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Epl Zone 1 Repair. Injury zones 4. The wearing time should be gradually reduced 1 2 hours each day. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. Stage 1 3-5 days post -op Early active movement exercises.

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Extensor Pollicus Longus Repair Zone II Rehabilitation Protocol Kelly Holtkamp MD. Wrist 0 for zone 7. Zone T-I injuries require that the IP joint be splinted for 8 weeks continuously at 0 or slight hyperextension with conservative management and 5 to 6 weeks with operative repair. Disruption over the PIP joint of digit central slip or MCP. This has led to the practice of protecting the tendon repair for 4 to 6 weeks with a Kirschner wire across the interphalangeal joint. Disruption of terminal extensor tendon distal to or at the DIP joint of the fingers and IP joint of the thumb EPL Mallet Finger.

Extensor tendon repairs can be done under a digital block zones 1 2 and 3 or a wrist block zones 4 and 5.

Over the distal phalangeal joint DIP-Mallet deformity ZONE II. Division of the EPL tendon in zone 1 has been likened in the past to a mallet injury of the finger even to the extent of calling this injury a mallet thumb Din and Meggitt 1983. It is expected that the patient is completely out of the orthosis within 10 14 days. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. Depok Town Square Lantai 2 Blok SS 15 No. Over the distal phalangeal joint DIP-Mallet deformity ZONE II.

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1 Kemiri Muka Beji di Depan Time Zone Kota Depok Jawa Barat 16424 PhoneWA. -Fashion a removable short-arm thumb spica splint holding the wrist in 30 degrees of extension thumb CMC joint in full radial abduction and extension MCP joint in neutral and IP joint in neutral to slight hyperextension. We present the results of repair and early mobilization of 100 extensor pollicis longus EPL tendon injuries in zones 1 to 4 in 100 patients using a dynamic outrigger splint which controlled metacarpophalangeal joint movements but allowed free movement of the interphalangeal joint. Perform 3 repetitions of the following exercises every 2 hours. Orthosis is gradually reduced.

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Use your good hand to straighten your thumb away from the splint then use your muscle power to return your thumb to touch the splint. 13 Days Postoperative Do not remove the surgical bandage. What is the EPL tendon. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. Disruption over the PIP joint of digit central slip or MCP.

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If an extensor lag is present and passively correctable continue the extension gutter orthosis for 8 12 hours per day ie. Over the distal phalangeal joint DIP-Mallet deformity ZONE II. Length of proximal phalanx of involved finger. No heavy lifting or pulling greater than 0 lbs. Zone I Injuries Injuries to the distal end of the extensor tendon mechanism in zone I are also known as mallet finger injuries Splinting remains the hallmark of treatment for most mallet finger injuries especially closed injuries without subluxation of the distal phalanx.

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Measure patients opposite wrist and hand. The long extensor tendon to the thumb is called the Extensor Pollicis Longus EPL. Every 1 2 hours. 08118016428 DEPOK TOWN SQUARE. Use your good hand to straighten your thumb away from the splint then use your muscle power to return your thumb to touch the splint.

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The long extensor tendon to the thumb is called the Extensor Pollicis Longus EPL. The tendon runs around a bony prominence on the back of the wrist called Listers tubercle. We present the results of repair and early mobilization of 100 extensor pollicis longus EPL tendon injuries in zones 1 to 4 in 100 patients using a dynamic outrigger splint which controlled metacarpophalangeal joint movements but allowed free movement of the interphalangeal joint. Zones of Extensor Tendon Injuries. Jabaley and Heckler 1980.

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Surgical repair versus conservative treatment with splinting. Stage 1 3-5 days post -op Early active movement exercises. Orthosis is gradually reduced. The mallet finger splint is best customized. If an extensor lag is present and passively correctable continue the extension gutter orthosis for 8 12 hours per day ie.

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What is the EPL tendon. Over the distal phalangeal joint DIP-Mallet deformity ZONE II. Eighty-two were complete divisions of the tendon and 18 were 80. Over the middle phalanx WEEK SPLINT THER EX PRECAUTIONS OTHER 1-6 DIP at 0-15 hyperextension HE. This has led to the practice of protecting the tendon repair for 4 to 6 weeks with a Kirschner wire across the interphalangeal joint.

