Term
| Goals of tendon repairs (3) |
|
Definition
protect healing tissues
increase tensile strength within tendon as it heals
prevent adhesions which limit tendon's excursions |
|
|
Term
| Stress applied early in the process enhances |
|
Definition
|
|
Term
| Stress applied early in the process minimizes |
|
Definition
|
|
Term
| Stress applied early in the process stimulates |
|
Definition
| wound maturation and scar remodeling |
|
|
Term
| Tendon Lacerations: types (2) |
|
Definition
|
|
Term
| Tendon Lacerations: lacerations of less than 50% |
|
Definition
| may require debridement without repair |
|
|
Term
| Tendon Lacerations: lacerations of greater than 50% |
|
Definition
| managed like a complete resection |
|
|
Term
| Tendon Lacerations: what is essential for early mobilization |
|
Definition
|
|
Term
| Tendon Lacerations: repair must preserve what |
|
Definition
|
|
Term
| Flexor Tendon Repair Post-op mgmt: protocols available (3) |
|
Definition
controlled passive motion
dynamic flexion
early active motion |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: rehab is affected by what (3) |
|
Definition
zone of injury
type (sharp, crush, avulsion)
involvement of associated structures mm, nerve, pulleys) |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: other factors to treatment planning (4) |
|
Definition
age
motivation
general health
propensity for scar formation |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: days 2-3 |
|
Definition
| pt remains in dressing and plaster splint to decrease inflammatory response |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: when is the repair the weakest |
|
Definition
|
|
Term
| Flexor Tendon Repair Post-op mgmt: therapist options after cast removal |
|
Definition
controlled passive motion
dynamic splinting |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: early mgmt consist of what (3) |
|
Definition
wound mgmt
edema control
passive ex |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: when to initiate AROM |
|
Definition
| AROM to tolerance at approx 4 weeks |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: AROM priorities |
|
Definition
| extension followed by flexion |
|
|
Term
| Flexor Tendon Repair Post-op mgmt: when are resistive and functional ex implemented |
|
Definition
|
|
Term
| Flexor Tendon Repair Post-op mgmt: rubber band traction allows for what |
|
Definition
| passive finger flexion with active extension decreasing tension at the repair site |
|
|
Term
| Modified Duran Protocol: what is it |
|
Definition
dorsal blocking splint with early PROM applied by PT or pt
fingers flexed at MCP, extended at DIP and PIP. decreases tension at flexor surgical site. blocks extension of fingers and wrist |
|
|
Term
| Post-op rehab for the Modified Duran Protocol when? |
|
Definition
|
|
Term
| Which hand tendons are more likely to be injured? |
|
Definition
| Extensor tendons 5x more likely than flexor tendons |
|
|
Term
| why are extensor tendons more likely to be injured than flexor tendons |
|
Definition
|
|
Term
| why are extensor tendons more difficult to heal (2) |
|
Definition
| flatter, decreased nutrition |
|
|
Term
| which tendons are considered less complicated to manage? flexor or extensor |
|
Definition
|
|
Term
| when does post-op rehab for extensor tendon repair begin? |
|
Definition
|
|
Term
| Extensor Repair Post-Op Mgmt: distal repair immobilizaiton position and time frame |
|
Definition
|
|
Term
| Extensor Repair Post-Op Mgmt: immobilizaiton position and time frame for proximal repairs |
|
Definition
|
|
Term
| Extensor Repair Post-Op Mgmt: PT goals (2) |
|
Definition
early mgmt of wound healing, edema control. passive ex
AROM at 6 weeks |
|
|
Term
|
Definition
| surgical release of adhesions to restore tendon gliding |
|
|
Term
| which tendons are more likely to have a tenolysis done? flexor or extensor? |
|
Definition
|
|
Term
| When is a tenolysis usually done? |
|
Definition
| 3-4 months after repair to suture wounds to heal |
|
|
Term
|
Definition
| immediate performance of max AROM on an hourly basis |
|
|
Term
| most common arthroplasty d/t RA |
|
Definition
|
|
Term
| MCP jt arthroplasty: what does the implant serve as |
|
Definition
| spacer around which a new jt capsule develops |
|
|
Term
| MCP jt arthroplasty: objective of the surgery |
|
Definition
| M/L stabilisty with A/P mobility |
|
|
Term
| MCP jt arthroplasty: duration of rehab |
|
Definition
|
|
Term
| 1st CMC Arthroplasty: what forms the spacer |
|
Definition
|
|
Term
| 1st CMC Arthroplasty: brace duration |
|
Definition
|
|
Term
| 1st CMC Arthroplasty: when does PT begin |
|
Definition
| at 2 months for ROM and strength |
|
|
Term
| 1st CMC Arthroplasty: full recovery when |
|
Definition
|
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