Prognostic Approach for Managing Adverse Outcomes in Upper Extremity Fractures
Section: Academy of Hand and Upper Extremity PT
Session Code: HR-2B-6397
Date: Friday, January 25, 2019
Time: 11:00 AM - 1:00 PM
Location: Marriott Marquis
Room: Independence Salon E

Speaker(s):   Joy MacDermid, PT, PhD
  Saurabh P. Mehta, PT, PhD
  Susan Stralka, PT,DPT,MS

Session Type: Educational Sessions
Session Level: Intermediate

Fall-related fractures are extremely common in individuals over the age of 50; fall-related upper extremity fractures”those affecting the shoulder/upper arm, forearm, or wrist/hand”have seen increased incidence. Physical therapy management has traditionally focused on addressing impairments such as pain, loss of movement, and overall upper extremity function. However, a growing body of evidence indicates the occurrence of more severe impairments that are neither screened for nor addressed following such fractures. The literature suggests that individuals are an elevated risk for falls, fall-related fragility fractures, and functional decline after experiencing a fall-related upper extremity fracture. Fall-related wrist fracture is an independent predictor of future hip fractures and is also considered a sentinel event indicating impaired bone health. Having wrist fracture increases the odds of functional decline by 48%. Risk for such adverse health outcomes creates tremendous challenge in assessing and treating individuals with fall-related upper extremity fractures beyond their impairments related to the primary injury. There have been efforts recently to improve physical therapists' understanding of screening for the risks of falls, fragility fractures, and functional decline after fall-related upper extremity fractures. The speakers will provide state-of-the-art evidence on the epidemiology of fall-related upper extremity fractures, summarize literature on the risk of adverse outcomes after such injury, and provide recommendations for screening for such risks. The presenters also will provide case examples and discuss the application of evidence to assessing and managing patients with fall-related upper extremity fractures.

Learning Objectives: Upon completion of this course, you will be able to:

1. Describe the epidemiology of fall-related upper extremity fractures (FUEF).

2. Discuss the literature describing the risk of adverse outcomes after FUEF.

3. Describe and critique the literature that has outlined prognostic indicators of adverse outcomes after FUEF.

4. Provide evidence-based recommendations in screening the risk profile of an individual with FUEF.

CEU: 0.2

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