Hand Therapy Certification Examination case studies
CHT · Put your knowledge to work in context.
The Certified Hand Therapist (CHT) credential is awarded by the Hand Therapy Certification Commission to occupational therapists and physical therapists who meet advanced experience requirements and pass a comprehensive examination of advanced clinical skills and theory in upper limb rehabilitation. According to HTCC, a CHT has a minimum of three years of clinical experience, including 4,000 hours or more in direct practice in hand therapy. The CHT case studies are 5 cases and about 1,952 words.
1Post-ORIF Distal Radius: Stiffness vs. Tendon Risk
A 46-year-old warehouse picker is 9 weeks post volar plate ORIF of a right distal radius fracture. Radiographs show healed bone and a plate at the watershed line.
440 words, about 2 min2Median Nerve Symptoms After Forearm Laceration
A 29-year-old chef sustained a glass laceration to the volar distal forearm 5 weeks ago, repaired primarily without documented nerve exploration. He now reports numbness in the thumb, index and middle fingers, worse at night, and drops small objects.
402 words, about 2 min3Complex Elbow Contracture: Prioritising a Limited Number of Visits
A 58-year-old retired teacher is 14 weeks after a conservatively managed radial head fracture with an associated elbow dislocation. She has 30-100 degrees of elbow flexion/extension, forearm pronation 40 degrees, supination 20 degrees, and reports end-range pain.
416 words, about 2 min4Burn Scar Contracture Across the Antecubital Fossa
A 34-year-old man is 6 weeks after a deep partial-thickness flame burn to the volar forearm and antecubital fossa, now healed with a firm, erythematous scar. Elbow extension is limited to 20 degrees from full, and the scar bands cross the antecubital crease.
370 words, about 2 min5Return-to-Work Decision for a Hairdresser with De Quervain Tendinopathy
A 41-year-old hairdresser has a 4-month history of radial wrist pain, positive Finkelstein and Eichhoff tests, and pain with thumb abduction. She has had one corticosteroid injection 6 weeks ago with partial, temporary relief.
324 words, about 2 min