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Hand & Upper Limb
intermediate
X-Type

Flexor Tendon Injury Rehabilitation

Tendon Injuries

A 28-year-old chef sustains a laceration to his right index finger while slicing vegetables. He is unable to flex the DIP joint against resistance. The wound is in the midportion of the middle phalanx (Zone 2). After surgical repair using a 4-strand core suture with epitendinous repair, the hand therapist asks about the rehabilitation protocol. Regarding flexor tendon rehabilitation:

Mark each as TRUE or FALSE

A

Flexor tendon zones are: Zone I (FDP insertion to FDS insertion), Zone II ("no man's land" - FDS ins...

B

Tendon healing occurs through intrinsic (from tenocytes within tendon) and extrinsic (from surroundi...

C

Zone I is the most challenging for repair; immobilization produces best outcomes; extrinsic healing ...

D

Rehabilitation protocols have evolved from immobilization (Strickland) to passive motion (Duran, Kle...

E

Key principles include: dorsal blocking splint (wrist neutral to 30 degrees flexion, MCP 60-70 degre...

Answer the questions to see explanations

Click T (True) or F (False) for each option