Management of Upper Extremity Tendon Injuries and Fractures with Hands-On Orthotic Fabrication Labs

This intermediate level course is designed to enhance the understanding of the impact of tendon injuries and fractures on the wrist and hand. The comprehensive course provides an analytical approach to the rehabilitation of tendon injuries and fractures, combined with hands-on orthotic fabrication (splinting) lab sessions.

Animation and video-clips of cadaver dissection, surgery, pathomechanics, and treatment enhance the learning experience. Class size is limited to maximize participant to faculty interaction.
Course Contents:

  • Architecture of the hand & Wrist
  • Flexor Tendon Anatomy, Biomechanics and Management of Tendon Injuries
  • Extensor Tendon Anatomy, Biomechanics and Management of Extensor Tendon Injuries
  • Distal Radius Fractures
  • Fractures and Dislocations of the Hand
  • Hands on Orthotic Fabrication (splinting) Labs

Program subject to change. During hands-on lab sessions, course instructor(s) will evaluate each participant’s techniques/skills learned to determine proficiency for course completion. This course content is not intended for use by any participants outside the scope of their license or regulation.

Course Objectives:

Upon completion of course, therapist will be able to:

  • identify the anatomy of the hand, with special focus on flexor tendons, and extensor tendons
  • list the various methods for management of flexor and extensor tendons using various methods described in the literature & practice
  • list/recognize the different methods for the management of hand fractures – Metacarpal, Proximal and Middle phalanges fractures
  • list/recognize the different methods for management of distal radius fractures
  • fabricate dynamic and static progressive orthoses for the wrist and hand
  • utilize clinical reasoning for treatment of various injuries of the hand based on skeletal and tendon mechanics

CE Credits

14 hours

BOC Skill Level: Essential

This course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. Certificate of Attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.


Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 14 contact hours.

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2022)

Board of Certification, Inc (BOC) Approved Provider #P8271: Rehab Education, LLC is approved by the Board of Certification, Inc. to provide continuing education to Certified Athletic Trainers. This program is eligible for a maximum of 14 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

American Occupational Therapy Association (AOTA) Approved Provider #6177: See states that currently recognize AOTA Approved Providers for OT

  • AOTA Approval States

    These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

    District of Columbia
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Rhode Island
    South Carolina
    South Dakota

    *Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.

    The following PT Boards accept courses approved by other state PT boards or APTA state associations*:

    North Carolina

    The following PT Boards accept courses approved by other APTA state associations*:

    Rhode Island

    The following PT Boards accept courses provided by AOTA approved providers*:

    District of Columbia
    Rhode Island

    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission  (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards


Day 1

7:30 : 8:00 Registration
8:00 – 10:00 Architecture of the Hand
10:00 – 10:15 Break
10:15 – 12:00 Flexor Tendon Anatomy and Management
12:00 – 1:00 Lunch
1:00 – 3:00 Extensor Tendon Anatomy and Management
3:00 – 3:15 Break
3:15 – 5:00 Distal Radius Fractures

Day 2

8:00 – 10:00 Fractures of the Hand
10:00 – 10:15 Break
10:15 – 12:00 Orthotic Fabrication Lab – Wrist
a) Static Progressive Wrist Extension Splint
b) Dynamic Supination Splint
12:00 – 1:00 Lunch
1:00 – 3:00 Orthotic Fabrication Lab – Hand
a)  Dorsal Blocking Splint
b)  Yoke Splint (ICAM)
3:00 – 3:15 Break
3:15 – 4:00 Orthotic Fabrication Lab – Hand (Continued)
a) Mallet Finger and Boutonniere Splint
b) Dynamic & Static Progressive MCP/PIP flexion Splint


Shrikant J. Chinchalkar OTR, CHT

Shrikant-J-Chinchalkaris a hand therapist with over 40 years of clinical experience in treating upper extremity conditions and over 30 years of teaching experience. He designed and developed Hand Therapy programs at four major teaching centers in Canada. He conducted many instructional courses on upper extremity rehabilitation in over 20 countries in the world and has won many awards for his presentations. He has over 250 presentations to his credit.

He was awarded the “Dr. Paul Brand Award of Excellence” by the American Society of Hand Therapists (ASHT), “Award of Leadership” by the Canadian Association of Occupational Therapists (CAOT), “Award of Excellence” by the Sisters of St. Joseph’s Hospital, “Best Educator” by the  Western University and the “Lifetime Membership Award” by the Canadian Society of Hand Therapists. He authored five book chapters and has published 27 papers and 15 abstracts in numerous peer-reviewed journals related to Upper Extremity Surgery and Therapy.

Classes taught by Shrikant J. Chinchalkar :