Extensor tendon injuries are common and yet their management can seem simple in comparison to the surgical and post-operative treatment of flexor tendon injuries. This paper aims to focus on the immediate post-operative period, discussing whether research on early controlled motion is rigorous enough to recommend its standard use over an immobilisation protocol. The conclusion gives recommendations for use of early controlled motion in practice and the need for further research.
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References
1.
Boscheinen-MorrinJDaveyVConnollyWB (1992): The Hand. Fundamentals of Therapy. Second Edition. Oxford. Butterworth-Heinemann50–66.
2.
BrowneEZSRibikCA (1989): Early Dynamic Splinting for Extensor Tendon Injuries. The Journal of Hand Surgery. 14A:(1):72–6.
3.
ChowJA (1987): Post-Operative Management of Repair of Extensor Tendons of the Hand - Dynamic Splinting versus Static Splinting. Orthopaedic Transactions11:(2):258–9.
4.
ChowJADovelleSThomasLJHoPKSaldanaJ (1989): A Comparison of Results of Extensor Tendon Repair followed by Early Controlled Mobilisation versus Static Immobilisation. The Journal of Hand Surgery14B:(1):18–20.
5.
CrosbyCAMarwanAW (1996): Early Motion after Extensor Tendon Surgery. Hand Clinics12:(1):57–64.
6.
CrosbyCAWehbeMA (1996): Early motion after extensor tendon surgeryHand Clinics12:1:57–64.
7.
DarganEL (1969): Management of Extensor Tendon Injuries of the Hand. Surgery, Gynaecology and Obstetrics128:269–73.
8.
DovelleSHeeterPKFischerDRChowJA (1989): Rehabilitation of Extensor Tendon Injury of the Hand by Means of Early Controlled Motion. The American Journal of Occupational Therapy43:(2):115–9.
9.
DuranRHHouserRG (1975): Controlled passive motion following flexor tendon repair in zones II and III. American Academy of Orthopaedic Surgeons Symposium on Flexor Tendon Surgery in the Hand. Mosby, St Louis pp. 105–114.
10.
EvansRB (1989): Clinical Application of Controlled Stress to the Healing Extensor Tendon: A Review of 112 Cases. Physical Therapy69:(12):1041–8.
11.
EvansRB (1995): Immediate Active Short Arc Motion following Extensor Tendon Repair. Hand Clinics11:(3):483–512.
12.
EvansRBBurkhalterMD (1986): A Study of the Dynamic Anatomy of Extensor Tendons and Implications for Treatment. The Journal of Hand Surgery. 11A:(5):774–9.
13.
FessEE (1995): Documentation: Essential Elements of an Upper Extremity Assessment Battery. In: HunterJM (Eds.) Rehabilitation of the Hand: Surgery and Therapy. Fourth Edition. Volume I:1995St Louis. Mosby.
14.
HungLKChanAChangJTsangALeungPC (1990): Early Controlled Active Mobilization with Dynamic Splintage for Treatment of Extensor Tendon Injuries. The Journal of Hand Surgery15A:(2):251–7.
15.
IpWYChowSP (1997): Results of Dynamic Splintage following Extensor Tendon Repair. The Journal of Hand Surgery22B:(2):283–7.
16.
KerrCDBurczakJR (1989): Dynamic Traction after Extensor Tendon Repair in Zones 6, 7, and 8: A Retrospective Study. The Journal of Hand Surgery14B:(1):21–22.
17.
Marin-BraunFMerleMSanzFFoucherGVioryMHPetry (1989): Primary Report of Extensor Tendons with Assisted Post-Operative Mobilisation. A Series of 48 Cases. Annales De Chirurgie De La Main8:(1):7–21.
18.
SteinbergB (1997): Extensor Tendon Repair. In: ClarkGL. Hand Rehabilitation. A Practical Guide. Second Edition. Edinburgh. Churchill Livingstone. 93–102.
19.
SylaidisPYouattMLoganA (1997): Early Active Mobilization for Extensor Tendon Injuries. The Norwich Regime. The Journal of Hand Surgery22B:(5):594–6.
20.
ThomasDMoutetFGuinardD (1996): Postoperative Management of Extensor Tendon Repairs in Zones V, VI, and VII. Journal of Hand Therapy9:(4):309–14.
