Presenter:
Romina Astifidis, MS, PT, CHT
Learning Objectives:
At the end of the presentation, participants will be able to:
- Identify the anatomy of the flexor tendons and extensor tendons from origin to insertion and describe function of each.
- Correctly identify flexor tendon zones and extensor tendon zones and importance for rehabilitation.
- Recognize the biomechanical importance of the flexor pulley system and the extensor mechanism.
- Correctly evaluate following injury or surgery.
- Recognize a basic understanding of surgical technique used to repair tendons in regards to suture technique, placement and strength.
- Identify the phases of healing following tendon repair.
- Differentiate different protocols used in flexor tendon rehabilitation and extensor tendon rehabilitation.
Duration: One hour
CE Credit: 1 continuing education hour, or 0.1 CEU
Required Readings:
The required readings for this course are:
Rehabilitation of the Hand and Upper Extremity (6th ed.). Skirven, T. M., Osterman, A. L., Fedorczyk, J. M., Amadio, P. C. (Eds.). (2011). Philadelphia, PA: Mosby. ISBN: 978-0-323-05602-1
- Chapters 1, 34, 35, 36, 38, 39
Fundamentals of Hand Therapy (2nd ed.). Cooper, C. (Ed.). (2014). St. Louis, MO: Mosby.
- Chapters 30 & 31
View in Rehabilitation of the Hand and Upper Extremity 6th edition:
- Video 35-1 Zone II repair (S. Wolfe 2010)
- Video 35-3 Tendon exposure and retrieval (Strickland 2004)
- Video 35-5 Popular core sutures (Sandow 2004)
- Video 38-3 Extensor tendon anatomy and approaches (Zelouf 2004)
- Video 38-4 Extensor tendon repair in fingers (Newport 2004)
Additional Readings:
Groth GN. “Clinical Decision Making and Therapists’ Autonomy in the Context of Flexor Tendon Rehabilitation”. Journal of Hand Therapy, July-Sept 2008, pp 254-259.
Sueoka SS and LaStayo PC. “Zone II Flexor Tendon Rehabilitation: A Proposed Algorithm”. Journal of Hand Therapy. October-December 2008, pp 410-413.
Evans RB. “Managing the Injured Tendon: Current Concepts”. Journal of Hand Therapy. April-June 2012, pp 173-189.