Hands

Question 1

What is the healing process?

Answer 1

Traumatic inflammation (0-48hrs)
Proliferation of fibroblast(12hrs -10days)
Collagen(5days to 6momths)
Remodelling(1 month-2years)

Question 2

What is the safety position of a tendon repair ?

Answer 2

Wrist in 30/40degrees ext
Mcp joints in max flexion
Ip joints in max extension
Thumb in palmar abduction

Question 3

What is post op treatment for Flexor tendons?

Answer 3

Minimize joint stiffness and adhesions

Question 4

What is the post op treatment Day 1-3?

Answer 4

RICE

Question 5

What is the post op treatment Day 3 to Week 2?

Answer 5

Passive flex
MCP 90
Moderate resistance to active IP extension
Active movement

Question 6

What is the post-op treatment Week 2-3?

Answer 6

Massage over scar
If PIP contracture develops then splinting is applied
Passive flex and active resisted IP ext (10-15 reps 2 hrly)

Question 7

What is the post-op treatment Week 3-4?

Answer 7

Gentle wrist flex
Ultrasound maintain 90 MCP flex
Active stabilized PIP and DIP
Record ROM