Splinting and exercise for early active motion postflexor tendon repair. (A) Following removal of the surgical compression dressing and fabrication of a static dorsal-blocking splint, a tenodesis splint with a wrist hinge is fabricated. (B) The tenodesis splint allows full wrist flexion but limits wrist extension to 30°. During early movement of the fingers, the MCP joints are maintained in at least 60° of flexion, as the IP joints are passively moved and placed in composite flexion. (C) Then the patient actively extends the wrist while maintaining the flexed finger position with a static muscle contraction and the least amount of tension possible in the finger flexors. (From Strickland, JW: Flexor tendon injuries. In Strickland, JW, and Graham, TJ [eds]: Master Techniques in Orthopedic Surgery—The Hand, ed. 2. Philadelphia: Lippincott Williams & Wilkins, 2005, p. 262, with permission.) Source: The Wrist and Hand, Therapeutic Exercise: Foundations and Techniques, 6e Citation: Kisner C, Colby L. Therapeutic Exercise: Foundations and Techniques, 6e; 2012 Available at: https://fadavispt.mhmedical.com/DownloadImage.aspx?image=/data/books/1883/kisnerthera_ch19_f014.png&sec=140705915&BookID=1883&ChapterSecID=140705481&imagename= Accessed: October 14, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved