E-LEARNING TRAINING
Biomechanics and Functional Anatomy of the Wrist and Hand

20 learners

Functional anatomy and biomechanics are the foundation of all treatment, whether surgical, rehabilitative or orthotic. This innovative e-learning course , based on a combination of interactive, fun exercises and theoretical lessons with 3D models, aims to make learning less austere than with traditional methods. The two regions treated, the wrist and the hand, will be broken down into bones, ligaments, musculotendinous, nerves and vascular elements. The 3D modeling tools used will optimize the understanding of carpal kinematics, digital kinematics, and more generally the functional biomechanics of the hand and wrist.

Before starting the training, Test your knowledge

14 hours of training including 1:23:00 of video

20 activities for a pedagogical acquisition

3D 121 3D illustrationsincluding 36 animations

2 course materials for a total of 49 pages

Grégory MESPLIÉ trainer

About

This online training course on the functional anatomy and biomechanics of the hand and wrist is based on an innovative learning concept that alternates active exercises with theoretical lessons using advanced 3D modeling tools. It includes 2 modules, one on the wrist and the other on the hand:

Wrist Module: bones, capsular ligaments, musculotendinous, vascular-nervous elements, carpal kinematics and adaptation to axial constraints.
Hand Module: Bones, capsular-ligamentous, musculo-tendinous, vascular-nervous elements, hand kinematics and integumentary function.

Based on the author's own publications in French and English, this module will be of interest for physiotherapists, occupational therapists and other healthcare professionals dealing with hand and wrist pathologies.

Objectives of the Course

This training will furnish you with comprehensive understanding of the functional anatomy and biomechanics of the wrist and hand, forming the foundational knowledge essential for clinical reasoning required in patient care.

Methodology and Pedagogy

The innovative methodology used alternates active exercises such as locating anatomical elements, identifying normal and abnormal kinematics of the carpus and hand, filling in gap texts, and more, with explanatory videos supported by state-of-the-art 3D animations.

Prerequisites

There are no prerequisites for this training. However, our courses are designed by and for healthcare professionals. Therefore, it is highly recommended that you have the skills of the following professions: physiotherapists, occupational therapists, rehabilitation physicians, surgeons or osteopaths.

Training Program

Quiz: Test your knowledge

Test yourself Fill in this quiz to evaluate your pre-training level.

INTRODUCTION

Introduction 3:18

WRIST

Alternating active exercises and explanatory videos on the bony, ligamentous, musculotendinous and vascular-nerve elements of the wrist. 3D animations provide a better understanding of the biomechanics of pronosupination, the oval ring concept, and the kinematics of the carpus in motion or its role in absorbing axial stress.

Activities
Bony elements of the forearm and wrist 10:03
Activities
Biomechanics of pronation and supination 1:42
Activities
Description and Roles of the Triangular Fibrocartilage Complex 2:37
Activities
Functional Anatomy of the Wrist Ligaments 8:03
Activities
Concept of Oval Ring 2:20
Activities
Kinematics of the Carpus (Wrist) 2:20
Activities
Musculotendinous System of the Wrist 13:28
Activities
Descriptive Anatomy of the Carpal Tunnel and Guyon’s Canal 1:08
Chapter end quiz
Summary

TRANSITION BETWEEN WRIST AND HAND

Transition Between Wrist and Hand 0:17

HAND

Alternating active exercises and explanatory videos on the bony, ligamentous, musculotendinous and vascular-nervous elements of the hand. 3D animations provide a better understanding of the biomechanics of the polycentric digital opposition, the function of the palmar plate and lateral ligaments of each joint, and the retinacular systems that harmonize digital kinematics.

Chapter start quiz
Activities
Bone Elements of the Hand 4:15
Activities
Functional Anatomy of the Long Finger Joints 5:18
Activities
Functional Anatomy of the Thumb Joints 6:00
Activities
Anatomy of the Fasciae and Retinacular Systems of the Hand and Fingers 3:37
Activities
Muscular system of the hand 10:14
Activities
Nerves of the Hand 2:48
Activities
Arteries of the hand 1:55
Activities
Skin Covering of the Hand 3:27
Chapter end quiz
Summary

FREQUENTLY ASKED QUESTIONS

Frequently Asked Questions 7:07

CONCLUSION

A thorough knowledge of the anatomy and biomechanics of the wrist and hand is essential to the examination and clinical reasoning required to provide the most appropriate treatment for our patients' symptoms.

Conclusion 0:37

Quiz : reevaluate your knowledge.

Post-training test Evaluate your progression after the training course with a multiple choice test.

