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Under the Skin: Relating Tendon Anatomy of the Hand to Clinical Questions - Exam

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Quick Overview

EXAM ONLY for DVD/CD Self-Study Module

6 Credit Hours

EXAM only:  Unlimited individuals may receive credit for one DVD/CD module. One complimentary exam comes with each DVD/CD course; however additional individuals may each pay a fee each to take the online exam using serial number on same DVD/CD Self-Study Module. Additional exams may be purchased at any time and may be taken any time after purchase of DVD/CD Self-Study Module and as many times as needed until you pass.

Instructor: Judy C. Colditz, OT/L, CHT, FAOTA with hand surgeon Richard S. Moore, Jr., MD

Experience Level: Intermediate       NOTE: This course is listed as intermediate, but offers content for all levels of experience: beginners will learn some basic concepts and experienced therapists will gain new insights. AOTA permits only one experience level to be listed.

Course description: The relationship between digital motion and tendon glide is fully explored in this live course atmosphere using demonstrations on fresh cadaver specimens. You will see demonstrations of tendon glide, tendon pathology, and common tendon surgical procedures and hear discussion of the clinical relevance of the exercises.

Content includes:

PART I - Flexor Tendons

  • Position at Time of Injury
  • Glide in Zone II & V
  • Differential Glide in Zone II
  • Differential Glide in Zone III
  • Repair of FDP & FDS
  • FPL Glide in Zone II
  • Thumb Pulley & Tendon Anatomy
  • Finger Pulley & Tendon Anatomy

PART II - Extensor Tendons

  • Anatomy of Dorsal Apparatus
  • EDC glide Zone V & VII
  • Zone V Laceration
  • EDC Distal & Proximal to Junctura
  • Repair of EDC
  • Zone IV EPL & Zone V APL Laceration
  • De Quervain’s Release
  • EIP to EPL Transfer
  • Boutonniere Deformity
  • Boutonniere Reconstruction
  • Mallet & Swan-Neck Deformity

Learning Objectives: At the completion of this this DVD/CD Self-Study Module, the participant will be able to:

  1. Identify the principles of tendon glide and tendon pathology in the hand.
  2. Recognize how joint motion relates to underlying tendon glide for both flexors and extensors.
  3. Identify literature related to tendon glide and tendon pathology for flexors and extensors.
  4. Recognize anatomical information on the flexor tendons and pulleys.
  5. Identify long-held assumptions about digital motion and tendon glide.
  6. Differentiate the techniques for 5 tendon surgical procedures.
  7. Identify the mechanics of tendon pathology/imbalance for flexors and extensors.
  8. Differentiate the biomechanics of glide vs. tension in flexor and extensor tendon injuries.



Target Audience: Occupational and Physical Therapists who treat hand patients; Certified Hand Therapists

Prerequisites: Viewing of the video course and review of the reference materials is required prior to taking the examination. The course participant should be familiar with the basic bony and muscle/tendon anatomy of the hand. It is desirable that the participant have some knowledge of current treatment approaches for tendon repairs in the hand.

Cancellation: This EXAM ONLY for a DVD/CD Self-Study Module is non-refundable once purchased.

Completion Requirements: Learner must view video in its entirety, review all materials on the CD, and successfully pass the online examination to earn the stated contact hour credit. Only those who satisfactorily meet these requirements will be awarded the contact hours. Note: AOTA CEUs are calculated by dividing contact hours by 10.

Additional Exams for Credit: An unlimited number of individuals may purchase an exam to obtain contact hour credit for reviewing this material.

AOTA Approved Provider: This course is approved for credit by the American Occupational Therapy Association, Inc. Approved Provider Program and provides information under the

AOTA Classification Codes:


Client Factors

  • Body Functions
  • Body Structures


Clinical Pearl No. 28 - Simple Superficialis

Clinical Pearl No. 18 – Tendon Outcome Assessments

Clinical Pearl No. 15 – The Stubborn Flexor Pollicis Longus

Clinical Pearl No. 3 – Making the Most of Mallet Finger Splinting

Video Clip - Drawing the Thumb Muscles

Video Clip - Drawing the Dorsal Apparatus

General Questions

How do I take my complimentary exam?

