Flexor tendon injury splint. Attempt to leave one pulley intact to prevent bowstringing.

Flexor tendon injury splint. We’ve also added material recommendations and our top splinting tips for the dorsal blocking orthosis. A flexor tendon is a specific type of tendon that lies in the front of your forearm, crosses the wrist and extends to your fingertips and thumb. Early Active Motion Protocol Flexor Tendon Repair Good 4 strand repair of tendon(s) that will tolerate early movement. Oblique pulley is more important than the A1 pulley; however both may be incised if necessary. . A For partial flexor tendon injuries, proper wound care and splinting and timely follow-up are the patient's and EP's best friends Another clue is the presence of pain at the area of the wound when flexion is performed. Attempt to leave one pulley intact to prevent bowstringing. Whatever the type, or level, of flexor or extensor injury, the ultimate goal of both the surgeon and therapist is to protect the repair, modify peritendinous adhesions, promote optimal tendon excursion and preserve joint motion. Regardless of the protocol requested. I order out-of-splint motion for most of my patients. [1] Physiotherapists and occupational therapists Abstract Introduction: The results of patients with primary zone II flexor tendon repairs rehabilitated using a traditional forearm-based splint were audited and compared with those who were managed in the Manchester short splint. The flexor tendon mechanism plays a key role in the functionality of the hand. In this course we go through each of the major protocols, individually, and cover everything you need to know about treating a patient with a flexor injury. Learn how surgery repair, splinting, & therapy can restore hand function! May 29, 2025 · Flexor tendon injuries in the hand often necessitate surgical intervention followed by a structured rehabilitation program utilizing a flexor tendon repair splint, a crucial component for optimal recovery. Chronic ruptures, co-occurring fractures, and pediatric cases need specialised care. Relative motion splinting has been used successfully in the treatment of extensor tendon repairs and has recently been applied in flexor tendon rehabilitation. Able to commence within 7 days of surgery (preferably day 3-5). Method: The short splint was fabricated to permit maximal wrist flexion and up to 45 of wrist extension with a block to 30 of metacarpophalangeal joint extension. Dec 28, 2023 · What is a flexor tendon? Tendons are tough flexible bands of tissue which connect muscle to bone and allow your joints to move. The intent of this protocol is to provide the clinician with a guideline for the post-operative rehabilitation course of a patient that has undergone a flexor tendon repair. However, flexor tendon repair surgery also requires optimal rehabilitation. Direct end-to-end repair of FPL is advocated. In this article, we’ll review some of the basic therapeutic protocols for flexor tendon repair, including new advances. Find out when you may need surgery and how to prevent complications with a splint. Early physical therapy and splinting after flexor tendon repair in zone II is very important to improve tendon healing, increase tensile strength, decrease adhesion formation, early return of function and less stiffness and deformity. It is by no means intended to be a substitute for one’s clinical decision-making regarding the progression of a patient’s post-operative course based on their exam findings, individual progress, and/or presence of post Mar 16, 2024 · There are currently three custom-made splints used in the rehabilitation of zone I/II flexor tendon repairs, each with different assumed harm/benefit profiles: the dorsal forearm and hand-based splint (long), the Manchester short splint (short), and the relative motion flexion splint (mini). Flexor tendon injuries do not heal by themselves and frequently require surgery to put the injured tendon back to its normal position. When surgery is required, a splint and hand therapy may be used after the procedure to protect you and to aid in recovery. Learn about the causes, symptoms, and treatment of flexor tendon injuries, which can affect your ability to bend your fingers and thumb. Patient able to participate in a strict rehabilitation protocol including regular Hand Therapy visits for wound management and exercise program monitoring. Active flexion is easier out of the splint, because a splint adds resistance to digital motion. Jul 18, 2021 · In weeks 4–6, the tendon repair grows stronger, so the aim is for the patient gradually to move through the full range. Try to avoid Zone III to avoid injury to the recurrent motor branch of the median nerve. Complications like adhesions, tendon rupture, and infection are common. Introduction Flexor tendon injuries are some of the more common and complex injuries managed by hand surgeons. Early tendon motion regimens are initiated at surgery or within 5 days post repair. In the early stage of the repair, consistent pull or stretch on the repaired tendon could result in poor motion. Mar 9, 2021 · A deep cut to the palm or fingers can result in a flexor tendon injury. There are currently three custom-made splints All Things Flexor Tendon Each flexor tendon zone protocol is uniquely different and has its own treatment guideline and orthosis considerations. For compli-ant patients, out-of-splint motion is safe and effi-cient. The splint is designed to minimize pull on the newly repaired flexor tendons. The purpose of this systematic review was to identify articles reporting use of relative Primary repair should occur within 12hr; secondary repair can occur up to 4wk after injury Hand surgeon should repair all flexor tendon lacerations If hand surgeon is not immediately available: Irrigate open wounds and close with 5-0 nylon Most advocate antibiotics Splint hand with: Wrist in 30 deg of flexion MCP joints in 70 deg of flexion IP joint flexed 10-15 deg of flexion Extensor Most Without surgical repair, flexor tendon injuries do not heal and patients’ ability to bend fingers and grip objects is impaired. lxx lrzfuc ksqqio cdmf rwsxr djfiwr eauod ipmpd bjibq lkpsfh