This series focuses on how a therapist might thoughtfully modify protocols based on a specific patient circumstance or zone injury. Explanations of how tendon healing occurs, definition of excursion, rationale for the ideal time to start early motion, and the role of suture strength and pulleys provide the basis for a discussion of the variables that alter the work of flexion: range of motion, friction, load, suture strength, position in orthosis, and the effect of the lumbrical and/or interosseous muscle/s. Finally, these variables are discussed as they relate to each flexor zone.

Nuances of Flexor Tendon Rehab: Part 1 of 12: Definitions & Protocols

A discussion of the definitions of terms used in flexor tendon rehab and a review of the purposes of some protocols.

Nuances of Flexor Tendon Rehab: Part 2 of 12: Core Concepts & Excursion

A review of the core concepts of flexor tendon healing and the importance of understanding excursion of a tendon.

Nuances of Flexor Tendon Rehab: Part 3 of 12: Early Motion

A discussion of the definition of early motion for flexor tendon repairs.

Nuances of Flexor Tendon Rehab: Part 4 of 12: Suture Strength & Pulleys

How suture strength and flexor pulleys influence flexor tendon rehab approaches.

Nuances of Flexor Tendon Rehab: Part 5 of 12: Work of Flexion (WOF)

Discussion of the definition of the work of flexion as it relates to flexor tendon rehabilitation.

Nuances of Flexor Tendon Rehab: Part 6 of 12: WOF; Range & Friction

Discussion of the role of the amount of load and the suture strength in influencing the work of flexion.

Nuances of Flexor Tendon Rehab: Part 7 of 12: WOF; Load & Suture Strength

Discussion of the role of the amount of load and the suture strength in influencing the work of flexion.

Nuances of Flexor Tendon Rehab: Part 8 of 12: WOF; Position in Orthosis

Discussion of the role of the joint positions in the flexor tendon orthosis in influencing the work of flexion.

Nuances of Flexor Tendon Rehab: Part 9 of 12: WOF; Lumbrical & Interossei

Discussion of the role of the lumbrical & interosseous muscles in influencing the work of flexion.

Nuances of Flexor Tendon Rehab: Part 10 of 12: Zone 1

A review of variables to consider when treating a zone 1 flexor tendon repair.

Nuances of Flexor Tendon Rehab: Part 11 of 12: Zone 2

A review of variables to consider when treating a zone 2 flexor tendon repair.

Nuances of Flexor Tendon Rehab: Part 12 of 12: Zone 3-5 & Review

A review of variables to consider when treating a zone 3-5 flexor tendon repair and a review of highlights of the presentation.