Upper Extremity Tendon Injury Update: Advances in Clinical Management


Comprehensive, hybrid-online, intermediate-level evidence-based course is designed to enhance the clinician’s understanding of the impact of upper extremity tendon injuries on the wrist and hand. Video-recorded lectures and patient demonstrations focus on an analytical approach to the rehabilitation of tendon injuries. Finish up with a Zoom Virtual Classroom session to review case studies and have an opportunity to present your questions to the instructor. Includes treatment protocols, case-studies and review of current research and literature.

Focus on:

  • Extensor Tendon Anatomy, Biomechanics and Zone-specific Management of Extensor Tendon Injuries
  • Flexor Tendon Anatomy, Biomechanics and Zone-specific Management of Tendon Injuries
  • Tendon behavior following fractures, complex injuries and secondary deformity
  • Therapeutic intervention

Animations and video-clips of cadaver dissection, surgery, pathomechanics, and treatment enhance the learning experience.

Participants are cautioned to apply new information and skills within the scope of state licensure law.

Please read course requirements carefully before registering for this course. Online courses are final sale and are not refundable.

Course Requirements:

As a requirement of this course, you will need to:

  • view all recorded lectures and demonstrations prior to attending required Zoom Interactive Classroom.
  • complete case studies assignments prior to Zoom Interactive Classroom.
  • be prepared to discuss case studies during Zoom Interactive Classroom.
  • participate in a scheduled 1-hour Zoom meeting with the instructor discussing case studies, treatment techniques and Question and Answer session.
  • complete post-test with a passing score of 80%.

Technical Requirements:

  • computer/tablet with speakers and good internet access to view recorded course videos
  • computer/tablet with webcam, microphone and speakers or Smartphone will be needed to participate in Zoom Interactive Classroom session with instructor
  • email access for communication about the course.

By the end of this course, participants will be able to:

  • identify the anatomy of upper extremity flexor tendons and extensor tendons
  • identify the mechanism of digital flexion, extension and thumb opposition
  • list and recognize the various methods for management of flexor and extensor tendons using various methods described in the literature & practice
  • identify treatment hierarchy and goals for complex traumatic upper extremity injuries
  • utilize clinical reasoning for treatment of various injuries of the hand based on tendon mechanics

15 contact hours (14 contact hours of self study/asynchronous and 1 contact hour of  live webinar/synchronous)

Extensor Tendons

  • Anatomy of Extensors (~50 Minutes)
  • Extensor tendon Biomechanics & Mechanism of Extension (~65 minutes)
  • Zone I and II (~25 Minutes)
  • Zone III & IV (~70 minutes)
  • Zone V-VIII (~75 minutes)
  • Thumb Extensors (~60 Minutes)

Flexor Tendons

  • Flexor Tendon Anatomy & Biomechanics (~90 minutes)
  • Flexor Tendon Zone I & II (~95 minutes)
  • FPL Repairs, Pulley Reconstruction, Tenolysis & Tendon Grafts (~60 minutes)
  • Pitfalls in Flexor Tendon Rehab (~90 minutes)

Pathomechanics and Management of Syndrome of Quadriga (~45 Minutes)

  • Flexor Quadriga
  • Extensor Quadriga


  • Complex Mutilating Injuries (~50 Minutes)
  • Tendon Behavior Following Fractures (~60 Minutes)

Assignment: Case Studies (~15 Minutes)

Zoom Interactive Classroom

Virtual Meeting

  • 1-hour Virtual Meeting with instructor focusing on case studies and Q&A (~60 Minutes)

15 Contact Hours (15 clock hours), includes 14 hours of online recorded video lectures, and patient demonstrations plus a 1-hour interactive Virtual Classroom (Zoom) hosted by the instructor, Shrikant J. Chinchalkar, OTR, CHT.

This hybrid online 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 Course Completion 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.

Rehab Education, LLC is recognized as:

  • AOTA approved provider of OT and OTA continuing education (#6177)
  • approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.
  • approved provider of PT and PTA continuing education by IDFPR/ Illinois Board of Physical Therapy (#216000227).
  • approved provider of PT and PTA continuing education by Oklahoma State Board of Medical Licensure & Supervision (BAP202310008).
  • American Occupational Therapy Association (AOTA): Rehab Education, LLC is an AOTA Approved Provider (#6177) of professional development. This Blended/Hybrid Learning-CE course is offered at 1.5 CEU (15 contact hours) Intermediate level | OT Service Delivery/Foundational Knowledge. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA or indicate AOTA approval of a certification or other professional recognition. (Course must be completed prior to 7/31/2025)

  • California OT Board: This course and instructor have been approved by the CA Board of OT for 15 contact hours of post-professional education in the advanced practice area of hand therapy. Approval #22-H28.

  • Physical Therapy Board of CaliforniaCA Board of Physical Therapy: 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 15 contact hours (14 hours asynchronous and 1 hour synchronous).

  • Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, Approval #216.000227. (Course must be taken prior to 09-30-2024)

  • 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 05-10-2025)

  • States that Accept AOTA Approval / PT State Boards’ Approval Reciprocity

    The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. At the time of listing, these states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA. For an up-to-date list, see the AOTA website.

    District of Columbia
    Florida **(self-report to CE Broker)
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Rhode Island
    South Carolina*
    South Dakota
    Wisconsin (self study courses only)

    *see CE Broker
    **FL licensees may need to self-submit courses in CE Broker

    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 PT State boards*:

    District of Columbia
    North Carolina
    North Dakota

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

    District of Columbia
    Florida **(self-report to CE Broker)
    North Carolina
    North Dakota
    Rhode Island
    South Dakota

    The following PT Boards do not require pre-approval for continuing education activities as long as they are “directly related to the licensee’s practice of physical therapy” and/or meet the guidelines established by the board.

    New Hampshire

    *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

Fast Facts

Skill Level: Intermediate
Delivery Method: Online Hybrid

Who Should Attend:
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Physical Therapists
  • Physical Therapist Assistants
  • Certified Hand Therapists

Zoom Meeting

A one-on-one Zoom meeting with the instructor is a requirement for this course.


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 :

One of the best continuing education opportunities I have had

“It provided a strong anatomical foundation that was not just about the structures, but how they work together in a variety of hand movement patterns. While I had received a lot of training about digit flexors, I especially appreciated the strong education about the extensor mechanism, as seems to be more neglected in the literature and in education. I immediately was able to begin modifying my management of tendon injuries, fractures, and complex mutilating injuries to address better balancing flexor and extensor coordination. I also have information to increase my collaboration in planning challenging cases with my surgeons. Having face time one-on-one with Shrikant Chinchalkar was a privilege, and I was able to discuss current cases that are challenging.”


What Students are Saying:

“The online course format is great, particularly for dense, detailed material like this. I have come to appreciate how I can return to my notes as well as the instructional videos to ensure that I can truly understand the material and teach it to others. I also felt privileged to have the chance for one-on-one time from the instructor with open-ended question time to ask about the material and about relevant cases that I am managing right now. That’s something that is never on offer at conferences or seminars in such a focused way!”

“Thank you for so generously sharing your wealth of knowledge and experience. I now have a much better understanding of the topic and have more treatment tools to use daily.“

“I would attend any topic that Shrikant Chinchalkar teaches. I appreciate his thoroughness and his experience, and his way of combining the complex parts of the material into a whole.“