Chapter 16:  Tendon Injury

This chapter addresses the fundamentals of tendon management.  Extensor tendons and flexor tendons are examined from an anatomical, pathological, surgical, and rehabilitation perspective.  Detailed drawings of the tendons, pulley system and zones of injury assist in understanding the intricate design of the tendon system.  Photographs illustrate some of the splints used in different rehabilitation protocols and charts display key information related to treatment protocols.  

The purpose of the chapter is to ensure that therapists understand the rationale behind tendon rehabilitation.

Highlights include:

• Clinical pearls
• Description of tendon injuries, surgical repairs, and healing
• Description of flexor tendon anatomy and zones of injury
• Description of extensor tendon anatomy and zones of injury
• Guidelines for using immobilization, passive mobilization and active mobilization protocols
• Information regarding precautions
• Overview of common splints used for flexor and extensor tendon injuries
• 2 case studies

(Fundamentals of Hand Therapy by Cooper: "Tendon Injury" by L. J. Klein, OTR, CHT, copyright 2007)

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Program subject to change. Participants are cautioned to apply new information and skills within the scope of state licensure law.

 

 Course Objectives:

Upon completion of this course, participants will be able to:

• Describe the anatomy and zones of the flexor and extensor tendons
• Understand how anatomical features and zones of injury play a role in choosing the rehabilitation protocol
• Understand the rationale for choosing immobilization, passive mobilization or active mobilization protocols
• Identify precautions with tendon rehabilitation
• Recognize questions that therapist needs to ask the surgeon regarding tendon injuries/repairs
• Understand the splints commonly used in tendon rehabilitation
• Understand how to progress tendon rehabilitation programs

CE Credits

3 contact hour

Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.

Accepted by many professional credentialing organizations and state professional regulatory boards. Check with your state board/credentialing agency to verify. Certificate of attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits. CE Credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CE. See links below.

Arkansas State Board of Physical Therapy: This course has been approved by the Arkansas State Board of Physical Therapy for 3 contact hours.

Physical Therapy Board of California: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 3 contact hours.

Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, #216.000227 for courses completed by 09-30-2014.

North Carolina Board of Physical Therapy Examiners: This course has been approved by virtue of Illinois CE Provider Approval #216.000227 for 3 contact hours. (Course must be completed by 09-30-2014)

NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider for courses completed by 05-10-2016 of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.

AOTA Approved Provider #6177. These states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA:

Alaska Arkansas Delaware District of Columbia Illinois Indiana Kentucky Louisiana Maryland Minnesota Mississippi Missouri Montana

Nevada New Hampshire New York North Carolina Ohio Oregon Oklahoma Rhode Island South Carolina Tennessee Texas Vermont Virginia

The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

*NBCOT...National Board for Certification of Occupational Therapy (view PDU requirements)
+HTCC... Hand Therapy Certification Commission  (view recertification requirements)

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Regulations for self-study courses vary by state and profession. If you are taking this course for CE credits required for licensure, please contact your licensing board to confirm acceptance of this online course prior to registering. Courses must be relevant to your field of practice.