HTCC CCE study materials
HTCC CCE study resources

HTCC CCE case studies

HTCC CCE · Put your knowledge to work in context.

The Certified Hand Therapist (CHT) credential is awarded by the Hand Therapy Certification Commission (HTCC) to occupational and physical therapists who demonstrate advanced competency in upper limb rehabilitation. According to HTCC, a CHT is a certified or licensed OT or PT who, through advanced education, clinical experience, and independent study, has become proficient in treating pathological upper limb conditions from trauma, disease, or congenital or acquired deformity. Eligibility includes a minimum of three years of clinical experience, including 4,000 or more hours in direct hand therapy practice, and passing a comprehensive test of advanced clinical skills and theory in upper limb rehabilitation. The exam covers the full scope of hand therapy: the hand, wrist, elbow, and shoulder girdle. The HTCC CCE case studies are 5 cases and about 3,148 words.

1

Early Active Motion After Zone II Flexor Tendon Repair: Stiffness or Rupture?

Ten days after primary repair of the flexor digitorum profundus and flexor digitorum superficialis in zone II of the small finger, a 34-year-old violinist is referred. The repair used a four-strand core plus epitendinous suture.

678 words, about 3 min
2

Six Weeks After Volar Plate Fixation: Complex Pain and Median Symptoms

A 58-year-old retired teacher is seen 6 weeks after open reduction and internal fixation of a distal radius fracture with a volar locking plate. She has had two weeks of therapy.

686 words, about 3 min
3

Thumb Spica Splint Causing New Web Space Numbness

A 47-year-old dental hygienist with thumb carpometacarpal osteoarthritis has been fitted with a new custom-molded thumb spica splint. She wears it during hygiene appointments and at night.

599 words, about 3 min
4

Median Nerve Repair at the Wrist: Timing Sensory Re-education

A 29-year-old chef sustained a laceration at the volar wrist that was repaired primarily four weeks ago. The median nerve repair was performed without graft.

579 words, about 3 min
5

Lateral Elbow Pain in a Warehouse Picker: Tendinopathy or Radial Tunnel?

A 51-year-old warehouse picker has had lateral elbow pain for three months. He lifts boxes repeatedly and uses a power grip to pull totes.

606 words, about 3 min