When should an extensor tendon be repaired?

Indications for extensor tendon repair include the following: Tendon laceration greater than 50% Tendon laceration less than 50% with significantly decreased strength in comparison with the contralateral finger. Tendon laceration associated with significant overlying skin loss, joint-space penetration, or bony fracture.

How do you assess an extensor tendon injury?

It can be tested by asking the patient to lie their hand flat on a surface and hyperextend the fifth digit. The extensor digitorum tendons extend digits two through five. The hand can be laid flat again on a surface and the tendon of each finger tested by having the patient hyperextend the digits against resistance.

What is Elson’s test?

The Elson test is a diagnostic test used for early detection of injuries to the central slip of the extensor tendon.

Can extensor tendon heal on its own?

In these cases, the tendon is often cut into two pieces. Like a rubber band, tendons are under tension as they connect the muscle to the bone. If a tendon is torn or cut, the ends of the tendon will pull far apart, making it impossible for the tendon to heal on its own.

How do you test finger extensors?

In summary, to test the finger extensors:

  1. Abduct the thumb, then place on table and lift thumb off.
  2. Extend fingers against resistance at MCP.
  3. Make fist and extend wrist against resistance.
  4. Ulnar deviate fist.
  5. Extend index finger from closed fist.
  6. Extend small finger from closed fist.

Is there a brace for extensor tendonitis?

If inflammation is severe, your physician may prescribe an immobilization device such as a Controlled Ankle Motion (CAM) boot or a lace up ankle brace to reduce the work these tendons have to do during the gate cycle.

How do you stretch extensor tendons?

Sit up straight in a chair and with your feet flat on the floor. Take your left foot upward and place it comfortably on the thigh of your right leg. Then, use your fingers to gently stretch the big toe up, down, and to the sides. Continue to do this for 10 seconds and repeat 10 times.