Extensor Treatment Repair Technique Quiz

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Mrs Timbo
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  • 1/17 Questions

    Identify the zone: injuries that occur over PIP joint or proximal phalanx

    • Zone VII
    • Zone V
    • Both Zone III & IV
    • Zone VI
    • Both Zone I & II
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About This Quiz

Welcome to our Extensor Treatment Repair Technique Quiz, designed to test your knowledge and understanding of rehabilitation techniques for extensor injuries! Extensor injuries can occur in various parts of the body, affecting muscles, tendons, and ligaments responsible for extending or straightening joints.
In this quiz, you'll explore a range of treatment and repair techniques aimed at addressing extensor injuries effectively. From therapeutic exercises and manual therapy techniques to modalities and rehabilitation protocols, this quiz covers essential strategies used by healthcare professionals to facilitate healing and restore function.
By participating in this quiz, you'll have the opportunity to assess your knowledge of extensor treatment repair techniques, including their indications, contraindications, and application in clinical practice. This quiz offers a valuable opportunity to test your understanding and enhance your skills in managing extensor injuries.

Extensor Treatment Repair Technique Quiz - Quiz

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  • 2. 

    Which Zone is typical for the following treatment by therapist with MD order: Nail bed injury-nail bed split to encourage smooth growth Open or closed injury AROM throughout unaffected joints ROM to affected joints with MD order (10-20 reps per hour) Extensor lag at DIP- increased time in extension splint Hyper-extension of PIP- splint PIP in slight flexion Blocking activities Prehension activities Night splints: DIP in detention continue for 2-4 weeks additional � Discontinue with absence of extensor lag assured Wrist strength program

    • Both zone III & IV

    • Both Zone I & II

    • Zone V

    • Zone VI

    • Zone VII

    Correct Answer
    A. Both Zone I & II
    Explanation
    The correct answer is "Both Zone I & II." Zone I and Zone II refer to specific regions of the hand and fingers. In this treatment plan, the therapist is addressing nail bed injuries, extensor lag at the DIP joint, and hyper-extension of the PIP joint. These conditions typically occur in Zone I and Zone II, which include the distal phalanx and middle phalanx of the fingers. Therefore, the therapist's treatment plan is appropriate for both Zone I and Zone II.

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  • 3. 

    Specific treatment goals That Prevent Boutonni�re Deformity and Prevent secondary contractures are for zone/s_________

    • I & II

    • III & IV

    • V

    • VI

    Correct Answer
    A. III & IV
    Explanation
    The specific treatment goals that prevent Boutonnière deformity and prevent secondary contractures are for zones III and IV.

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  • 4. 

    Which Zone is typical for the following treatment by therapist with MD order: ROM at 10-14 days if surgical repair has not interfered with lateral bands ROM of DIP with PIP joint stabilized in extension AROM begins at 4-6 weeks at PIP full extension to follow flexion Splint PIP in extension if lag noted AAROM at 5-6 weeks for flexion Six weeks for resistive flexion

    • Both zone III & IV

    • Both Zone I & II

    • Zone V

    • Zone VI

    • Zone VII

    Correct Answer
    A. Both zone III & IV
    Explanation
    The given treatment plan includes interventions that are typical for both zone III and zone IV. Zone III involves the extensor tendon over the middle phalanx, while zone IV involves the extensor tendon over the proximal phalanx. The treatment plan mentions ROM at 10-14 days, which is typical for zone III, and splinting the PIP joint in extension if lag is noted, which is typical for zone IV. Therefore, the correct answer is both zone III and IV.

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  • 5. 

    Associated w/ fracture requiring Fixation internally of DIP in neutral or mild Hyper-extension by K-wire. Wire removed 4-6 weeks Padded dorsal splint that allows PIP Joint Flexion (1-2 Diamond aluminium)

    • Are indications of an Open injury

    • Are indications of an Closed injury

    • Is a possible MD treatment for injuries in either zone I or II

    • A & C

    • None of the above

    Correct Answer
    A. A & C
    Explanation
    The given correct answer is A & C. The indications of an open injury, such as associated fracture requiring internal fixation and the use of a padded dorsal splint that allows PIP joint flexion, suggest that the injury is open. Additionally, the possible treatment of injuries in either zone I or II with MD treatment supports the idea that the injury is open.

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  • 6. 

    Possible treatments by MD for Zones III & IV Include: ORIF Surgical repair

    • Immobilized approximately 4 weeks with PIP/DIP in extension.

    • Wrist immobilized in extension with MP�s in Slight flexion

    • Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks

    Correct Answer
    A. Immobilized approximately 4 weeks with PIP/DIP in extension.
    Explanation
    The correct answer is "Immobilized approximately 4 weeks with PIP/DIP in extension." This treatment option suggests that the patient's hand and wrist should be immobilized for about 4 weeks with the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints in extension. This is a common treatment approach for fractures or injuries in Zones III and IV, which involve the fingers and hand. Immobilization helps promote proper healing and stability in the affected area.

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  • 7. 

    Possible treatments by MD for Zone VI Include: Surgical repair

    • Wrist immobilized in extension with MP�s in Slight flexion

    • Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks

    • Immobilized approximately 4 weeks with PIP/DIP in extension.

    Correct Answer
    A. Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks
    Explanation
    The correct answer suggests that the possible treatment for Zone VI includes immobilizing the wrist in extension with the metacarpophalangeal (MP) joints in slight flexion for a duration of 4 weeks. This treatment approach aims to stabilize the wrist and promote healing. By immobilizing the wrist in extension, it helps to prevent excessive movement and further damage to the affected area. The slight flexion of the MP joints allows for some functional use of the hand while still providing support to the wrist. This treatment duration of 4 weeks allows sufficient time for the injured tissues to heal properly.

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  • 8. 

    Identify the zone: injury to extensor tendons over the dorsum of hand usually associated with crush injury

    • Zone V

    • Zone VI

    • Zone III

    Correct Answer
    A. Zone V
    Explanation
    The correct answer is Zone V. In the extensor tendon injury classification system, Zone V refers to injuries located over the dorsum of the hand, which is the back or upper surface of the hand. These injuries often occur due to a crushing force, such as when the hand is caught between two heavy objects or under a heavy falling object. Injuries in Zone V can affect the extensor tendons that run over the dorsum of the hand, causing difficulty in extending the wrist, fingers, or thumb. Treatment for these injuries may include splinting, hand therapy, or surgical repair, depending on the severity and specific circumstances of the injury. Due to the potential complexity and severity of Zone V injuries, it is important to consult with a healthcare professional experienced in treating hand injuries to ensure the best possible outcome.

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  • 9. 

    Which Zone is typical for the following treatment by therapist with MD order: AROM begins 4 weeks post-injury Wrist immobilized in extension for MP/PIP flexion Intrinsic stretch with proximal joints in extension and distal joints in flexion Wrist in extension for MP motion Re-education of extensor digitorum communis Light resistance at 5-6 weeks Full AROM flexion/extension of MP at 8 weeks

    • Zone V

    • Zone VI

    • Both Zone I & II

    • Zone VI

    • None of the above

    Correct Answer
    A. Zone V
    Explanation
    The given treatment plan includes various activities and exercises that are typically performed in Zone V of hand therapy. Zone V involves the flexor tendon sheath in the palm of the hand and includes the MP and PIP joints. The treatment plan mentioned in the question, such as wrist immobilization in extension for MP/PIP flexion, re-education of extensor digitorum communis, and full AROM flexion/extension of MP at 8 weeks, aligns with the activities typically performed in Zone V. Therefore, the correct answer is Zone V.

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  • 10. 

    Identify the Zone: injury to extensor tendons over MP joint with an inability to extend proximal phalanx

    • Zone IV

    • Zone VI

    • Zone VII

    • Zone V

    • Both Zone V & VI

    Correct Answer
    A. Zone VI
    Explanation
    The correct answer is Zone VI. In the extensor tendon injury classification system, Zone VI refers to injuries located over the metacarpophalangeal (MP) joint, which is the joint at the base of the finger. Injuries in this zone can affect the extensor tendons that run over the MP joint, resulting in an inability to extend the proximal phalanx, the bone in the finger closest to the hand. This type of injury may lead to difficulty in straightening the finger fully. Treatment for Zone VI injuries may include splinting, hand therapy, or surgical repair, depending on the severity and specific circumstances of the injury.

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  • 11. 

    All of the following are Contraindications of Extensor Tendon Repair except________:

    • Tendon rupture

    • Infection

    • Edema

    • Uncomplicated wound closure

    • Adhesions

    Correct Answer
    A. Uncomplicated wound closure
    Explanation
    Contraindications are factors or conditions that make a particular treatment or procedure inadvisable or potentially harmful. Extensor tendon repair is a surgical procedure performed to repair a damaged or severed extensor tendon. In this case, uncomplicated wound closure is not a contraindication for extensor tendon repair. Contrarily, it is a necessary step in the surgical process to ensure proper healing and prevent infection. The other options listed - tendon rupture, infection, edema, and adhesions - are all contraindications as they can interfere with the success of the procedure or increase the risk of complications.

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  • 12. 

    Identify the Zone: disruption of terminal tendon appears as mallet of drop-tip deformity May or not be associated with distal phalanx fracture

    • Zone II

    • Zone IV

    • Zone I

    • Both A & C

    • Zone VII

    Correct Answer
    A. Both A & C
    Explanation
    The correct answer is "both A & C". This means that the disruption of the terminal tendon appearing as mallet or drop-tip deformity may or may not be associated with a distal phalanx fracture. Zone A refers to the distal interphalangeal joint, and Zone C refers to the middle phalanx. Therefore, the disruption can occur in both of these zones.

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  • 13. 

    Immobilization in neutral or mild hyper-extension 4-6 weeks

    • Is a possible MD treatment for injuries in either zone III or IV

    • Are indications of an Closed injury 

    • None of the above

    • All of the above

    Correct Answer
    A. Is a possible MD treatment for injuries in either zone III or IV
    Explanation
    The correct answer is "is a possible MD treatment for injuries in either zone III or IV." Immobilization in neutral or mild hyperextension for 4-6 weeks is a common treatment approach for extensor tendon injuries in Zone III or IV, which are located over the proximal interphalangeal (PIP) joint or proximal phalanx, respectively. Immobilization of the injured finger helps protect the healing tendon and maintain proper positioning during the recovery process. The finger is typically splinted in a neutral or slightly hyperextended position to minimize stress on the healing tendon and promote optimal function after recovery. This treatment approach allows the injured tendon to heal without the need for surgical intervention. After the immobilization period, hand therapy may be recommended to regain range of motion, strength, and flexibility in the finger. It is important to consult with a healthcare professional to determine the most appropriate treatment plan based on the specific circumstances of each patient, as individualized care is essential for optimal recovery.

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  • 14. 

    Possible treatments by MD for Zone V Include: Surgical repair

    • Wrist immobilized in extension with MP�s in Slight flexion for 4 weeks

    • Immobilized approximately 4 weeks with PIP/DIP in extension.

    • Wrist immobilized in extension with MP�s in Slight flexion

    Correct Answer
    A. Wrist immobilized in extension with MP�s in Slight flexion
    Explanation
    The correct answer is "Wrist immobilized in extension with MP's in slight flexion." This treatment involves immobilizing the wrist in an extended position while keeping the metacarpophalangeal (MP) joints slightly flexed. This position helps to maintain stability and prevent further injury to the zone V area. Immobilization is typically done for approximately 4 weeks to allow for proper healing.

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  • 15. 

    Identify the zone: Treatment by a therapist with MD order 1. P/AA/Arom 2. Dynamic splinting to decrease tendon adherence

    • Zone V

    • Zone II

    • Zone III

    • Both A & B

    • Zone IV

    Correct Answer
    A. Zone II
    Explanation
    The correct answer is Zone II. In the extensor tendon injury classification system, Zone II refers to injuries located over the middle phalanx, which is the bone in the middle section of the finger. Injuries in this zone can affect the extensor tendons that run over the middle phalanx, often leading to difficulty in fully straightening the finger.Treatment for Zone II injuries usually involves a combination of approaches, including:P/AA/Arom: This stands for passive, active-assisted, and active range of motion exercises. These exercises are designed to help maintain flexibility and mobility in the finger while the injured tendon heals. They should be performed under the guidance of a therapist.Dynamic splinting: This involves the use of a specially designed splint that helps support the injured finger while allowing some controlled movement. Dynamic splinting can help decrease tendon adherence and promote healing while minimizing the risk of stiffness or contracture development.A therapist may also provide additional treatment modalities and techniques based on the specific needs and circumstances of the patient.

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  • 16. 

    General Treatment goals for Extensor Repair: (Pick 3)

    • Prevent infection

    • Realignment of scar tissue

    • Reduce edema

    • Maintain and/or increase ROM

    • Full tendon gliding

    Correct Answer(s)
    A. Prevent infection
    A. Maintain and/or increase ROM
    A. Full tendon gliding
    Explanation
    The three general treatment goals for extensor tendon repair are:
    Prevent infection: Ensuring proper wound care and hygiene helps minimize the risk of infection, which can complicate the healing process and lead to poorer outcomes.
    Maintain and/or increase range of motion (ROM): Therapeutic exercises and splinting techniques aim to preserve or improve the flexibility and mobility of the injured finger, hand, or wrist. This is crucial for regaining normal function and preventing joint stiffness or contractures.
    Full tendon gliding: Achieving smooth and unrestricted gliding of the repaired tendon is essential for optimal function. Therapeutic exercises, scar tissue management, and splinting techniques are employed to promote proper tendon gliding and reduce the risk of adhesions or other complications.
    It is important to note that other goals, such as edema reduction and realignment of scar tissue, may also be important components of a comprehensive treatment plan, depending on the specific injury and individual patient needs.

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  • 17. 

    Which Zone is typical for the following treatment by a therapist with MD order: ROM to wrist radial/ulnar and flexion/extension planes Perform above in pronation/supination.

    • Zone VI

    • Zone V

    • Zone VII

    • Both Zone I & II

    • Zone III

    Correct Answer
    A. Zone VII
    Explanation
    The correct answer is Zone VII. The treatment approach described is typical for extensor tendon injuries in Zone VII, which are located over the dorsal forearm and involve the extensor muscles that control wrist and finger extension. These injuries may require a combination of therapeutic exercises and splinting to restore range of motion (ROM) and promote healing.The treatment plan includes therapeutic approaches focusing on the wrist and forearm, such as:Range of motion (ROM) exercises: Exercises for the wrist in radial/ulnar deviation and flexion/extension planes help maintain mobility and prevent stiffness.Pronation and supination exercises: Performing ROM exercises with the forearm in pronation and supination ensures that the exercises target the specific muscles and tendons involved in these movements.This treatment plan, individualized based on the specific needs of each patient, aims to restore function and promote optimal healing following extensor tendon injuries in Zone VII. As with any injury, it is essential to consult with a healthcare professional to determine the most appropriate treatment plan.

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  • Current Version
  • Mar 12, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 05, 2007
    Quiz Created by
    Mrs Timbo
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