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Home › Radiology CE Courses › Radiology 209: Degenerative & Miscellaneous Conditions of the Upper Extremity
Radiology 209: Degenerative & Miscellaneous Conditions of the Upper Extremity — At a Glance
| Course | Radiology 209 · 2 CE hours · $40 |
| Faculty | Sandra Norton, DC, DACBR · Diplomate, American Chiropractic Board of Radiology |
| Format | Online, on-demand — start immediately |
| Pricing | $40 for 2 CE hours — $20 per hour; multi-course discounts apply automatically in the cart |
| Approval | PACE Provider #34015544 · TCC co-sponsored |
PACE Provider #34015544 · Co-sponsored by Texas Chiropractic College · Completions reported to CE Broker
The shoulder, elbow, wrist and hand carry a lifetime of load, and their films show it — the skill is telling ordinary wear from the impingement, the cuff tear or the inflammatory process that changes the plan. Radiology 209 is the upper-extremity half of the degenerative series: a two-hour review of degenerative joint disease from the shoulder to the hand.
Sandra Norton, DC, DACBR, works the shoulder first — impingement syndromes and rotator cuff tears among them — then reviews the degenerative and inflammatory conditions of the elbow, wrist and hand, building the critical radiographic findings at each joint.
Where This Course Fits — Three Radiology Lanes
You are here: Lane 2, Radiology 209 — the degenerative series, shoulder to hand. Seventeen courses organize into three working lanes: learn normal first, then trauma and degeneration, then the pathologies that change management.
1. Normal Variants — Read Normal First
The foundation of interpretation: knowing the variant that mimics pathology, and the pathology that hides as a variant.
201: Cervical Spine Variants · 202: Thoracic Spine Variants · 204: Lumbar Spine Variants · 207: Introduction to Degenerative Disorders
2. Trauma & Degenerative Disease ◀ You are here
The films your practice generates — acute trauma and the aging spine and extremities.
205: Cervical Trauma · 206: Thoracic & Lumbar Trauma · 203: Joint Degeneration of the Spine & Extremities · 208: Degenerative Conditions of the Pelvis & Leg · 209: Degenerative Conditions of the Upper Extremity
3. Arthropathies, Tumors & the Case-Study Trilogy
The findings that change management, and three case-study courses that train the eye on real films.
211: Rheumatoid Arthritis · 213: Seronegative Spondyloarthropathies · 214: Crystal Deposition Diseases · 216: Primary Bone-Forming Tumors · 218: Pediatric Radiology · 210, 212, 217: Case Studies in Radiology I–III
What You'll Learn
- Detailed examination of degenerative joint diseases across the upper extremity
- Insightful discussion on impingement syndromes, rotator cuff tears, and more
- Comprehensive review of degenerative and inflammatory conditions in the elbow, wrist, and hand
Reference
Reference: Upper limb radiography. Radiopaedia.org, radiology reference article. https://radiopaedia.org/articles/upper-limb-radiography
Your Faculty
Sandra Norton, DC, DACBR — Diplomate of the American Chiropractic Board of Radiology. She teaches 12 of the 17 courses in this category: the complete normal-variants sequence, both trauma courses, the degenerative series, pediatric radiology and all three case-study courses — a radiologist’s residency curriculum, compressed for the practicing DC.
Also teaching in the category: Wesley Duval, DC, DACBR · Diplomate, American Chiropractic Board of Radiology · joint degeneration, rheumatoid arthritis, the seronegative spondyloarthropathies, crystal deposition diseases and primary bone-forming tumors.
Credit, Reporting & State Rules
Radiology 209 is a 2-hour on-demand course, PACE-recognized and co-sponsored by Texas Chiropractic College — the approval pathway most boards accept for online chiropractic CE. Its approval list renders at the bottom of this page, straight from the course record; that list is the one to trust.
Radiology coursework is clinical subject matter — imaging interpretation, diagnosis and referral decision-making — which serves the clinical-hour structures many states impose, such as Iowa’s 36-hour clinical case-management minimum, Rhode Island’s 50-of-60 clinical requirement and Vermont’s clinical-focus rule. Most boards also cap the share of a renewal that can be earned online; check how your board counts it before relying on these hours for a specific requirement.
Texas: licensees can verify provider status through the Texas Board of Chiropractic Examiners. For every other state and province, start at the CE guidelines directory.
Build Your Radiology Block — or Take the Credential
$40 for 2 CE hours — $20 per hour. Take it after 207 (the introduction to degenerative disorders) and with 203 and 208 — the degenerative series runs spine, lower extremity, upper extremity, one method per region.
Multi-course discounts apply automatically in the cart — 10% at 6–9 hours, 20% at 10 or more, no promo code. 203 + 208 + 209 is a 6-hour degenerative block: $108 instead of $120.
Building toward the credential? Radiology 201–212 make up the 24-hour Chiropractic Radiology Certification (CRC) bundle — a single $480 checkout, taught by DACBR faculty.
Frequently Asked Questions
What does Radiology 209 cover?
A two-hour review of degenerative and miscellaneous conditions of the upper extremity for chiropractors: degenerative joint disease across the shoulder, elbow, wrist and hand; the impingement syndromes and rotator cuff tears of the shoulder; and the degenerative and inflammatory conditions of the elbow, wrist and hand, with the critical radiographic findings that separate them. Also known as shoulder degeneration radiology CE, upper-extremity imaging CE, rotator cuff and impingement imaging CE or chiropractic radiology CE.
Who teaches it, and is it for chiropractors?
Sandra Norton, DC, DACBR, a Diplomate of the American Chiropractic Board of Radiology — the profession’s own imaging specialty board. The course is written for practicing chiropractors who take and read their own shoulder, elbow, wrist and hand films, and it stays inside chiropractic scope: interpretation, differentiation and the referral decision. It is PACE-recognized and co-sponsored by Texas Chiropractic College.
My patient has chronic shoulder pain and the film shows degenerative change — what else should I be looking for?
Radiology 209 starts at the shoulder for that reason. Alongside degenerative joint disease, the course covers the impingement syndromes and rotator cuff tears that leave their own signature on the film, so a degenerative shoulder is read for what sits behind the pain rather than reported as wear alone. It then carries the same differentiation down the arm — degenerative versus inflammatory change at the elbow, wrist and hand — so the finding is placed in context before a treatment or referral decision is made. The reference drawer links Radiopaedia’s overview of upper limb radiography.
How is the course delivered, and when do I get my certificate?
Recorded video you can watch on any device, with one year of access from purchase. Pass the short post-test and your certificate is available immediately. For states served by CE Broker, completion is reported automatically.
What should I take after Radiology 209?
Radiology 208 Degenerative Conditions of the Pelvis & Leg is this course’s companion — the same method below the waist — and 203 Joint Degeneration of the Spine & Extremities and 207 Introduction to Degenerative Disorders complete the degenerative series. For the inflammatory side of the hand and wrist, 211 Rheumatoid Arthritis follows. Radiology 201–212 make up the 24-hour Chiropractic Radiology Certification (CRC) bundle.
State approval and licensing reminder. Approval status for this course is listed below. Online-hour caps, subject classification and scope rules vary by board; confirm your own state’s rules before relying on this course for a specific requirement.
Ready to read the degenerative shoulder, elbow and hand?
Radiology 209 · 2 CE hours · $40 · instant certificate
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated November 7, 2026 (CT)