Postoperative Management of Extensor Pollicis Longus Repairs within Close Vicinity to or within the Extensor Retinaculum

Therapists are continually modifying tendon protocols as part of the quest to create the perfect balance between tendon protection and tendon glide. Although much literature exists on the rehabilitation of the long flexor and extensor tendons to the digits, little literature exists on the rehabilitation of the extensor pollicis longus (EPL) tendon. This author used concepts related to tendon glide, tendon tethering, and early active mobilization to create a new splint and subsequent protocol for patients after an EPL laceration near the extensor retinaculum.—Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor