From the Guidelines
The duration for treating extensor tendon subluxation with a relative motion splint should be at least 6 weeks, with mobilization allowed by 2 to 4 weeks postoperatively. When considering the treatment of extensor tendon subluxation, it's crucial to prioritize morbidity, mortality, and quality of life as outcomes. Although the provided evidence primarily focuses on Achilles tendon rupture, the principle of early mobilization with protective devices can be applied to other tendon injuries, including extensor tendon subluxation. The use of a relative motion splint is a common approach for managing extensor tendon subluxation, as it allows for controlled movement while protecting the tendon from further injury. Key considerations for the treatment duration include:
- The severity of the injury
- The patient's overall health and healing progress
- Whether surgical intervention was necessary According to the study by 1, early motion with a modified splint device can be beneficial, with patients in the mobilization group showing positive outcomes. It's essential to follow a healthcare provider's specific instructions, as the treatment plan may need to be adjusted based on individual progress and needs. Regular follow-up appointments are critical to monitor healing and make any necessary adjustments to the treatment plan.
From the Research
Treatment Duration for Extensor Tendon Subluxation
- The duration for treating extensor tendon subluxation with a relative motion splint is not explicitly stated in the provided studies 2, 3, 4, 5, 6.
- However, the studies suggest that relative motion splinting is an effective method for treating extensor tendon injuries and subluxation, and can be used in conjunction with other treatments such as surgery and physical therapy 3, 4, 5.
- One study mentions that the relative motion extension splint can be used to allow patients to engage in activities of daily living with the injured hand on day four following tendon repair 3.
- Another study discusses the use of a reconstructive stabilization technique for nontraumatic or chronic traumatic extensor tendon subluxation, but does not provide information on the duration of treatment with a relative motion splint 5.
- A systematic review of orthoses and motion protocols for extensor tendon injuries found that early total active motion and final grip strength were greater with dynamic extension orthoses and relative motion orthoses, but does not provide information on the duration of treatment 6.
Key Findings
- Relative motion splinting is an effective method for treating extensor tendon injuries and subluxation 3, 4, 5.
- The use of a relative motion extension splint can allow patients to engage in activities of daily living with the injured hand on day four following tendon repair 3.
- Early total active motion and final grip strength were greater with dynamic extension orthoses and relative motion orthoses compared to static orthoses 6.