treatment intervention.
3. Proximal Radioulnar Joint Assessment
Most distal radius fractures occur as a result of a fall on an outstretched hand. Increased loading of the radial head can sometimes result in stiffness at the PRUJ. This chapter covers how to manually assess the PRUJ, which can contribute to stiffness with forearm rotation.
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