Courses downloads & documentation

Scientific References

Allison, D.M., Anatomy of the collateral ligaments of the proximal interphalangeal joint. J Hand Surg Am, 2005. 30(5): p. 1026-31.
Arnold-peter, C., A.P. Weiss, and H. Hastings, 2nd, The anatomy of the proximal radioulnar joint. J Shoulder Elbow Surg, 1992. 1(4): p. 193-9.
Bain, G.I., et al., The functional range of motion of the finger joints. J Hand Surg Eur Vol, 2015. 40(4): p. 406-11.
Boyes, W., Bunnell’s surgery of the hand. JB Lippincott Philadelphia, 1970
Crisco, J.J., et al., In Vivo Radiocarpal Kinematics and the Dart Thrower’s Motion. The journal of bone and joint surgery, 2005. Volume 87-A(Number 12).
Esplugas, M., et al., Role of muscles in the stabilization of ligament-deficient wrists. J Hand Ther, 2016. 29(2): p. 166-74.
Fu, E., et al., Elbow position affects distal radioulnar joint kinematics. J Hand Surg Am, 2009. 34(7): p. 1261-8.
Garcia-Elias, M., Chapter 15 : Carpal instability, in Green's operative hand surgery. 2011, Elsevier.
Garcia-Elias, M., et al., Trapeziometacarpal Ligaments Biomechanical Study: Implications in Arthroscopy.Journal of Wrist Surgery, 2016.
Garcia-Elias, M., Understanding wrist mechanics: a long and winding road. J Wrist Surg, 2013. 2(1): p. 5-12.
Garcia-Elias, M., X. Alomar Serrallach, and J. Monill Serra, Dart-throwing motion in patients with scapholunate instability: a dynamic four-dimensional computed tomography study. J Hand Surg Eur Vol, 2014. 39(4): p. 346-52.e
Gelberman, R.H. and J. Menon, The vascularity of the scaphoid bone. J Hand Surg, 1980. 5A(5):508-13.
Hagert, E., et al., Immunohistochemical analysis of wrist ligament innervation in relation to their structural composition. J Hand Surg Am, 2007. 32(1): p. 30-6.
Hagert, E., Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. J Hand Ther, 2010. 23(1): p. 2-16; quiz 17.
Hagert, E., S. Forsgren, and B.O. Ljung, Differences in the presence of mechanoreceptors and nerve structures between wrist ligaments may imply differential roles in wrist stabilization. J Orthop Res, 2005. 23(4): p. 757-63.
Horii, E., A. Garcia-Elias, and K. Han, A kinematic study of luno-triquetral dissociations. Journal of Hand Surgery, 1991. 16:355-362.
Kapandji, I.A., Physiologie articulaire tome 1 - Membre supérieur. 2005: Maloine.
Kaufmann, R.A., et al., Kinematics of the midcarpal and radiocarpal joint in flexion and extension: an in vitro study. J Hand Surg Am, 2006. 31(7): p. 1142-8.
Kleinman, W.B., Stability of the distal radioulna joint: biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years. J Hand Surg Am, 2007. 32(7): p. 1086-106.
Kobayashi, M., et al., Axial loading induces rotation of the proximal carpal row bones around unique screw-displacement axes. Journal of Biomechanics, 1997. 30(11-12): p. 1165-1167.
Ladd, A.L., et al., The 2014 ABJS Nicolas Andry Award: The puzzle of the thumb: mobility, stability, and demands in opposition. Clin Orthop Relat Res, 2014. 472(12): p. 3605-22.
Mesplie, G., et al., Rehabilitation of distal radioulnar joint instability. Hand Surg Rehabil, 2017. 36(5): p. 314-321.
Mesplie, G., Instabilités du carpe chez le sportif. Promanu, 2017.
Mesplié, G., Stabilité de l’articulation radio ulnaire distale : quid du carré pronateur ? Kinésithérapie , la revue, 2007. (68-69);58-62.
Mobargha, N., et al., The effect of individual isometric muscle loading on the alignment of the base of the thumb metacarpal: a cadaveric study. J Hand Surg Eur Vol, 2015.
Pang, E.Q. and J. Yao, Anatomy and Biomechanics of the Finger Proximal Interphalangeal Joint. Hand Clin, 2018. 34(2): p. 121-126.
Park, A.E., et al., The Fibonacci sequence: relationship to the human hand. J Hand Surg Am, 2003. 28(1): p. 157-60.
Petrie, S., et al., Mechanoreceptors in the palmar wrist ligaments. The journal of bone and joint surgery, 1997.1997;79-B:494-6.
Raja, S., et al., New Concepts in Carpal Instability, in Wrist and Elbow Arthroscopy with Selected Open Procedures. 2022. p. 173-185.
Saito, S. and Y. Suzuki, Biomechanics of the volar plate of the proximal interphalangeal joint: a dynamic ultrasonographic study. J Hand Surg Am, 2011. 36(2): p. 265-71.
Salva Coll, G., et al., Carpal dynamic stability mechanisms. Experimental study. Rev Esp Cir Ortop Traumatol., 2012. 2013;57:129-34.
Salva-Coll, G., et al., Effects of forearm muscles on carpal stability. J Hand Surg Eur Vol, 2011. 36(7): p. 553-9.
Salva-Coll, G., M. Garcia-Elias, and E. Hagert, Scapholunate instability: proprioception and neuromuscular control. J Wrist Surg, 2013. 2(2): p. 136-40.
Sandhu, S.S., S. Dreckmann, and P.A. Binhammer, Change in the collateral and accessory collateral ligament lengths of the proximal interphalangeal joint using cadaveric model three-dimensional laser scanning. J Hand Surg Eur Vol, 2016. 41(4): p. 380-5.
Soubeyrand, M., et al., Pathologie traumatique de la membrane interosseuse de l’avant-bras. Chirurgie de la Main, 2007
Soubeyrand, M., et al., The middle radioulnar joint and triarticular forearm complex. J Hand Surg Eur Vol, 2011. 36(6): p. 447-54.
Strickland, J.W., The Scientific Basis for Advances in Flexor Tendon Surgery. Journal of Hand Therapy, 2005. 18(2): p. 94-110.
Tang, J.B., Clinical outcomes associated with flexor tendon repair. Hand Clin, 2005. 21(2): p. 199-210.
Thompson, J.S., J.W. Littler, and J. Upton, The spiral oblique retinacular ligament (SORL). The Journal of Hand Surgery, 1978. 3(5): p. 482-487.
Ueba, H., et al., An Anatomic and Biomechanical Study of the Oblique Retinacular Ligament and Its Role in Finger Extension. The Journal of Hand Surgery, 2011. 36(12): p. 1959-1964.
Viegas, S., et al., The dorsal ligaments of the wrist: anatomy, mechanical properties, and function. Journal of hand Surg, 1999. 24:456–68.

