Orthopedic Mentorship Series: Wrist and Fingers
Presented by Jared Vagy
Clinicians often find the hand and wrist's complex anatomy challenging to navigate, which can lead to uncertainty in differentiating arthritic conditions from ligamentous instability. This course provides structured mentorship to strengthen clinical reasoning for the distal upper extremity by linking subjective history with specific objective tests. By analyzing two distinct patient cases—one involving chronic finger stiffness and another centered on acute ulnar-sided wrist pain—participants will learn to identify structural sources of restriction and apply evidence-based intervention frameworks. By the end of this program, providers will be better equipped to decide when to use conservative management strategies, such as unloading and mobility exercises, and when to refer to a certified hand therapist for specialized care.
Learning Outcomes
- Identify strategies for gathering a detailed patient history during a subjective examination
- Recognize effective objective exam techniques and measures used to identify physical impairments and functional limitations
- Outline treatment strategies observed during interventions that aim to increase patient participation in daily activities
- Infer methods for synthesizing subjective, objective, and intervention data to support clinical decision-making
- Match evidence-based research findings to specific patient cases observed in clinical practice
Meet your instructor
Jared Vagy
Jared Vagy received his doctorate in physical therapy (DPT) from the University of Southern California (USC) and completed a one-year residency in orthopedics and a one-year fellowship in movement science. Dr. Vagy is a clinical associate professor of physical therapy in the DPT program at USC and is a mentor in both the…
Chapters & learning objectives
1. Introduction
This chapter lays the groundwork for the case presentation process by introducing the framework and preparing you for the upcoming patient cases.
2. Case #1: Lena
This chapter examines the case of a 80-year-old female with chronic interphalangeal joint stiffness to differentiate between osteoarthritis and rheumatoid arthritis. Learners will observe objective testing techniques, including the Bunnell-Littler test, to distinguish between capsular and intrinsic muscle restrictions.
3. Case #2: Stephen
This chapter focuses on a 27-year-old patient with ulnar-sided wrist pain following a traumatic fall to investigate potential triangular fibrocartilage complex (TFCC) or lunotriquetral sprains. Participants will analyze provocative maneuvers and weight-bearing tests to develop a tiered rehabilitation program centered on joint unloading and progressive stability.
More courses in this series
Orthopedic Mentorship Series: Shoulder
Jared Vagy
Orthopedic Mentorship Series: Low Back
Jared Vagy
Orthopedic Mentorship Series: Hip
Jared Vagy
Orthopedic Mentorship Series: Neck
Jared Vagy
Orthopedic Mentorship Series: Clinical Practice Guidelines
Jared Vagy
Orthopedic Mentorship Series: Framework for Mentorship
Jared Vagy
Orthopedic Mentorship Series: Knee
Jared Vagy
Orthopedic Mentorship Series: Foot and Ankle
Jared Vagy
Orthopedic Mentorship Series: Elbow
Jared Vagy
Orthopedic Mentorship Series: Wrist and Fingers
Jared Vagy
Frequently asked questions
Everything you need to know about Medbridge courses.
Who creates Medbridge courses?
We work with industry-leaders, top researchers, and consultants to build content roadmaps that are then structured into courses, filmed, and edited by our production team before being launched to our site.
How often does Medbridge release new courses?
New courses are added monthly and are automatically included in your subscription as they launch.
How often does Medbridge update courses?
Medbridge reviews its courses annually for relevance and to assess if content is up to date. Based on these reviews it may be determined that a course is out of date resulting in the course being re-filmed or retired, if the content is no longer needed (e.g. a replacement course already exists, the concepts are no longer best practice, etc.).
How many courses does Medbridge offer?
We have over 3,000 accredited courses and we are continually updating our library with new courses. Check our course library for the most up-to-date count for your discipline.
Are there any additional fees for taking a Medbridge course?
There are no additional fees for taking a Medbridge course, obtaining a course certificate of completion, earning CEUs as a subscriber, or accessing any of the additional tools your subscription may include.
Is there a limit to the number of courses I can take?
There is no limit to the number of courses you can take as a subscriber! As a subscriber to Medbridge, you have unlimited access to over 3,000+ accredited CE courses.
If you are a Premium subscriber, you also have unlimited access to our Patient Engagement Tools such as the Home Exercise Program, Patient Education Library, Orthopedic Exam Tests, and Manual Therapy Techniques. We have over 7,000 exercises and over 650+ videos and handouts of patient education resources with more exercises and patient education added to the library based on subscriber feedback, volume of request and specialities.
What is your refund policy?
You are eligible for a refund provided your request is received within 30 days of your subscription purchase and your account has no activity.