Extensor Reconstruction of Thumb MCP Joint therapy

0 - 5 weeks:

The MCP joint of the thumb is pinned in extension.

A Web Spacer/Gutter splint for the thumb MCP joint is fitted for continual wear.

5 weeks:

The pin is removed.

A Web Spacer/Gutter splint holding the thumb MCP joint in extension is fitted to be worn between exercises and at night.

Active Range of Motion exercises are initiated 15 min/hr.

7 weeks:

Passive Range of Motion exercises may be initiated.

Taping and/or dynamic flexion splinting may be used as needed to increase passive flexion.

The Gutter splint is continued between exercises as needed.


The initiation of Passive Range of Motion exercises may be postponed or discontinued entirely if an extensor lag is present of is greater than 20 degrees.

Hand Therapy Home page