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1. Evaluate a probable fracture to be able to describe it over the phone.
2. Differentiate when internal and external fixation devices are appropriate interventions depending upon the type of fracture.
3. Evaluate for problems that can present following total joint arthroplasty.
4. Determine strategies for the most common adult and pediatric orthopedic conditions.
5. Explain the most important components to be incorporated in an orthopedic examination.
6. Analyze the uniqueness of orthopedics as it developed into a surgical specialty.

Trauma -- Head to Toe

• Internal and external fixation devices, including the Ilizarov techniques
• Shoulder girdle injuries: Clavicle fractures, AC joint injuries and shoulder dislocations
• Shoulder dislocations anterior and posterior
• Humeral fractures
• Rotator cuff injuries
• Elbow injuries
• Wrist and forearm fractures
• Hands and fingers
• Pelvis and hip injures
• Femoral fractures
• Quadriceps tears
• Knee injuries: Chondral, ligament and meniscal injuries
• Lower leg: The tibia and fibula
• Ankle and foot injuries: Fractures, sprains, List-Franc injuries and Achilles tendon ruptures
• Spine
• Compartment syndrome -- Pain not responsive to analgesia and loss of pulses (late finding)

Pediatrics

• The pediatric epiphysis description
• The approach to the pediatric patient
• High index of suspicion -- Protecting the patient
• Salter-Harris classifications and their significance
• Slipped capital femoral epiphysis

Degenerative/Reconstructive Orthopedics

• Baby boomers, longevity, and joints
• John Charnley, M.D.
• Total joint replacements: Hips, knees, shoulders and ankles
• Prosthesis types
• Methods of fixation, cemented, pressfit, and bone ingrowth
• Risks and benefits associated with total joint arthroplasty
• Arthroscopy
• Spine and disc surgery: Anatomy and terminology
• HNP and spinal stenosis
• Complications including infections, dislocations and chromium serum levels
• Post-operative weight bearing: ROM whys and why nots

Sports Medicine: The Weekend Warriors

• The rotator cuff SITS
• Epicondylitis medial and lateral
• Carpal tunnel syndrome
• The knee and the Terrible Triad
• Ankle sprains and injuries

The Orthopedic Work Up

• Orthopedic physical exam: Based on anatomy
• "Where does it hurt?"
• Listening and touching
• X-rays
• CT scans
• MRIs
• Laboratory analysis
• Describing a fracture over the phone: Open or closed, along with location
• The how and why of asking intelligent questions

New in Orthopedics

• Stem cell research: Mesenchymal stem cells in bone marrow stromal cells and vascular bone grafts
• Total joints: Robotic assisted surgery, stand-alone surgery centers
• Arthroscopies: Hip arthroscopies for labrum tears and impingement
• Fracture stabilization: Optimal within 24 hours especially in geriatric patients

William J. Mazzocco, Jr. has over 35 years of healthcare experience as both an RN (former CEN, CCRN, CNOR) and as a Physician Assistant working primarily in musculoskeletal medicine, i.e., general orthopedics, Spine, Neuro surgery, Rehab, wound care and pain management. He has presented programs across the country on a multitude of clinical practice topics. He has worked in Level 1 trauma centers and worked out of an aid bag in such diverse locales as Alaska and Yemen. Currently, Bill divides his time managing two busy Hospitalist programs for a large Hospital system.

Bill explains that "knowledge is power" and he is passionate about sharing his expertise with others. Consistently excellent evaluations from healthcare professionals who have attended his orthopedic-related trainings across the country have validated his passion to teach.

Speaker Disclosures:

Financial: William Mazzacco Jr. has an employment relationship with Altoona Regional Healthcare System. He receives a speaking honorarium from PESI, Inc.

Non-financial: William Mazzacco Jr. is a member of the American Academy of Physician Assistants; and the Pennsylvania Society of Physician Assistants.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 12/7/2020
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.3 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Athletic Trainers, Nurses, Occupational Therapists & Occupational Therapy Assistants, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals