"The Masterclasses have been of immense value for my clinical reasoning. They have challenged me to think more deeply about different topics along with practical applications which have improved my patient outcomes."
The hand-wrist is not the most commonly injured area in sport, however these injuries significantly limit both performance and training availability. There are a variety of hand-wrist conditions seen in sport including sprains and strains, fractures and/or dislocations, tendon pathologies, and pulley injuries. Injuries can occur both traumatically or insidiously in the same anatomical location and in the same sport. Although these pathologies may differ, the common factor in their management is the understanding of the underlying anatomy and biomechanics of the hand-wrist complex.
This Masterclass will provide you with the appropriate knowledge and tools to assess, diagnose, and develop a tailor-made management plan for your patients. The four modules provide a systematic approach to help upskill you in these areas. So, if you’re interested in learning more about the hand-wrist, look no further!
Relevant Anatomy & Biomechanics
Anatomy and joint kinematics are fundamentals which are learnt by most practitioners at an early stage in their careers, however often a very simplistic approach is undertaken. This introductory module will provide an overview of functional anatomy and biomechanics of the hand-wrist region which is required to understand injury mechanics and rehab prescription. We will demonstrate key landmarks to enable an easy approach to assessment.
Common Injuries in Sports
The incidence of hand-wrist injuries is not generally as high as other anatomical regions across most sports however, severity can be high depending on the mechanism of injury and sport. Poor diagnostic skills can also affect severity rates due to prolonged time until appropriate diagnosis of the pathology. This module describes the most common sport injuries occurring at the hand-wrist and provides a simple injury classification system which will allow for speed and ease of recognition for your patients.
The difference between subjective and objective information is important when assessing and treating hand-wrist injuries. This can make a significant difference to safe and timely return to sport. In this module we review which objective measures, and associated tools, are most indicated in the hand-wrist complex. We will also consider special tests which, combined with a good knowledge of biomechanics, can assist in both diagnosis and prognosis.
Options for Treatment & Rehabilitation
In the literature, as well as social media, there is conflicting evidence and debate around the use of hands-on techniques throughout the body. This module will initially consider hands-on techniques, supported with appropriate evidence, which can be considered as part of a multimodal approach towards injury management for the hand-wrist region. This module will also focus on exercise therapy with examples and case studies throughout to equip you with a variety of rehabilitation tools and concepts. Apart from demonstrating local exercises, we will ensure that appropriate engagement of the wider kinetic chain is considered.