Tendon Rehabilitation


Flexor Tendon Rehabilitation


Matarrese MR, Hammert WC (Univ of Rochester Med Ctr, NY) J Hand Surg 37A:2386-2388, 2012§



J. Frankenhoff, MD



Evidence Ranking


D



Expert Rating


2



Abstract



Background


Given a patient who has cut the nondominant ring and small fingers and cannot bend the fingers at the proximal interphalangeal (PIP) or distal interphalangeal (DIP) joints, repair is done and a postoperative splint applied, usually a dorsal extension block splint with the wrist in neutral or slight flexion, the metacarpophalangeal (MCP) joints flexed, and the interphalangeal (IP) joints in full extension. Determining the best exercise program after repair of such a zone II flexor tendon laceration is challenging. The current course is to begin postoperative exercises within 5 days of operation under the supervision of a certified hand therapist (CHT). Both passive flexion and active extension with rubber bands and passive flexion and passive extension are commonly used approaches. With stronger tendon repairs, place-and-active-hold or active flexion may be used. The evidence was reviewed to determine the best approach.



Evaluation of Current Evidence

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Apr 2, 2016 | Posted by in Hand surgery | Comments Off on Tendon Rehabilitation

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