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Home › Online Course Categories › Case Studies & Clinical Pearls › 209-B: The Upper Extremities II Part II
Case Studies & Clinical Pearls 209-B — at a Glance
| Course: | The Upper Extremities II, Part II — Elbow, Wrist & Hand · 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
Part II carries the upper extremity into its most specific territory — the elbow, wrist, and hand, and the chronic cases that have already failed somebody else's treatment. Dr. Monte Horne brings 39 years of clinical insight to the question every recalcitrant extremity case asks: what is the missing link? These are the presentations where the diagnosis is right in outline and wrong in detail, and where the correction sits a joint or two away from the pain.
In the wrist and hand, objective change is measured in millimeters of motion and pounds of pressure — so grip strength and specific joint play testing become the Clinical Audit, letting you show the patient the immediate neurological reset that follows an extremity adjustment. Two pearls anchor the hour: separating true tendon pathology from radial nerve entrapment in recalcitrant lateral epicondylalgia, and using the scaphoid and lunate — with the proximal radius that is so often the missing key — to decompress the carpal canal behind distal hand numbness. This 1-hour online course completes the upper extremity second pass begun in 209-A, 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-B.
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-B
• Identify the missing link in chronic elbow, wrist, and hand cases that have failed previous interventions — the detail that was right in outline and wrong in specifics.
• Use grip strength and specific joint play testing as Clinical Audit measures in the micro-joints — objective change in millimeters of motion and pounds of pressure that shows the patient the neurological reset after an extremity adjustment.
• Differentiate true tendon pathology from radial nerve entrapment in lateral epicondylalgia, and apply the neurodynamic release and adjustive vectors that relieve recalcitrant tennis elbow.
• Master the carpal tunnel anchor: adjusting the scaphoid and lunate to decompress the carpal canal, and the proximal radius adjustment that is often the missing key to distal hand numbness.
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-A The Upper Extremities II, Part I, the first hour of this region; 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-B — Frequently Asked Questions
What does Case Studies & Clinical Pearls 209-B cover?
Part II of the upper extremity second pass, focused on the elbow, wrist, and hand: finding the missing link in chronic extremity cases that failed previous interventions; grip strength and specific joint play testing as Clinical Audit measures of the neurological reset after an extremity adjustment; differentiating true tendon pathology from radial nerve entrapment in recalcitrant lateral epicondylalgia, with the neurodynamic release and adjustive vectors that relieve it; and adjusting the scaphoid and lunate — plus the proximal radius — to decompress the carpal canal behind distal hand numbness. Also known as tennis elbow chiropractic CE, radial nerve entrapment case studies, carpal tunnel decompression adjusting, wrist and hand extremity adjusting, and grip strength testing training.
How many CE hours is Case Studies & Clinical Pearls 209-B, and what is the format?
1 CE hour, fully online and self-paced — this is Part II of a two-part course, and 209-A carries the first 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.
My patient's tennis elbow hasn't responded to treatment — what does this course offer?
Recalcitrant lateral epicondylalgia is one of the two cases this hour is built around. The course separates true tendon pathology from radial nerve entrapment — a distinction that explains why tendon-directed care stalls — and teaches the neurodynamic release and adjustive vectors that address the nerve when the nerve is the driver. The same missing-link logic runs the carpal tunnel case: the scaphoid, lunate, and proximal radius often hold the answer to distal hand numbness. 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-B 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-B?
1 CE hour · $20 · online & self-paced · instant certificate. Add it to your cart, or pair it with 209-A for the complete upper extremity second pass.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)