Our customers reviews

Anna

Posted on 5/15/24

Exceptionally well-done !!

I recently watched a recorded seminar on wrist biomechanics, and I have to say, it was incredibly informative and engaging! What really impressed me was the way they balanced educational content with interactive quizzes. Even though it was prerecorded, the format made it feel like I was part of the learning process.

I want to extend my thanks to the creators of the seminar for putting together such valuable educational material. The visual elements, especially the 3D animations, were exceptionally well-done and helped illustrate complex concepts in an understandable way.

The structure of the seminar, with educational segments interspersed with quizzes, kept me actively engaged and helped reinforce my understanding of the material. Despite being a recording, it felt dynamic and interactive.

Overall, I'm grateful for the opportunity to access such high-quality educational content on my own time. The seminar was both enjoyable and enlightening, and I appreciate the effort that went into creating it. Thanks to everyone involved for providing such a valuable learning experience!
noemie

Posted on 9/10/23

hand training

The training is very complete and with very clear explanations, some animations have small bugs that sometimes do not allow to answer correctly (at least on tablet or phone) otherwise nothing to complain about perfect.
Ben

Posted on 9/9/23

Biomechanics hand wrist mesplié

Top
3D animation
Interactive
Precise
Up to date
A lot of work, no doubt
Top rendering
Ben
mickmick

Posted on 9/9/23

interactive, visual and very complete

nothing to say except my ability to retain all this information!
Alice Drouin

Posted on 4/16/23

Physiotherapist

Interactive training with 3D visuals, a great way to see and review the fundamentals of hand and wrist rehabilitation.
Sophie

Posted on 2/27/23

Good

Very good training!!!! Always a pleasure to learn with Gregory :)
Professor Donal LALONDE

Posted on 2/13/23

Wonderful !

Consider this amazing 14 hour learning course and program on hand anatomy, surgery, and therapy by Grégory Mesplié and his colleagues. I have looked at it and it is wonderful.
Team main

Posted on 2/11/23

Great !

Superb training, very complete and precise, with very well thought-out exercises!!

4.8 / 5 8 rating(s)

E-LEARNING TRAINING Biomechanics and Functional Anatomy of the Wrist and Hand