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Exercise 5 Bring your thumb in line with your index finger and move your thumb up and down. The wearing time should be gradually reduced 1 2 hours each day. Jabaley and Heckler 1980. Eighty-two were complete divisions of the tendon and 18 were 80. EPL Repair 1160 Kepler Drive 1 Page Green Bay WI 54311 9202885555 Phase 1- Early Protective Phase 3 days 4 weeks Goals for phase 1 Immobilize and protect repair Initiate ROM of uninvolved joints while protecting repair Minimize risk of scar adhesions.

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Ideally if it is possible one should do a core repair with an additional epitendinous repair. No heavy lifting or pulling greater than 0 lbs. Both approaches require an additional 2 to 4 weeks of splint immobilization between exercise sessions. Use your good hand to straighten your thumb away from the splint then use your muscle power to return your thumb to touch the splint. Division of the EPL tendon in zone 1 has been likened in the past to a mallet injury of the finger even to the extent of calling this injury a mallet thumb Din and Meggitt 1983.

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Surgical repair versus conservative treatment with splinting. Surgical repair versus conservative treatment with splinting. Please fax initial evaluation and progress notes to 8153817498. Progressing towards Full Active Movement Sit in a safe environment and remove your splint. This has led to the practice of protecting the tendon repair for 4 to 6 weeks with a Kirschner wire across the interphalangeal joint.

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Length of yoke is 15 x girth of hand across MCP joints. Length of proximal phalanx of involved finger. Provide 2 splints 1 for showering. Extensor Pollicus Longus Repair Zone II Rehabilitation Protocol Kelly Holtkamp MD. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger.

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Length of proximal phalanx of involved finger. Disruption over the PIP joint of digit central slip or MCP. This has led to the practice of protecting the tendon repair for 4 to 6 weeks with a Kirschner wire across the interphalangeal joint. Over the middle phalanx WEEK SPLINT THER EX PRECAUTIONS OTHER 1-6 DIP at 0-15 hyperextension HE. The wearing time should be gradually reduced 1 2 hours each day.

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Perform 3 repetitions of the following exercises every 2 hours. Disruption of tendon over middle phalanx or proximal phalanx of thumb EPL Zone III. 08118016428 DEPOK TOWN SQUARE. This tendon straightens the end joint of the thumb and also helps pull the thumb in towards the index finger. Use your good hand to straighten your thumb away from the splint then use your muscle power to return your thumb to touch the splint.

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The use of a forearm tourniquet placed distally over the nonmuscular portion of the forearm will allow the patient to tolerate the tourniquet for a longer period 30 to 40 minutes compared with the usual placement over the arm 20 to 30 minutes. Eighty-two were complete divisions of the tendon and 18 were 80. The wearing time should be gradually reduced 1 2 hours each day. It is expected that the patient is completely out of the orthosis within 10 14 days. Division of the EPL tendon in zone 1 has been likened in the past to a mallet injury of the finger even to the extent of calling this injury a mallet thumb Din and Meggitt 1983.

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What is the EPL tendon. Disruption over the PIP joint of digit central slip or MCP. Over the middle phalanx WEEK SPLINT THER EX PRECAUTIONS OTHER 1-6 DIP at 0-15 hyperextension HE. Injury zones 4. Ideally if it is possible one should do a core repair with an additional epitendinous repair.

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Orthosis is gradually reduced. Zone I Injuries Injuries to the distal end of the extensor tendon mechanism in zone I are also known as mallet finger injuries Splinting remains the hallmark of treatment for most mallet finger injuries especially closed injuries without subluxation of the distal phalanx. Zone T-I injuries require that the IP joint be splinted for 8 weeks continuously at 0 or slight hyperextension with conservative management and 5 to 6 weeks with operative repair. Extensor Pollicis Longus Tendon Repair erapy Instructions Laith Al-Shihabi MD 2-4 weeks Splint. The long extensor tendon to the thumb is called the Extensor Pollicis Longus EPL.

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1 Kemiri Muka Beji di Depan Time Zone Kota Depok Jawa Barat 16424 PhoneWA. Every 1 2 hours. No heavy lifting or pulling greater than 0 lbs. It is expected that the patient is completely out of the orthosis within 10 14 days. Depok Town Square Lantai 2 Blok SS 15 No.

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Orthosis is gradually reduced. No heavy lifting or pulling greater than 0 lbs. We present the results of repair and early mobilization of 100 extensor pollicis longus EPL tendon injuries in zones 1 to 4 in 100 patients using a dynamic outrigger splint which controlled metacarpophalangeal joint movements but allowed free movement of the interphalangeal joint. It is expected that the patient is completely out of the orthosis within 10 14 days. Eighty-two were complete divisions of the tendon and 18 were 80.

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