Wrist Secrets Part 1

Wrist Secrets Part 1

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AOTA: Domain of OT, OTP,
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STATE: CA 40-H32 4hrs
FL 20-171811 4.8hrs
AL 20-171811 4.8hrs

The wrist is commonly encountered in the clinic both directly and indirectly. To provide the highest quality of care for patients with wrist dysfunction thorough knowledge is needed. This interactive movie course is designed to provide you with a comprehensive understanding of the wrist evaluation and treatment.

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Domain of OT, Occupational Therapy Process,

The wrist is commonly encountered in the clinic both directly and indirectly. To provide the highest quality of care for patients with wrist dysfunction thorough knowledge is needed. This interactive movie course is designed to provide you with a comprehensive understanding of the wrist evaluation and treatment. The therapist will learn the pertinent anatomy and biomechanics as it applies to evaluation and treatment. Emphasis will be on proper interpretation of special tests, manual therapy, connective tissue healing and treatment techniques. Mixed level learning course – Instructional Methods include PowerPoint presentation, lecture, and video to enhance understanding. Upon successful completion of the examination (80%) your certificate will be sent via email. Mixed level course


  • Review pertinent osteology, mycology and neurology of the wrist
  • Describe the TFCC
  • Discuss joint arthrokinematics of the wrist
  • Review connective tissue healing and it’s impact on decision making in treatment
  • Review visco-elastic properties of connective tissue as it relates to splinting the wrist joint
  • Become familiar with special examination tests of the wrist and their proper interpretation
  •  Review therapeutic techniques at the wrist
  • View manual therapy of the wrist including mobilization
  • Review the arthrokinematics of the wrist joint in making correct decisions regarding wrist mobilization
  • Introduce the most common fractures and avascular necrosis problems at the wrist
  • Describe the various instabilities at the wrist;CID,CIND,DISI,VISI
  • Review the more common wrist diagnosis in the context of the course contents ” pulling it all together”


  1. Anatomy
  2. Osteology
    1. distal radius
      1. facets
      2. inclination/tilt
      3. ulnar notch
      4. styloid process
    2. distal ulna
      1. styloid process
      2. ulnar head
    3. carpals
      1. proximal row
      2. distal row
    4. metacarpals
  3. Capsule and ligaments
    1. capsule
    2. transverse carpal ligament
    3. extrinsic ligaments
      1. dorsal radiocarpal ligament
      2. radial collateral ligament
      3. palmer radiocarpal ligaments
      4. ulnocarpal complex
    4. intrinsic ligaments
      1. lunitriquetral
        1. scapholunate
        2. scaphotrapezial
  4. Myology
    1. extrinsics
      1. extensors
      2. flexor
    2. intrinsics
      1. lumbricles
      2. interossei
      3. thenar
      4. hypothenar
    3. extensor retinaculum
  5. Neurology
    1. peripheral nerves
      1. radial
        1. median
        2. ulnar
      2. nerve roots
        1. C5-T1
  6. Vascular
  7. Triangular fibrocartilage complex
    1. Articular disc
    2. Meniscus homolog
  8. Biomechanics
  9. Arthrokinematics
    1. convex/concave
    2. central column
    3. axis
  10. DRUJ
    1. kinematics
  11. Radiocarpal joint
    1. kinematics
  12. Midcarpal joint
    1. kinematics
  13. CMC
    1. Kinematics
  14. Connective tissue constraints
  15. Therapeutic Management
  16. Examination
    1. Grip strength
      1. Rapid exchange
      2. Five position grip test
    2. Sensation
      1. Semmes Weinstein
    3. Finklesteins
    4. Scaphoid shift test
    5. Shuck test
    6. Ballottment test
    7. TFCC load test
    8. Carpal compression
    9. Phalens test
    10. Tinels
  17. Connective tissue healing
    1. Acute phase
    2. Proliferative phase
    3. Remodeling phase
  18. Scar management
  19. Therapeutic exercise
    1. Tendon gliding
  20. Stretching
    1. Intrinsics
    2. Finger flexors
    3. Wrist flexors
    4. Wrist extensors
  21. Resistive exercises
    1. Manual resistive
    2. Closed chain
    3. Functional
  22. Mobilization
    1. Joint play
    2. Radiocarpal
    3. Midcarpal
  23. Splinting
  24. Modalities
    1. US
    2. Iontophoresis
  25. Wrist Injuries
  26. Fractures
    1. Scaphoid
    2. Lunate
    3. Distal radius
      1. Colles
      2. Smith
      3. Bartons
  27. Instabilities
    1. CID
    2. CIND
      1. DISI
    3. VISI
      1. Lunate dislocation/perilunate instability
      2. Translocation of carpus
      3. DRUJ instability
  28. SLAC
  29. Kienbocks
    1. Preissers
  30. TFCC
  31. Carpal tunnel
  32. deQuervains

Dr. Montmeny received his doctorate in Kinesiology from the University of Connecticut. He is currently an assistant professor in the Division of Physical Therapy at the University of North Carolina at Chapel Hill. Prior to starting at UNC he was in private practice for 20 years providing outpatient orthopedic treatment and hand therapy. He also developed an upper extremity injury prevention program for industry as part of an ergonomics consulting business. Dr. Montmeny has presented wrist and hand continuing education nationally over the last several years. Research interest is with the correlation of muscle function and joint position as it relates to ergonomics and rehabilitation.

2 reviews for Wrist Secrets Part 1

  1. Joanne Smith OT CHT

    Terribly ‘dry’, but good content

  2. Ann Kutz

    We just started part 2 (the OT’s approach) and are loving it!!
    I guess we are all OT’s watching it and the info you are giving us is what we want.
    Thanks much !! Ann

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