You will receive a confirmation email after you purchase your DVD/CD Module with access instructions for your complimentary exam. You may also download Exam Access Instructions here. If you purchased the DVD/CD Module for someone else or someone else purchased for you, contact HandLab Support at 888-235-8221 or support@handlab.com and we will transfer to the participant’s name.

What are my payment options?

Online course tuition may be paid only by MasterCard, Visa, American Express or Discover; check payment is not accepted. Upon payment you will receive an email confirmation of your course purchase and your online exam(s) will be available in the My Online Courses and Exams section of your HandLab account.

Will I receive a confirmation of my HandLab online course purchase?

Yes, after completing your order you will receive an email confirmation. To access your online courses you will use your HandLab account login information.

Does HandLab provide discounts for multiple attendees from one facility?

We are unable to offer multiple attendee discounts. To receive continuing education credit each participant must create a HandLab account.

What will my credit card statement say?

Your credit card statement will have a charge from “HandLab.”

Which Course is Right for Me?

In the booklet you refer to "inexperienced" therapists. What do you mean?

Inexperienced therapists are those who are not familiar with the basic bony and muscle anatomy and the terminology used in these courses.

I am a beginning hand therapist—what HandLab courses are best for me?

This is a challenging question for us since we do not know your level of experience/knowledge!  Most of our courses provide a focus on understanding anatomy as a key to understanding pathology and treatment rationale, and new therapists say this approach is valuable. One therapist commented: “I have one year experience in working in a clinic treating only hand pathology. This course addressed my needs to know WHY you do WHAT and WHEN instead of simply following a protocol set out for you.”

I am preparing for the CHT exam—what HandLab courses are best for me?

Therapists have told us HandLab courses help them gain clinical reasoning skills which are vital to passing the exam.  We are unable to identify any one course to specifically help with passing the exam since we do not know the exam content.

I have many years of experience and am not looking for the basics-- what HandLab courses are best for me?

Although HandLab courses review the core knowledge needed for treatment, each course provides current evidence based rationale for treatment. Experienced therapists tell us our courses are a time saver in keeping them up-to-date.  One therapist with 35 years’ experience wrote:  "I am so happy I chose this course… Many thanks! Yes, my skills are going to the clinic in the morning! Wonderful!".

I am a general occupational therapist or physical therapist. What is in this for me?

Ms. Colditz is known for her ability to explain complex subjects in a clear and straightforward, simple manner. Although much of the information may be new to you, it is presented in a logical sequence to facilitate understanding.

Is information in the Self-Study Modules similar to information in the HandLab Online Video Courses?

There is some repetition of information but the Online Video Courses are newer and thus have more updated information.

Continuing Education Credit

How many therapists can view the DVD/CD for credit?

Credit for one individual is complimentary with purchase of one DVD/CD Self-Study Module. An unlimited number of individuals may each purchase online exam access and receive credit.

Where do I purchase an additional exam?  

Look for the “Additional DVD/CD Module Exams” link on the left side menu.

When can I purchase the additional exam?

You may purchase the additional exam when you purchase the DVD/CD Self-Study Module or at any other time.

When can I take the exam?

You may take the exam any time after the purchase of the DVD/CD Self-Study Module and you may take the exam as many times as needed until you pass.

How do I obtain my Certificate of Completion?

Your certificate is available to print/save upon your successful completion of the online exam. If needed, you may reprint your certificate at a later time by logging into your HandLab account.

How does the continuing education credit work?

HandLab Self-Study Modules provide variable amounts of continuing education credit which qualifies for category "A" HTCC Credit.  

Can additional users receive contact hours using my copy of the DVD/CD Self-Study Module?

Yes, the original purchaser receives the complimentary exam.  An unlimited number of additional therapists may purchase an additional online exam and receive credit.

How do I receive my continuing education credit?

Upon successful completion of the exam, you may print/save a PDF Certificate of Completion.  If you do not successfully complete the exam, you may log in to your HandLab account and take the exam at a later date. You may take the exam as many times as needed.

When can I take my online exam?

You may take the exam any time after viewing the DVD/CD.

Can I take my online exam at any computer?

Yes, you may take your exam at any computer where you can access our website, www.HandLab.com. You must be able to print/save from www.HandLab.com at your home/work computer to print your certificate. If needed, you can print/save the certificate at a later date and/or at another computer.

What happens if I fail my exam?

