95.1 Management of Extensor and Flexor Tendon Injuries: A Study of Relational Anatomy, Evidence and Treatment



Management of Extensor and Flexor Tendon Injuries: A Study of Relational Anatomy, Evidence and Treatment

Friday & Saturday, May 19-20th 2023

Hilton Garden Inn Palm Beach Gardens
3505 Kyoto Gardens Dr, Palm Beach Gardens, FL 33410
Palm Beach Gardens, Florida 33410
1 561-694-5833

Format: LIVE (in-person)

18 Contact Hours; 1.8 Continuing education units
This course is ideal for therapists who are preparing for the CHT Exam or who are pursuing a study of the upper extremity. The course will advance understanding of a range of upper extremity diagnoses and treatments while expanding your clinical reasoning via case study analysis regardless of your level of experience.
Level: Intermediate
Course Description:
Participants will actively participate in the detailed study of extensor and flexor tendon anatomy, historic and recent evidence and the latest treatment considerations relating to extensor and flexor tendon injuries.  Participants will study the anatomical relationships between the extrinsic extensor and flexor anatomy and the intrinsic anatomy of the hand.  This course will employ didactic presentation, group discussion, drawing labs and case presentation.  Presentation and lab formats will foster an environment of collaborative interaction that promotes independent and group problem-solving and skill development.
Learning Outcomes Assessment Methods: The learner will demonstrate the ability to recognize and treatment make judgments based on anatomy and evidence-based interventions by verbally reciting, drawing and discussing to group partners. The learner will then put anatomical and pathological concepts together to create new and novel constructs of learning.



The learner will:

  • Advance understanding of normal anatomy surrounding extensor and flexor tendon injuries
  • Advance working knowledge of the anatomy of the flexor digitorum profundus and flexor superficialis tendons from origin to insertion and describe the function and zone classification of each
  • Determine structural and anatomical considerations of each extensor and flexor tendon zone
  • Increase understanding of the phases of tendon healing following repair
  • Establish clinical rationale for the anatomical and biomechanical importance of the extrinsic extensor mechanism, the flexor pulley system and the balance between the two
  • Advance understanding of surgical techniques used to repair tendons in regards to suture technique, placement, and strength and detail the rationale for common extensor and flexor tendon rehabilitation protocols
  • Advance working knowledge of the etiology paradoxical extension and its role in treating flexor tendon injuries
  • Increase understanding of the normal relationship between the flexor digitorum profundus tendon  and the lumbrical muscle
  • Establish clinical rationale and evidence of the modulating and proprioceptive role of the lumbrical muscle in relation to the flexor digitorum profundus muscle
  • Introduce clinical framework for understanding the potential of a spectrum of paradoxical extension following Zone II flexor digitorum profundus tendon injuries


Mike Cricchio, MBA, OT/L, CHT
Why Attend:
The Teton Hand and Upper Extremity Conference Series, LLC has been providing professional education for occupational and physical therapists for twenty years. We specialize in the study of anatomy and treatment of upper extremity pathology utilizing an innovative learning model that couples intense education with outdoor recreation.
We recognize the changing and challenging healthcare environment and strive to provide professional education that emboldens the therapist with a foundational knowledge of anatomy, clinical reasoning, and problem-solving requisite for evidence-based practice and patient-centered clinical decisions.
10 reasons to join us in Palm Beach Gardens!
  1. 20 years of providing exceptional education of the upper extremity
  2. Matchless educational format–didactic, lab and case study format; excellent methods to advance clinical problem-solving
  3. An intimate, welcoming conference setting conducive to audience participation, peer exchange, and peerless education
  4. Destination location, limitless recreation/entertainment for all ages.
  5. Shop like a pro in Palm Beach Gardens, with a retail scene that rivals the golf. The Gardens Mall has high-end department stores and runway-ready designer labels, while the open-air Downtown at the Gardens offers more than 50 boutiques, restaurants and a movie theater. Still more retail therapy awaits at Legacy Place, PGA Commons and Mainstreet at Midtown.
  6. “At the storied PGA National Resort, you’ll find five championship courses that are as challenging as they are picturesque. The Champion – first designed by Tom and George Fazio and recently reimagined by Jack Nicklaus (The Golden Bear) – ranks as the most difficult course in Florida. Each winter, the course draws the world’s top players to compete in the Honda Classic, a premier event on the PGA TOUR. The course is infamous for its challenging three-hole stretch – The Bear Trap – named after Nicklaus himself.
  7. If you prefer shades of blue over greens, join Lacuna Tours for a sightseeing eco tour or family-friendly fishing trip in the Lake Worth Lagoon. Whether you’ve spent a relaxing day on the fairway, shopping or on the water, reward yourself with a craft brew from Twisted Trunk Brewing Company and sip an IPGA Eldorado-hopped IPA at the taproom bar, beautifully crafted from the wood of a 100-year-old elm.
  8.  https://www.thepalmbeaches.com/explore-cities/palm-beach-gardens
  9. Non-stop flights into Palm Beach International from cities across the United States (see Travel section below)
  10. Walking distance to fine food & shopping:
    City Center: 0.25 miles
    Downtown at the Gardens: 0.20 miles
    Gardens Mall: 0.50 mile



