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CHT Exam Flexor Tendons- Questions and Answers 100% Solved
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CHT Exam Flexor Tendons- Questions and Answers 100% Solved
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CHT Exam Flexor Tendons- Questions and Answers 100%Solved
How long to immobilize with immobilization protocol? Correct Ans-3-4 weeks
Early passive motion protocol Correct Ans--within the first week
-Passive flexion pushes tendon proximally, active extension pulls it distally
-Physician preference
How much glide do you want for a tendon? Correct Ans-3-5mm
Kleinart Protocol Correct Ans-Dorsal block w/ rubberband traction
joint contractures :(
Inidiana Protocol Correct Ans--Two orthoses: Dorsal block, hinged
-Begin with gentle Passive ROM
-Apply hinged orthosis --> 25 reps synergistic place & holds hourly
True active flexion protocols Correct Ans--Increased excursion :)
-Increased risk of gapping/rupture :(
Limited extension, active flexion (LEAF) Correct Ans--Dorsal block: 20* wrist flexion, 30*
MP flexion, digital dorsal P1/P2 block w/ DIP in 45* flexion
, CHT Exam Flexor Tendons- Questions and Answers 100%
Solved
-Passive flexion, FDS glides, wrist tenodesis
-DIP contractures :(
Saint John protocol Correct Ans--DBS with wrist in extension
-At 2 weeks make manchester short splint
-PROM warm up --> midrange AROM --> AROM of DIP
WALANT benefits Correct Ans--decreased ruptures, decreased need for tenolysis,
increased confidence, can educate pt during surgery, can see tendon gliding in OT
Manchester short splint Correct Ans-Allows 45* wrist extension
How do you assess for gapping? Correct Ans-Gradual loss of active flexion. May have pain
and/or triggering
How to assess for adhesions? Correct Ans-Gradual decrease of active flexion. Lag
Strickland's percentage calculation Correct Ans-(PIP + DIP flexion)-extension lag x100
----------------------------------- =% normal
175
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