This CME course represents an intensive, evidence-based review of examination and injection techniques for musculoskeletal problems encountered in daily practice. Numerous studies demonstrate that more than 20 percent of all visits to primary care providers deal with these complaints. The pertinent history and physical examination techniques are reviewed. The functional anatomy of the joint as well as common mechanisms of injuries is stressed. After an initial review of the basics of clinical examination, demonstration and practice of examination techniques will be completed. Additionally, the benefits of joint aspiration and orthopedic injection will be discussed, demonstrated and practiced.
To enhance the educational experience, it is recommended that participants attend this course in comfortable attire so that you will be able to get supervised practice experience in the examination techniques pertinent to every joint. More than 75 percent of the two-day course involves interactive joint injection sessions. Each session has extensive practice times with joint models to review and practice common aspiration and injection techniques. CPT codes for the different aspiration and injection techniques are reviewed, and other issues for coding and reimbursement are discussed.
By the end of this activity, the participant should be better able to:
- Review the anatomy and function of various joints.
- Learn specific clinical tests to evaluate each joint using evidence-based medicine guidelines.
- Review common mechanisms of injuries and pathology that can lead to them.
- Review imaging techniques used for evaluation.
- Practice exam techniques in a supervised setting.
- Practice joint aspirations and injections using joint models.
2024 Course Accreditation
The Texas Academy of Family Physicians designates this live activity for a maximum of 15.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The AAFP has reviewed Joint Exam and Injections with an Introduction to Ultrasound Guidance: The First Step and deemed it
acceptable for AAFP credit. Term of approval is from 04/27/2024 to 12/08/2024. Physicians should claim only the credit commensurate with
the extent of their participation in the activity. This session is
approved for 15 Live AAFP Prescribed credits.
Learn more about our accreditation.
7:30 - 8:00 a.m.
- Registration and continental breakfast
Day One
8:00 - 9:00 a.m. — 1 CME credit
- Review
related terminology of musculoskeletal assessment.
- Outline
the principles of an effective musculoskeletal assessment.
- Identify
important clinical points of the history of present illness and review
the process of the musculoskeletal exam.
- Introduce
the basics for the application of ultrasound guidance for injections.
9:00 - 10:00 a.m. — 1 CME credit
- Shoulder: Anatomy, Clinical
Assessment, and Common Clinical Problems
Exam Demonstration
- Implement the core concepts of sport medicine as
applied to should exam and clinical subsets for applied clinical anatomy,
careful history and physical exam, and the role of rehabilitation
exercises.
- Specifically diagnose and detail the management of the most common should problems including subacromial impingement and adhesive capsulitis.
10:00 - 10:15 a.m. — Break
10:15 - 12:00 p.m. — 1.75 CME credits
- Shoulder Examination, Cont.
- Implement
the core concepts of sport medicine as applied to should exam and
clinical subsets for applied clinical anatomy, careful history and
physical exam, and the role of rehabilitation exercises.
- Specifically
diagnose and detail the management of the most common should problems
including subacromial impingement and adhesive capsulitis.
12:00 - 1:00 p.m. — Lunch
1:00 - 2:00 p.m. — 1 CME credit
- Elbow/Wrist/Hand: Anatomy, Clinical Assessment, and
Common Clinical Problems
Elbow/Wrist/Hand Examination
- Implement the core concepts of sport medicine as
applied to the elbow/wrist/hand for applied clinical anatomy, careful
history, and physical exam.
- Specifically diagnose and adequately manage the most
common elbow, wrist, and hand injuries.
2:00 - 2:30 p.m. — 0.5 CME credits
- Elbow/Wrist/Hand Examination, Cont.
- Implement
the core concepts of sport medicine as applies to the elbow/wrist/hand
for applied clinical anatomy, careful history, and physical exam.
- Specifically
diagnose and adequately manage the most common elbow, wrist, and hand
injuries.
2:30 - 2:45 p.m. — Break
2:45 - 4:15 p.m. — 1.5 CME credits
- Basics of Injections
- Identify
the indications, benefits, risks, and contraindications of injections in
the family medicine office.
- Describe
general principles involved in administering infectious to include
consent, equipment anesthesia, choice of corticosteroid, and injection
technique.
- Discuss
coding for this procedure.
4:15 - 5:30 p.m. — 1.25 CME credits
- Upper Extremity Injections with an Introduction to
Ultrasound Guidance
- Identify
the indications, benefits, risks, and contraindications of upper extremity
joint injections.
- Implement
general principles involved in administering upper extremity injections
including consent, equipment, anesthesia, choice of corticosteroid, and
technique.
- Discuss
the basics of coding this procedure.
Day Two
8:00 - 8:30 a.m. — 0.5 CME credits
- Anatomy Review
- Review
the anatomy of the lower extremities.
8:30 - 9:15 a.m. — 0.75 CME credits
- Knee: Anatomy, Clinical
Assessment, and Common Clinical Problems
- Implement
the core concepts of sport medicine as applied to the knee for applied
clinical anatomy, careful history, physical exam, and the role of
rehabilitation exercises.
- Specifically
diagnose and adequately manage the most common traumatic and atraumatic
knee injuries.
9:15 - 10:00 a.m. — 0.75 CME credits
- Knee Examination, Cont.
- Implement
the core concepts of sport medicine as applied to the knee for applied
clinical anatomy, careful history, physical exam, and the role of
rehabilitation exercises.
- Specifically
diagnose and adequately manage the most common traumatic and atraumatic
knee injuries.
10:00 - 10:15 a.m. — Break
10:15 - 11:00 a.m. — 0.75 CME credits
- Lumbar Spine/Hip: Anatomy, Clinical Assessment, and
Common Clinical Problems
- Review
the clinical anatomy of the lumbar spine and hip.
- Review
the epidemiology and natural history of low back pain and hip pain.
- Outline
the evidence-based approach to clinical assessment of the lumbar spine
and hip.
11:00 a.m. - 12:00 p.m. — 1 CME credit
- Lumbar Spine/Hip Examination, Cont.
- Review
the clinical anatomy of the lumbar spine and hip.
- Review
the epidemiology and natural history of low back pain and hip pain.
- Outline
the evidence-based approach to clinical assessment of the lumbar spine
and hip.
12:00 - 1:00 p.m. — Lunch
1:00 - 1:45 p.m. — 0.75 CME credits
- Leg/Ankle/Foot: Anatomy, Clinical Assessment, and
Common Clinical Problems
- Implement
the core concepts of sport medicine as applied to the leg/ankle/foot for
applied clinical anatomy, careful history, and physical examination.
- Specifically
diagnose and adequately manage the most common leg/ankle/foot injuries
including ankle sprain, Achilles tendon injuries, plantar fasciitis, and
Morton’s neuroma.
1:45 - 2:30 p.m. — 0.75 CME credits
- Leg/Ankle/Foot Examination, Cont.
- Implement
the core concepts of sport medicine as applied to the leg/ankle/foot for
applied clinical anatomy, careful history, and physical examination.
- Specifically
diagnose and adequately manage the most common leg/ankle/foot injuries
including ankle sprain, Achilles tendon injuries, plantar fasciitis, and
Morton’s neuroma.
2:30 - 2:45 p.m. — Break
2:45 - 4:30 p.m. — 1.75 CME credits
- Lower Extremity Injections
- Identify
the indications, benefits, risks, and contraindications of lower
extremity joint injections.
TOTAL CME CREDITS: 15
