By S. Brent Brotzman MD, Kevin E. Wilk PT DPT
A workforce of world-class participants current you with authoritative suggestions at the most recent assessment, analysis, and rehabilitation ways for a whole diversity of musculoskeletal difficulties. the result's an necessary consultant to making plans powerful rehabilitation and making sure optimum post-surgical results for the most typical accidents to the joints and muscular system.
- Differential prognosis incorporated in the beginning of every bankruptcy for speedy and exact analysis of musculoskeletal conditions
- Assess a physique joint's diversity speedy with the neighborhood evaluate bins in each chapter
- Find details simply with new portrait orientated rehabilitation protocols
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Additional resources for Handbook of Orthopaedic Rehabilitation
Example text
Treatment of Mallet Finger (Fig. _". J Incongruentarc or new or persistent subluxation Decreasedswelling ~ Slack splint continuous: • 6 wk lor fracture • 8 wk lor tendon failure Plus 2 wk at night, 4 wk lor sports Open reductionwith internalfixation • K-wire immobilization • Pull-outsuture Apparent failure Considersurgery Figure 1-24 Algorithm for the treatment of various mallet finger conditions. DIp, distal interphalangeal. (Adapted from Damron TA, lange RW, Engber WD: Mallet fingers: A review and treatment algorithm.
REHABILITATION PROTOCOL After Repair of an Extensor Pollicis Longus Laceration (Thumb) After repair of thumb extensor tendon lacerations, regardless of the zone of injury, apply a thumb spica splint with the wrist in 30 degrees of extension and the thumb in 40 degrees of radial abduction with full retroposition. 0-2 WEEKS o o Allow activity as comfortable in the postoperative splint. Edema control measures include elevation and motion exercises of the uninvolved digits. 2-'" WEEKS o o o o At 2 weeks after repair, remove the splint and sutures.
Use passive wrist flexion exercises as necessary. Zone 5 Extensor Tendon Subluxation Zone 5 extensor tendon subluxations rarely respond to a splinting program. The affected Mep joint can be splinted in full extension and radial deviation for 4 weeks, with the understanding that surgical intervention will probably be required. Painful popping and swelling, in addition to a problematic extensor lag with radial deviation of the involved digit, usually require prompt reconstruction. Acute injuries can be repaired directly, and chronic injuries can be reconstructed with local tissue.