Physical Therapy for Flexor Tendon Repair

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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?

Lacerations or avulsion injuries Signup and view all the answers

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

Pain on resisted flexion Signup and view all the answers

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

Wrist tenodesis test Signup and view all the answers

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

Within the first 12 to 24 hours Signup and view all the answers

When is delayed primary repair of flexor tendons usually performed?

Within the first 10 days after injury Signup and view all the answers

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

For patients with massive crush injuries 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?

Extremely difficult due to scarring Signup and view all the answers

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

Restoration of PROM (Boyes grade 1 Or 2) Signup and view all the answers

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

For patients with untreated injuries Signup and view all the answers

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

Immediate active flexion exercises post-operatively Signup and view all the answers

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

To keep the repaired tendon in a stable position Signup and view all the answers

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

The results are equal to or better than immediate primary repair Signup and view all the answers

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

Delayed presentation (more than 10 days after injury) Signup and view all the answers

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

To minimize swelling Signup and view all the answers

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

Using the repaired hand for daily activities Signup and view all the answers

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

Allowing extension of fingers Signup and view all the answers

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

To preserve normal hand function and prevent complications Signup and view all the answers

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

20-29 years Signup and view all the answers

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

33.2 Signup and view all the answers

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

Restoration of muscle strength in the hand Signup and view all the answers

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

35 years Signup and view all the answers

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

To allow full wrist flexion and 30 degrees of dorsiflexion while restricting MCP joint extension 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?

5 to 14 weeks 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?

Most ruptures happen within the first two weeks of the repair, as the repair site is weakest between 6 and 12 days. 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?

No blocking is applied to the small finger FDP tendon Signup and view all the answers

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

The patient exercises 25 times every 2 hours without any splint Signup and view all the answers

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

They can feel the loss in the flexion power or the sudden 'popping' Signup and view all the answers