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Home › Online Course Categories › Case Studies & Clinical Pearls › 209-A: The Upper Extremities II Part I
Case Studies & Clinical Pearls 209-A — at a Glance
| Course: | The Upper Extremities II, Part I — Shoulder to Hand Differentials · 1 CE hour · $20 |
| Faculty: | Monte Horne, DC · founder of CCEDseminars, 39+ years in practice, expert witness and peer reviewer |
| Format: | On-demand online video with case walk-throughs and assessment · downloadable handouts · 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
Upper extremity conditions arrive with overlapping symptoms that baffle the standard orthopedic exam — and Case Studies & Clinical Pearls 209-A is the hour that sorts them out. Drawing on 39 years of trench-tested practice, Dr. Monte Horne walks advanced case studies of the shoulder, elbow, wrist, and hand, built around the one question that changes the treatment plan: is this local joint pathology, or proximal neurological referral arriving from the neck?
Two pearls anchor the hour. The scapular "ghost" — scapular dyskinesis that mimics rotator cuff pathology — is exposed by wall-push and resisted retraction maneuvers that name the true driver of chronic shoulder impingement. And double crush differentiation gives you the clinical sequencing to decide whether hand numbness is isolated carpal tunnel syndrome or a double crush involving the cervical spine or thoracic outlet. This 1-hour online course pairs with 209-B to complete the upper extremity second pass, and 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 — 23 courses and 42 CE hours covering every region head-to-foot across two series, plus specialist case files. Start in the lane that matches your patient mix; 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.
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. You are here: Case Studies & Clinical Pearls 209-A.
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 files are added to these lanes as faculty release them.
What You'll Learn in Case Studies & Clinical Pearls 209-A
• Differentiate local joint pathology from proximal neurological referral across the shoulder, elbow, wrist, and hand — the reasoning that decides whether you treat the extremity or the neck.
• Use neurodynamic tension tests for the median and ulnar nerves as objective Clinical Audit measures — demonstrating immediate change in grip strength and sensory perception after your adjustment, instead of "it feels better."
• Identify the scapular "ghost" — scapular dyskinesis that mimics rotator cuff pathology — using wall-push and resisted retraction maneuvers that expose the true driver of chronic shoulder impingement.
• Master double crush differentiation: the clinical sequencing that separates isolated carpal tunnel syndrome from a double crush involving the cervical spine or thoracic outlet — and document it in courtroom-defensible form.
Your Case Studies & Clinical Pearls Faculty
Monte Horne, DC — instructor of this course — authors the fourteen-course regional core (201–212), drawing on 39+ years of practice, service as a former Designated Doctor for the Texas Department of Insurance, and ongoing work as an expert witness and peer reviewer. Founder of CCEDseminars and postgraduate faculty for Texas Chiropractic College, Dr. Horne teaches clinical reasoning, orthopedics, documentation, and medicolegal standards; his 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.
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 — assessment, diagnosis, and case management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum (this category is case management, by name and by content); in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — 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
This is one of the four Series II split-courses — 1 hour at $20, where most courses in the series run 2 hours at $40 — so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — the full second-pass series, or all 42 hours at roughly $672 instead of $840, with no promo codes. The natural pairing is 209-B The Upper Extremities II, Part II, which completes this region in a second hour; 208 The Cervical Spine II covers the nerve roots these cases refer from, and 203 Upper Extremities is the first-pass companion to this course. Browse Case Studies & Clinical Pearls Courses
Case Studies & Clinical Pearls 209-A — Frequently Asked Questions
What does Case Studies & Clinical Pearls 209-A cover?
Advanced second-pass case studies of the upper extremity — shoulder, elbow, wrist, and hand: differentiating local joint pathology from proximal neurological referral; neurodynamic tension tests for the median and ulnar nerves as Clinical Audit measures of grip strength and sensory change; the scapular "ghost" — scapular dyskinesis mimicking rotator cuff pathology — exposed by wall-push and resisted retraction; and double crush differentiation separating isolated carpal tunnel syndrome from a double crush involving the cervical spine or thoracic outlet. Also known as upper extremity examination for chiropractors, double crush syndrome CE, ulnar nerve entrapment case studies, thoracic outlet syndrome differentiation, and neurodynamic testing training.
How many CE hours is Case Studies & Clinical Pearls 209-A, and what is the format?
1 CE hour, fully online and self-paced — this is Part I of a two-part course, and 209-B carries the second hour. Course video with case walk-throughs plus downloadable handouts, followed by an assessment. Your certificate is available in your account immediately upon completion, and enrollment includes one year of access.
Is my patient's hand numbness carpal tunnel, or is it coming from the neck?
That question is the spine of this course. Double crush differentiation gives you the clinical sequencing to decide whether hand numbness is isolated carpal tunnel syndrome or a double crush involving the cervical spine or thoracic outlet, and the median and ulnar neurodynamic tension tests give you an objective measure that changes in front of you after the adjustment. The same reasoning separates true rotator cuff pathology from the scapular dyskinesis that imitates it. No prerequisites; the series may be taken in any order.
Is this course accepted for my state's chiropractic license renewal?
Case Studies & Clinical Pearls 209-A 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, six 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 209-A?
1 CE hour · $20 · online & self-paced · instant certificate. Add it to your cart, or pair it with 209-B for the complete upper extremity second pass.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)