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Early dynamic splinting for extensor tendon injuries

1989; Elsevier BV; Volume: 14; Issue: 1 Linguagem: Inglês

10.1016/0363-5023(89)90061-0

1531-6564

Earl Z. Browne, Christine A. Ribik,

Elbow and Forearm Trauma Treatment

Extensor tendon injuries are traditionally splinted with no motion for 3 to 4 weeks after repair. This may result in limitation of flexion because of extensor tenodesis at the site of repair. To prevent this, we used a dynamic splinting program opposite to the one that is used for flexor tendon repair, with an outrigger splint holding the fingers in extension and allowing full active flexion. Fifty-two patients who had extensor tendon repairs in the area from the wrist to the middle of the proximal phalanx were treated. Motion was begun 2 to 5 days after repair and was continued for approximately 5 weeks. No tendon ruptures occurred, and all patients recovered full flexion.