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Home › Online Course Categories › Case Studies & Clinical Pearls › 203: Upper Extremities
Case Studies & Clinical Pearls 203 — at a Glance
| Course: | Upper Extremities · 2 CE hours · $40 |
| Faculty: | Monte Horne, DC · founder of CCEDseminars · 39+ years in practice · former Designated Doctor, Texas Department of Insurance |
| Format: | On-demand online video with handouts and assessment · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |
Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
Case Studies & Clinical Pearls 203 — Upper Extremities — is a chiropractic course that bridges the gap between academic theory and Monday-morning practice, mastering advanced clinical reasoning for complex shoulder, elbow, and wrist conditions through real-world scenarios drawn from 39 years of clinical experience. Dr. Monte Horne takes the doctor through the Clinical Audit Process — upper extremity neurodynamics used as objective proof of progress and documentation of medical necessity — into the “Shoulder Trap” that separates true subacromial impingement from C5/C6 radicular referral with a high-speed three-test sequence, and the elbow-wrist connection that isolates radial tunnel syndrome from chronic lateral epicondylosis through precise provocative maneuvers, with trench-tested protocols for the upper extremity kinetic chain refined across thousands of patient encounters.
The upper extremity is where a wrong first step costs the most visits: a shoulder treated for impingement that was a C6 root, a “tennis elbow” that was a radial tunnel, a wrist that was never the problem at all. This 2-hour online course — written by CCEDseminars' founder, a former Designated Doctor for the Texas Department of Insurance and a working expert witness and peer reviewer, and delivered with handouts — is the third region of the first-pass series, and it teaches the sixty-second separation of mechanical extremity pain from neurogenic referral. Every completion generates an instant certificate for your renewal file.
Choose Your Case Study Path — Three Lanes, One Curriculum
The catalog is organized as a curriculum, not a pile of hours — two complete head-to-foot regional series, then specialist case files on the conditions that fill a schedule. Work the regions in order, deepen with the second pass, or pull the file that matches this week's patient; the full catalog lives on the Case Studies & Clinical Pearls category page.
1 · The Regional Series — First Pass (201–206)
A complete head-to-foot tour of case-based diagnosis — the foundation lane. You are here: Case Studies & Clinical Pearls 203.
201: Headache Diagnosis & Clinical Pearls
202: The Cervical Spine
203: Upper Extremities
204: Thorax Conditions & Clinical Pearls
205: Lumbar Spine Diagnosis
206: Lower Extremity Conditions & Clinical Pearls
2 · The Regional Series — Second Pass (207–212)
The same regions revisited with new cases and deeper differentials — the lane that turns pattern recognition into judgment.
207: The Head II
208: The Cervical Spine II
209-A / 209-B: The Upper Extremities II, Parts I & II
210-A / 210-B: The Thorax II, Parts I & II
211: Lumbar Spine Conditions II
212: Lower Extremity Conditions II
3 · Specialist Case Files (213–221)
Board-credentialed faculty open their own files — condition-specific cases from orthopedic, sports, extremity, and nutrition practice.
213: Headache Management & Diagnosis
214: From Anatomy to Diagnoses
215: Case Studies Related to the TMJ
216: Disc Herniation
217: Spondylolisthesis Treatment
218: Carpal Tunnel Syndrome Treatment
219: TMD
220: Soft Tissue Injuries
221: Headache Management & Treatment
New case study courses are added to these lanes as faculty release them.
What You'll Learn in Case Studies & Clinical Pearls 203
• Execute the Clinical Audit Process (CAP): use upper extremity neurodynamics to provide objective proof of progress and document medical necessity.
• Identify “The Shoulder Trap”: differentiate true subacromial impingement from C5/C6 radicular referral with a high-speed three-test sequence.
• Analyze the Elbow/Wrist Connection: isolate radial tunnel syndrome from chronic lateral epicondylosis (tennis elbow) through precise provocative maneuvers.
• Implement trench-tested protocols for the upper extremity kinetic chain refined across thousands of patient encounters.
Your Case Study Faculty
Monte Horne, DC — instructor of this course and author of the fourteen-course regional core (201–212), both head-to-foot passes — is the founder of CCEDseminars and postgraduate faculty at Texas Chiropractic College: a 1985 graduate of Southern California University of Health Sciences with three years of postdoctoral training in chiropractic orthopedics, a peer-reviewed author in the Journal of Manipulative and Physiological Therapeutics, more than 39 years in practice, a former Designated Doctor for the Texas Department of Insurance, and a working expert witness and peer reviewer. The cases teach decision-making the way case review demands it: reasoning a second reader can follow.
