Case Studies & Clinical Pearls

Case Studies & Clinical Pearls 212: Lower Extremity Conditions II | CCEDseminars

<< Back to online CE course category

A clinical photograph of a patient's knees with a focal red heatmap overlaying the right patellofemoral region. This visual supports the clinical pearls in CCEDseminars Case Studies 212, focusing on advanced differential diagnosis of patellar tracking disorders, meniscus injuries, and lower extremity biomechanical dysfunction.
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Monte Horne, DC
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

HomeOnline Course CategoriesCase Studies & Clinical Pearls212: Lower Extremity Conditions II

Clinician in scrubs placing reflective motion-capture markers on a seated patient's knee and foot in a gait analysis laboratory — Case Studies & Clinical Pearls 212: Lower Extremity Conditions II, online chiropractic CE course on hip, ankle, and gait mechanics

Case Studies & Clinical Pearls 212 — at a Glance

Course:Lower Extremity Conditions II — Hip Capsule, Ankle Mortise & Gait · 2 CE hours · $40
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

Check your state's CE guidelines  |  Meet the faculty

Add Course to Cart

Texas Chiropractic College co-sponsorFCLB PACE recognized CE providerPropelus CE Broker auto-reporting provider

Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate

Success in extremity management lies in the ability to decode the kinetic chain — and Case Studies & Clinical Pearls 212 is where that reading gets specific. Dr. Monte Horne brings 39 years of clinical data to complex lower extremity scenarios, from post-surgical hip limitations to chronic plantar fasciosis, with the adjustive pearls and neurological audits that make extremity work as precise as spinal care.

The lower extremity demands functional proof, so single leg squat symmetry and ankle end-feel analysis become the Clinical Audit — showing the patient in real time exactly how their gait mechanics shifted after the adjustment. This 2-hour online course works two cases that decide extremity outcomes: separating true labral pathology from simple capsular restriction, with the long-axis distraction vectors and scooping maneuvers that restore joint space and relieve groin pain; and the mortise reset, where a talar subluxation drives chronic ankle instability and the proximal fibula turns out to be the missing link in recurring sprains. 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 212.

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 212

• Decode the kinetic chain in complex lower extremity cases — from post-surgical hip limitation to chronic plantar fasciosis — with adjustive pearls that match the precision of your spinal work.

• Use single leg squat symmetry and ankle end-feel analysis as Clinical Audit measures — functional proof the patient can see, showing exactly how gait mechanics shifted after the adjustment.

• Differentiate labral pathology from simple capsular restriction, and apply the long-axis distraction vectors and scooping maneuvers that restore joint space and alleviate groin pain.

• Master the mortise reset: identifying the talar subluxation behind chronic ankle instability, and why adjusting the proximal fibula is the missing link for patients with recurring sprains.

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

Most courses in the series run 2 hours at $40 (the four Series II split-courses, 209-A/B and 210-A/B, run 1 hour at $20 each), 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 for this course is 211 Lumbar Spine Conditions II, which sits directly above it in the kinetic chain and closes the second-pass regional series; 206 Lower Extremity Conditions & Clinical Pearls is the first-pass companion to this course. Browse Case Studies & Clinical Pearls Courses

Case Studies & Clinical Pearls 212 — Frequently Asked Questions

What does Case Studies & Clinical Pearls 212 cover?

Second-pass case studies of the lower extremity: decoding the kinetic chain from post-surgical hip limitation to chronic plantar fasciosis; differentiating labral pathology from capsular restriction with long-axis distraction vectors and scooping maneuvers for groin pain; the mortise reset, identifying the talar subluxation behind chronic ankle instability and the proximal fibula adjustment that resolves recurring sprains; and single leg squat symmetry and ankle end-feel analysis as Clinical Audit measures of gait mechanics. Also known as extremity adjusting CE, hip labral versus capsular restriction, chronic ankle instability chiropractic, plantar fasciosis management, and lower extremity differential diagnosis.

How many CE hours is Case Studies & Clinical Pearls 212, and what is the format?

2 CE hours, fully online and self-paced — 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 keeps re-spraining the same ankle — what am I missing?

That is the mortise reset, one of the two cases this course is built around. Recurring sprains usually mean a talar subluxation was never corrected, and the proximal fibula is frequently the missing link that keeps the ankle unstable — the course teaches how to identify both and how to adjust them. The companion pearl works the hip: separating true labral pathology from simple capsular restriction, with the long-axis distraction and scooping maneuvers that restore joint space and relieve groin pain. 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 212 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 212?

2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 211 to complete the second-pass regional series.

Add to Cart → View the Full Series

CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Saskatchewan, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chile, Colombia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Germany, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, Netherlands, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,