Course Overview

Upper extremity conditions frequently present with overlapping symptoms that baffle the standard orthopedic exam. Building on 39 years of "trench-tested" experience, Dr. Monte Horne presents a series of advanced case studies involving the shoulder, elbow, wrist, and hand. This course focuses on the clinical reasoning required to differentiate local joint pathology from proximal neurological referral.

Clinical Outcomes: Monday Morning Value

Advanced Extremity Clinical Audit (CAP)

Move beyond "it feels better." Learn to use specific **Neurodynamic Tension Tests** for the Median and Ulnar nerves as objective Clinical Audits to demonstrate immediate functional changes in grip strength and sensory perception following your adjustment.

Upper Extremity II Pearls

The Scapular "Ghost"

Identifying scapular dyskinesis that mimics rotator cuff pathology. Learn the wall-push and resisted retraction maneuvers that expose the true driver of chronic shoulder impingement.

Double Crush Differentiation

Master the clinical sequencing to determine if a patient's hand numbness is isolated Carpal Tunnel or part of a "Double Crush" involving the cervical spine or thoracic outlet.