Steven Yeomans, DC, FACO brings orthopedic board credentials to the three highest-stakes structural files — disc herniation, spondylolisthesis, and carpal tunnel syndrome (216–218) — the same conditions at the center of his documentation and personal injury teaching.
Heather Wright, DC, CCEP teaches headache management and diagnosis, the anatomy-to-diagnosis bridge, and TMJ case studies (213–215) with an extremity-certified chiropractor's structural precision, and Howard Benedikt, DC, DCBCN — board-certified in clinical nutrition — works the TMD and headache management files (219, 221) where structure, physiology, and nutrition intersect. Dennis O'Hara, DC, DACBSP opens the soft tissue injury file (220) with a sports diplomate's tissue-healing timeline.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Case Study Hours Count — State Rules Worth Knowing
Case study coursework is clinical subject matter in its purest form — assessment, diagnosis, and case management — which is exactly what several state boards ask for. In Iowa, these hours feed the 36-hour clinical case-management minimum (this category is case management by name and by content); in Rhode Island, they serve the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns no credit at all — patient-care education like this counts fully under the clinical-focus rule.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Case Study Block
Most courses in the series run 2 hours at $40; the four Series II split-courses (209-A/B, 210-A/B) run 1 hour at $20 each, so the automatic discounts stack naturally: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — the full first-pass regional series (201–206, 12 hours) lands at roughly $192 instead of $240, and all 42 hours at roughly $672 instead of $840, with no promo codes. The natural pairing for this course is its lane partner, 204 Thorax Conditions & Clinical Pearls — the next region in the first pass — plus 202 The Cervical Spine for the root-level referral behind the Shoulder Trap, 209-A / 209-B The Upper Extremities II for the second-pass cases, and 218 Carpal Tunnel Syndrome Treatment, the specialist file at the end of the same kinetic chain. Browse Case Studies & Clinical Pearls Courses
Case Studies & Clinical Pearls 203 — Frequently Asked Questions
What does Case Studies & Clinical Pearls 203 cover?
The upper extremity case by case: the Clinical Audit Process, which uses upper extremity neurodynamic tension testing as a pre- and post-adjustment documentation tool that provides objective proof of progress and medical necessity; the “Shoulder Trap” — a high-speed three-test sequence that differentiates true subacromial impingement from C5/C6 radicular referral; the elbow-wrist connection that isolates radial tunnel syndrome from chronic lateral epicondylosis through precise provocative maneuvers; and trench-tested, office-ready protocols for recalcitrant shoulder, elbow, and wrist pathologies. Also known as upper extremity differential diagnosis CE, shoulder impingement versus cervical radiculopathy course, radial tunnel versus tennis elbow, neurodynamic testing for chiropractors, and upper extremity clinical pearls.
How many CE hours is Case Studies & Clinical Pearls 203, and what is the format?
2 CE hours, fully online and self-paced — a recorded online presentation with handouts, available 24/7 to pause and resume at any time, followed by an assessment. Your certificate is available in your account immediately upon successful completion, and you have up to one year from the date of purchase to complete the course.
How do I tell true shoulder impingement from a C5/C6 nerve root referral?
That is the Shoulder Trap, and the course gives it a three-test sequence built for speed — the maneuvers that load the subacromial space against the ones that load the cervical root, read together so the answer arrives in under a minute rather than after three weeks of the wrong treatment. The same logic then carries to the elbow and wrist: the provocative maneuvers that separate radial tunnel syndrome from lateral epicondylosis, and the neurodynamic tests that show whether the arm complaint is mechanical or neurogenic.
Is this course accepted for my state's chiropractic license renewal?
Case Studies & Clinical Pearls 203 is a PACE Provider #34015544 program co-sponsored by Texas Chiropractic College and is accepted in most U.S. states plus the District of Columbia and Puerto Rico, seven Canadian provinces, and more than 50 international jurisdictions. The complete approval list appears at the bottom of this page, and your state's online-hour rules are summarized in its CE guidelines page.
How do discounts and certificates work?
Courses are $20 per credit hour, and discounts apply automatically in a single order — 10% off at 6–9 hours, 20% off at 10 or more. No promo codes. Each completion generates an instant certificate with a permanent copy in your account dashboard, and CE Broker reporting is handled automatically for states served.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Case Studies & Clinical Pearls 203?
2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 204 to continue the first-pass regional series.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 1, 2026 (CT)