Extensor Reconstruction of Thumb MCP Joint therapy

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.

NOTE:

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.

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