8-9:30am: Relational Anatomy of the Flexor Tendons

9:30-10:30am: The Biology of Flexor & Extensor Tendons

10:30-10:45am Break

10:45-11:45am: Historical and Present-Day Evidence Regarding Flexor Tendon Management

11:45-12:15pm: Flexor Tendon Case

12:15-1:15pm Lunch

1:15-2:45pm: Clinically Applying Flexor Tendon Anatomy to Treatment

2:45-4:00pm: Differential Flexor Tendon Management Based on Zone of Injury

4:00-4:30pm: Application of Flexor Tendon Knowledge: Flexor Tendon Case

4:30-6:30pm: Relational Anatomy of the Extensor Tendons



8-9:30am: Historical and Present-Day Evidence Regarding Extensor Tendon Management

9:30-10:30am: Clinically Applying Extensor Tendon Anatomy to Treatment

10:30-10:45am Break

10:45-11:45am: Differential Extensor Tendon Management Based on Zone of Injury

11:45-12:15pm: Application of Extensor Tendon Knowledge:  Extensor Tendon Case

12:15-1:15pm Lunch

1:15pm-3:00pm: The Homunculus and the Hand

3:00-3:15pm Break
3:15-4:15: The Lumbricals (didactic & lab)
4:15-6:30pm: Zone II Flexor Digitorum Profundus Tendon Injuries and Paradoxical Extension: A Discussion Regarding a Potential ‘Spectrum’ of Paradoxical Extension

Non-Stop Flights from Palm Beach International

Air Canada

Now Serving:

  • Montreal (YUL)
  • Toronto (YYZ)

Allegiant Airlines

Now Serving:

  • Asheville (AVL)
  • Cincinnati (CVG)
  • Knoxville (TYS)
  • Minneapolis (MSP)
  • Pittsburgh (PIT)

Upcoming Service:

  • Indianapolis (IND) | February 16, 2023

American Airlines

Now Serving:

  • Charlotte (CLT)
  • Chicago (ORD)
  • Dallas/Fort Worth (DFW)
  • Philadelphia (PHL)
  • Washington (DCA)

Avelo Airlines

Now Serving:

  • New Haven (HVN)

Upcoming Service:

  • Wilmington (ILG) | February 4, 2023
  • Raleigh-Durham (RDU) | February 17, 2023


Now Serving:

  • Marsh Harbour (MHH)

Breeze Airways

Now Servicing:

  • Akron/Canton (CAK)
  • Charleston (CHS)
  • Columbus (CMH)
  • Norfolk (ORF)

Delta Air Lines

Now Serving:

  • Atlanta (ATL)
  • Boston (BOS)
  • Detroit (DTW)
  • Minneapolis (MSP)
  • New York (JFK)
  • New York (LGA)

Frontier Airlines

Now Serving:

  • Atlanta (ATL)
  • Denver (DEN)
  • Islip (ISP)
  • Philadelphia (PHL)
  • Trenton (TTN)

JetBlue Airways

Now Serving:

  • Boston (BOS)
  • Hartford (BDL)
  • Newark (EWR)
  • New York (JFK)
  • New York (LGA)
  • Providence (PVD)
  • Washington (DCA)
  • Westchester (HPN)

Upcoming Service:

  • Los Angeles (LAX) | February 16, 2023

Southwest Airlines

Now Serving:

  • Atlanta (ATL)
  • Baltimore (BWI)
  • Islip (ISP)

Spirit Airlines

Now Servicing:

  • Atlantic City (ACY)

Sun Country Airlines

Now Serving:

  • Minneapolis (MSP)

United Airlines

Now Serving:

  • Chicago (ORD)
  • Houston (IAH)
  • Newark (EWR)
  • Washington (IAD

Cancellation Policy (attendee)

Written requests for refunds received 28 days by the conference director by will be granted. All funds, minus a $100 processing fee, will be returned to the registrant. No refunds will be issued for missed events, including sessions missed due to personal reasons. Hotel reservations must be made and cancelled through the host hotel. Within 28 days of the conference start date , no refunds will be granted for any reason.

Cancellation and Refund Policy (provider)

In the event the Teton Hand and Upper Extremity Conference Series, LLC has to cancel the noted scheduled event. The Teton Hand conference will refund conference registration at 100%.


The Teton Hand and Upper Extremity Conference Series, LLC has financial interest, along with UF innovate, in the sale of the Dell Hand. This conference is designed for educational purposes and the Dell Hand will not be promoted beyond its educational design. The Dell Hand is not available for sale at the conference. As the inventor of The Dell Hand and owner of The Teton Hand and Upper Extremity Conference Series, LLC, Mike Cricchio also has a non-finaicial professional relationship that might present a bias.

Special Need Requests

The Teton Hand and Upper Extremity Conference Series, LLC will create a learning environment will accommodate teaching strategies for, and the environmental comfort of, the learner in a supportive and non-threatening atmosphere, as well as the accessibility needs of learners with disabilities.

The Teton Hand and Upper Extremity Conference Series, LLC is an AOTA Approved Provider of professional development. Course approval ID#6280. This LIVE (in-person) is offered at 1.8 CEUs, Intermediate level, OT service delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


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