Recorded on demand - Providence 10th Annual Hand and Upper Extremity Conference: Mid Carpal to Radial Carpal Injurie
Recorded on demand - Providence 10th Annual Hand and Upper Extremity Conference: Mid Carpal to Radial Carpal Injurie
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This is a recording of the live/virtual 10th Annual Hand Conference on October 28, 2022.

This well-received, high-demand course is back for the tenth year. Our unique format provides a diverse and intense delivery of research- based clinical knowledge to help participants better understand surgical procedures and expert post-operative orthosis fabrication and rehabilitation for the radial carpal and central carpal injuries.

One board certified and highly regarded orthopedic surgeon will give live surgical demonstrations using fresh frozen cadaver specimens. Two experienced hand therapists will provide an overview of anatomy and kinematics, provocative testing and up to date, evidence-based treatments. This course will be a basic to intermediate education, interactive opportunity for clinicians to observe anatomy and surgery interventions, learn provocative tests and gain a broader understanding of the interface between surgery and therapy.

Speaker biography

Dr. Conrad Hamilton, Orthopedic Hand Surgeon

Dr. Hamilton has subspecialty training in hand and microvascular surgery. He received his RRC-accredited fellowship training in orthopedic hand surgery at the University of New Mexico Health Sciences Center after completing his surgery residency there. He attended medical school at Oregon Health and Science University.

He has a special interest in sports injuries, fracture management, upper extremity trauma, nerve repair, flap reconstruction, congenital differences, and arthritis of the hand.  He is the consulting hand surgeon for the Portland Timbers of Major League Soccer, the Portland Thorns, and the Portland Thunder. He has co-presented Results After Carpal Tunnel Release Using a Limited Incision Technique with Direct Visualization in Portland, Oregon at the International College of Surgeons 73rd annual meeting with the American Academy of Neurological & orthopedic Surgeons.

Dr. Hamilton is originally from Portland, grew up playing soccer, and is an outdoor enthusiast.  He is actively raising two labs, Chloe and Luna. 

Lori Lingle Elling, OTR/L, CHT

Lori received her Occupational Therapy degree from the University of Puget Sound in 198 and became a certified hand therapist in 2003. She has worked for two local hospitals in Oregon and a private hand therapy clinic in Portland. She currently works at Providence Tanasbourne Outpatient Rehabilitation where she is the Hand and Upper Extremity Clinical Program Lead for Oregon.  Her role includes keeping the Providence hand therapy team up to date on the latest evidence based research and treatment techniques. Lori has presented on hand and upper extremity assessment and treatment for a variety of diagnoses during her career. She frequently takes OT students for fieldwork level 2 as well as offering mentoring for OT’s wanting to advance their knowledge in hand therapy. She has worked in collaboration with Dr. Hamilton and numerous patients to help identify and reduce their ulnar sided wrist pain

Alpana Joshi, MS, OTR/L, CHT, CLT-LANA 

Alpana Joshi, MS, OTR/L, CHT, CLT-LANA is a board-certified occupational therapist and certified hand therapist at Mayo Clinic, Rochester, MN. Alpana has over 24 years of experience as a clinician. In 2014 she completed a hand therapy fellowship at University of Michigan, Ann Arbor, Michigan. She completed a Post-professional Master of Science in Occupational Therapy from State University of New York, Buffalo, NY in 2002. She graduated with a Bachelor’s degree in Occupational Therapy from Government Medical College and Hospital, Nagpur, India in 1998. Over the years, Alpana has worked with patients ranging from pediatrics to geriatrics with a variety of diagnosis that include neurology, orthopedics, and burns in a variety of clinical settings that include inpatient, acute rehab, skilled nursing home and outpatient clinics. After working in private orthopedic clinics, she joined Mayo Clinic in 2019 and enjoys working with wide range of complexities in upper extremity rehabilitation. Alpana also serves as a faculty member for the Hand Therapy Fellowship Program at Mayo Clinic.

Course Objective(s)

At the end of this course participants will be able to:

  1. Describe pertinent carpal anatomy, kinematics, and pathologies 

  1. Understand surgical procedures and goals related to the carpal injuries 

  1. Apply assessment and treatment techniques for common carpal injuries 

  1. Use post-operative protocols for carpal procedures and rehab

  2. Explain clinical pearls to problem solve more complicated pre- and post-operative cases 

  1. Describe provocative testing and rehabilitation treatments 

  1. Summarize current evidence-based outcomes and research relevant to surgical procedures and post-operative therapy 

Course Outline

Anatomy Involving Carpal bones, ligaments, tendons, blood supply, Lori Lingle Elling, OT/L, CHT  

Kinematics, Dr. Conrad Hamilton

Common injuries of radial carpals and provocative testing, Lori Lingle Elling, OT/L, CHT 

Cadaver dissection of superficial structures of the radial side of the wrist. Demonstrating common anatomy, injuries and surgical intervention, Dr. Conrad Hamilton 

Rehabilitation of de Quervain’s, Intersection Syndrome, Wartenberg Syndrome and Radial Styloid fracture and Scaphoid fracture, Alpana Joshi, OTR/L, CHT 

Cadaver dissection of radial and midcarpal demonstrating common anatomy, injuries and surgical intervention, Dr. Conrad Hamilton  

Salvage procedures of the radial and midcarpal injuries, Dr. Conrad Hamilton  (PRC, vs. 4 Corner Fusion)

Rehabilitation of common carpal injuries, Alpana Joshi, OTR/L, CHT 

Question & Answers 


There are 4 recordings of the live course that must be watched to complete this course.   Some of the audio during the course is poor quality and the volume must be turned all the way up to hear. 

Each recording is hosted on a private YouTube site.  Please be sure to include the email you use for your google/YouTube account in the notes when purchasing this course to allow access to the videos. 

Registration Information

Target Audience: Physical Therapists and Assistants, Occupational Therapists and Assistants managing carpal injuries. 

Registration Fee: The registration fee is as follows: 

$125 for Providence employees, $250 for all other participants. Registration fees cover access to recorded course videos, electronic course handouts, and electronic certificate of attendance once the course evaluation and quiz have been completed. 

Refund Policy: No refunds are available for this on demand course. 

Contact Hours: This course qualifies for 6.5 contact hours for Physical Therapists and Physical Therapy Assistants in OR, WA and NY. This course qualifies for 6.5 contact hours for Occupational Therapists and Occupational Therapy Assistants in OR and WA. Certificates of attendance will be issued to all participants completing the CEU requirements.  This course may qualify for continuing education hours in additional states.  Please verify your states requirements to determine if the course qualifies for CE credit where you practice.  If you need assistance with CE approval for your state, please email