ASHT UE Institute – March Course

Important Information on How to Register

When registering, please be certain that you complete the entire online registration process to ensure that you are indeed registered. Upon successfully registering, you will receive a registration confirmation email within 15 to 20 minutes, containing the session log-in information. If you do not receive a confirmation email and have checked your Spam folder, then you are not registered and need to go back and carefully complete the registration process again.

Flexor and Extensor Tendon Injuries

Date: March 20, 2019

Time: 6:00 PM PT / 7:00 PM MT / 8:00 PM CT / 9:00 PM ET

Deadline to register: March 20 at 3:00 PM ET

Presented by: Romina Astifidis, MS, PT, CHT

Free to ASHT members, but registration is required

Learning Objectives:
At the end of the presentation, participants will be able to:

  1. Identify the anatomy of the flexor tendons and extensor tendons from origin to insertion and describe function of each.
  2. Correctly identify flexor tendon zones and extensor tendon zones and importance for rehabilitation.
  3. Recognize the biomechanical importance of the flexor pulley system and the extensor mechanism.
  4. Correctly evaluate following injury or surgery.
  5. Recognize a basic understanding of surgical technique used to repair tendons in regards to suture technique, placement and strength.
  6. Identify the phases of healing following tendon repair.
  7. Differentiate different protocols used in flexor tendon rehabilitation and extensor tendon rehabilitation.

Attendees earn 1 continuing education hour/0.1 CEU for this course.

* Please note that only those individuals who register for the session will receive the handout and quiz for CE credit. The recording is available to all ASHT members.

Required Readings:
The required readings for this course are:

Rehabilitation of the Hand and Upper Extremity (6th ed.). Skirven, T. M., Osterman, A. L., Fedorczyk, J. M., Amadio, P. C. (Eds.).(2011). Philadelphia, PA: Mosby. ISBN: 978-0-323-05602-1

Review Chapters 1, 34, 35, 36, 38, 39
View Video:  35-1 "Zone II repair" (S. Wolfe 2010)
View Video:  35-3 "Tendon exposure and retrieval" (Stickland 2004)
View Video:  35-5 "Pppular core sutures" (Sandow 2004)
View Video:  38-3 "Extensor tendon anatomy and approaches" (Zelouf 2004)
View Video:  38-4 "Extensor tendon repair in fingers" (Newport 2004)

*Note:  The video is online content. When you access the book, “Rehabilitation of the Hand and Upper Extremity,” information on how to access the videos is located inside the cover.

Fundamentals of Hand Therapy (2nd ed.). Cooper, C. (Ed.).(2014). St. Louis, MS: Mosby.

Review Chapters 30 & 31

Additional Readings:
Groth GN. “Clinical Decision Making and Therapists’ Autonomy in the Context of Flexor Tendon Rehabilitation”. Journal of Hand Therapy, July-Sept 2008, pp 254-259.

Sueoka SS and LaStayo PC. “Zone II Flexor Tendon Rehabilitation: A Proposed Algorithm”. Journal of Hand Therapy. October-December 2008, pp 410-413.

Evans RB. “Managing the Injured Tendon: Current Concepts”. Journal of Hand Therapy. April-June 2012, pp 173-189.

Post-Session UE Institute E-Community Q&A

After each live session, The UE Institute E-Community will host questions and answers sessions related to each monthly online session as well as general information and communication exchanges for novice hand therapists to advance their professional career and/or their preparation for the CHT exam.

Instructions on How To Access UE Institute E-Community.

Romina Astifidis, MS, PT, CHT

Romina is the Clinic Director at Medstar Health Physical Therapy at Lutherville Hand in Baltimore, Maryland. She earned her PT degree at Loma Linda University and started exclusively treating hand and upper extremity 23 years ago. As part of Medstar hospital system’s Education and Mentoring Division, she has organized and lectured locally on a variety of topics including splinting, peripheral nerve injuries, CRPS, tendon injuries and tendon transfers.

Romina has served on many committees for ASHT and was recently on the Education Division. She also coordinates as CCCE all the PT and OT students for the outpatient division of Medstar Health Physical Therapy.