Management of Selected Shoulder and Elbow Injuries in the Skeletally Immature Patient

Course Description:

Last year, emergency rooms across the country reported 11.7 million pediatric injuries.  Of those injuries 89.9% had a primary diagnosis of the upper extremity.  The most common injury was fracture (28.2%) and dislocations were common among the youngest patients.  Do you treat a lot of pediatric upper extremity injuries or are you just a parent (or a loving aunt/uncle/grandparent/friend) who would like to know more? Trevor Winnegge, PT, DPT, MS, OCS, CSCS, will educate you about upper extremity injuries ranging from Little League Elbow to Olecranon Apophysitis to Monteggia Fracture.  In this course, Dr. Winnegge will cover:

• A review of pediatric bone anatomy
• Identify the Salter-Harris fracture classification system
• Differentiate between multiple pediatric-specific UE injuries
• Recognize the medical/surgical management of these injuries
• Identify a rehabilitation protocol for each injury

Methods of Instruction:

Online audio/video course

Course Instructor:

Trevor Winnegge PT, DPT, MS, OCS, CSCS

Target Audience:

Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistants and Athletic Trainers.

Educational Level:

Intermediate

Prerequisites:

None

Course Goals and Objectives:

At the completion of this course, participants should be able to:

1. Recognize pediatric bone anatomy, the Salter-Harris Fracture Classification, and the Phases of Throwing
2. Differentiate between Little League Shoulder and Proximal Humerus Fractures and their subsequent risk factors, imaging, surgical interventions, management, rehabilitation, and complications.
3. Recognize AC Joint Injuries in pediatrics, the anatomy of the fracture, and treatment
4. Identify the subjective history of Little League Elbow, Little League Elbow Avulsion-Displaced, and Panners Disease, the subsequent clinical presentations, imaging, management, and treatments
5. Differentiate between Olecranon Apophysitis, Posterior Olecranon Impingement, and Elbow Dislocation – clinical presentation, imaging, treatment, and management
6. Recognize Nursemaids Elbow - clinical presentation, imaging, treatment, and management
7. Identify the Types of Supracondylar Fractures and the subsequent complications
8. Identify Radial Neck Fractures and associated injuries, clinical presentation, imaging, treatment, and management
9. Differentiate between UE treatment strategies and rehabilitation goals
10. Recognize Osteosarcoma through a case study: signs/symptoms, prognosis, 2nd opinion, treatment, surgery, and rehabilitation 

Criteria for Obtaining Continuing Education Credits:

A score of 70% or greater on the post-test