Date

April 7, 2021

Location

Microsoft teams

Fees

General Registration: $30 per session

Prevention and Management of Zone-Specific Pitfalls In Flexor Tendon Rehabilitation

Presented by:

Shrikant J. Chinchalkar, OTR., CHT

April 10th, 2021

10.00 AM – 11-30 AM (EST)

 

Webinar Description:  

Post-Operative Management of flexor tendon rehabilitation has evolved over last century. Various modifications and strategies have been implemented to maximize the excursion of the tendons and the motion at the joints.  Despite the number of rehabilitation strategies and guidelines developed to maximize the gliding amplitude of repaired tendons, secondary complications, such as flexion contractures, decreased range of motion, deformities and stiffness associated with tendon adhesions, commonly arise. The classification of flexor tendon injuries, divides the flexor tendons into 5 zones based on tendon anatomy. The excursion of the Flexor Digitorum Profundus (FDP) and Flexor Digitorum Superficialis (FDS) flexor tendons in each zone is different. Besides, the anatomical relationship between flexor FDP and FDS change in every zone throughout the course of the tendon travel from the wrist till the tendons insert on the middle and the distal phalanges. The flexor, extensor and intrinsic tendons share an intricate length tension relationship with each other dictating motion at each and every joint. Considering variable excursion of the FDP and FDS with each other in the fibro-osseous sheath, the tendon adhesions or joint contractures produce different complications in each zone.  This animation, clinical and cadaveric-based presentation discusses details of Zone-specific complications in Zone I, II, III, and V.  The anatomic and cadaveric details are presented to simplify the understanding of how the post-op therapy programs help prevent complications and maximize results.

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Objectives: 

Upon completion of this webinar the participants will understand the following:

  • Anatomy and excursion of the flexor tendons in various zones
  • Physiology and Kinematics of digital flexion
  • Common post-op protocols used for repaired tendons
  • Zone specific complications
  • Evidence-based post-operative management of flexor tendon repairs
  • Prevention and addressing complications

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