If you do not successfully complete the exam, you may log in to your HandLab account and take the exam at a later date.  You may retake the exam as many times as needed until passed.

How can I get another copy of my continuing education certificate?

If you require a replacement certificate, log in to your HandLab account and go to the HandLab Education Center where you will see your certificates under 'My Certificates' on the left side.

Will my contact hours be recognized in all states?

HandLab is an approved provider of continuing education by the American Occupational Therapy Association (AOTA) and many state licensing boards recognize this credential.  However, continuing education requirements are different in different states and therefore HandLab cannot guarantee acceptance by your state licensing board.  You must check with your state licensing board to confirm approval or assure prior approval for credit in your state.  HandLab will provide information you require to submit for approval; contact support@handlab.com for assistance.

Will my contact hours be recognized by the Hand Therapy Certification Commission?

HandLab DVD/CD Self-Study Modules meet category "A” for the Hand Therapy Certification Commission (category "A” must be 3 hours or longer).

About the DVD & CD

Where is my serial number?

Printed on the back of the DVD/CD case.

How long is the DVD?

Each DVD has the run time listed as part of the course description. Click on the “Learn More” link under the course description to learn the video run time of each module.

Can I lend my discs to someone else?

Yes, an unlimited number of therapists may view the DVD and also obtain continuing education credit by purchasing additional exams.

Can I copy the discs and give them to a colleague?

NO, these discs are copyright protected and you may not copy them.

Which of the discs do I look at first?

Look at the CD first as it contains reference articles to read prior to viewing the DVD. You may wish to review the self-study questions, self-study exercises, references and glossary before, during and/or after viewing the DVD. 

I want to get started! Why should I read the recommended reading?

Key principles and other material found in the articles are referenced in the presentation. If you are an inexperienced therapist, it is especially important for you to read the articles on the CD before viewing the video on the DVD.

Is there audio on the discs? Do I need to hear it?

Yes, the video on the DVD is an in-depth lecture by Ms. Colditz.

What is in the booklet? Do I need to read it?

There is information about the contents of the DVD and CD and it also contains information about your continuing education credit and replacement discs.

Your publicity and booklet refer to PDF files of published articles. Where can I find them?

They are on the CD and will come up automatically when you click on the desired article. You will be able to print them immediately.

Will the discs play on my computer?

The CD-ROM will play on your computer. The DVD will play on your computer if you have a DVD-ROM and it will also play in a DVD player.

Will the discs play on my home entertainment DVD or CD player?

The DVD will play on your home entertainment only if you have a DVD player.

Can I view the HandLab DVD if I have a Mac (Apple) computer?

Yes, the DVD will play if you have windows media player for Mac.

I have lost my disc / had it stolen from my room /dropped it in my coffee!

Should the DVD or CD prove to be faulty or suffer damage during shipment, you may return the damaged disc/s for a free replacement.  You must contact support@handlab.com with your serial number before any exchanges are made. HandLab will replace the damaged disc and your previous serial number will be reassigned to the new replacement disc.

Only discs damaged during shipping or malfunctioning discs are replaced free of charge and they must be returned to HandLab. Lost or stolen discs cannot be replaced.

Can I exchange the DVD/CD self-study module?

You may exchange it only if the disc is damaged or does not function properly.  We do not offer refunds or accept returns on DVD/CD Modules.

Technical Questions

I am using my computer and the CD or DVD does not automatically play. What can I do?

Place your DVD or CD in the appropriate drive and select "My Computer" from the Start menu. Click the appropriate CD-ROM or DVD icon.

When I play the DVD on my computer, the image is small. How can I make it larger?

Right click on the video and choose "full screen" or "zoom" and the movie will appear larger on your screen.

Help! I am using my computer and am stuck in the CD and cannot get out!

Hit the escape (Esc) key and you will be able to quit.

I have no sound or the sound is not loud enough.

Check that your sound is turned on and that the volume control is not at the minimum setting. Check your computer’s owner's manual for directions and also check that your speakers are attached and are turned on.

Which web browser should I use for accessing the exam?

The HandLab website and Education Center works best with modern browsers such as Google Chrome, Mozilla FireFox, Safari, and the latest version of Internet Explorer. Our website does not work well with outdated versions of Internet Explorer. Please make sure you are using the most up to date version of your browser if you are having technical difficulties.


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