Physical Therapy for Flexor Tendon Repair

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Questions and Answers

What is the relationship between incidence and age for tendon injuries?

  • Incidence is directly related to age
  • Incidence is not related to age
  • Incidence increases with age
  • Incidence is inversely related to age (correct)

Which gender has a higher incidence of tendon injuries?

  • Males and females have equal incidence
  • The incidence is not related to gender
  • Females
  • Males (correct)

Which tendon injury zone is most common for the index finger?

  • Zone I
  • Zone III (correct)
  • Zone IV
  • Zone II

What is the most common cause of open tendon injuries?

<p>Lacerations or avulsion injuries (A)</p> Signup and view all the answers

What is the primary sign of a partial flexor tendon injury?

<p>Pain on resisted flexion (A)</p> Signup and view all the answers

Which test is useful for detecting flexor tendon injuries in uncooperative patients?

<p>Wrist tenodesis test (A)</p> Signup and view all the answers

What is the timeframe for primary repair of flexor tendon injuries after injury?

<p>Within the first 12 to 24 hours (B)</p> Signup and view all the answers

When is delayed primary repair of flexor tendons usually performed?

<p>Within the first 10 days after injury (C)</p> Signup and view all the answers

In what cases is late secondary repair of flexor tendons necessary?

<p>For patients with massive crush injuries (A)</p> Signup and view all the answers

What is the outcome if secondary repair of flexor tendons is attempted after extensive scarring in the digital sheath?

<p>Extremely difficult due to scarring (D)</p> Signup and view all the answers

What must be established before secondarily repairing tendons according to the text?

<p>Restoration of PROM (Boyes grade 1 Or 2) (D)</p> Signup and view all the answers

In what scenarios is late repair of flexor tendons often necessary?

<p>For patients with untreated injuries (B)</p> Signup and view all the answers

Which of the following is NOT a recommended step in the surgical repair of a flexor tendon?

<p>Immediate active flexion exercises post-operatively (C)</p> Signup and view all the answers

What is the primary purpose of immobilization and protective splinting after flexor tendon repair?

<p>To keep the repaired tendon in a stable position (D)</p> Signup and view all the answers

Which statement about delayed primary repair of a flexor tendon is accurate?

<p>The results are equal to or better than immediate primary repair (B)</p> Signup and view all the answers

Which of the following is NOT a contraindication for immediate (primary) repair of a flexor tendon?

<p>Delayed presentation (more than 10 days after injury) (B)</p> Signup and view all the answers

What is the primary purpose of hand elevation after flexor tendon repair surgery?

<p>To minimize swelling (A)</p> Signup and view all the answers

Which of the following should be avoided during the early stages of healing after flexor tendon repair?

<p>Using the repaired hand for daily activities (A)</p> Signup and view all the answers

Which of the following is NOT a function of flexor tendons in the hand?

<p>Allowing extension of fingers (D)</p> Signup and view all the answers

What is the primary reason for repairing a flexor tendon injury?

<p>To preserve normal hand function and prevent complications (B)</p> Signup and view all the answers

According to the epidemiological data provided, which age group has the highest incidence of flexor tendon injuries?

<p>20-29 years (A)</p> Signup and view all the answers

What is the incidence rate of flexor tendon injuries per 100,000 person-years?

<p>33.2 (B)</p> Signup and view all the answers

Which of the following is NOT a common reason for flexor tendon repair?

<p>Restoration of muscle strength in the hand (D)</p> Signup and view all the answers

Based on the information provided, what is the average age of individuals sustaining flexor tendon injuries?

<p>35 years (C)</p> Signup and view all the answers

According to the Indianapolis Protocol, what is the primary purpose of the Strickland tenodesis splint?

<p>To allow full wrist flexion and 30 degrees of dorsiflexion while restricting MCP joint extension (B)</p> Signup and view all the answers

According to the Indianapolis Protocol, at what time point does the patient begin active flexion and extension exercises for the digits and wrist?

<p>5 to 14 weeks (C)</p> Signup and view all the answers

According to the information provided, which of the following statements is true regarding the timing of potential tendon ruptures?

<p>Most ruptures happen within the first two weeks of the repair, as the repair site is weakest between 6 and 12 days. (A)</p> Signup and view all the answers

According to the Indianapolis Protocol, at what time point is blocking exercises commenced for the flexor digitorum profundus (FDP) tendon of the small finger?

<p>No blocking is applied to the small finger FDP tendon (C)</p> Signup and view all the answers

According to the Indianapolis Protocol, what is the primary exercise regimen during the first 4 weeks of rehabilitation?

<p>The patient exercises 25 times every 2 hours without any splint (C)</p> Signup and view all the answers

According to the information provided, what is a potential sign that a tendon rupture has occurred?

<p>They can feel the loss in the flexion power or the sudden 'popping' (D)</p> Signup and view all the answers

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