Addressing Extensor Digitorum Communis Adherence after Metacarpal Fracture with the Use of a Circumferential Fracture Brace

Decreased gliding of the extrinsic extensor tendons after a metacarpal fracture can be challenging to treat. From a functional perspective, it is important to obtain and maintain a full glide from the extrinsic extensor tendons, as many functional activities rely on full finger motion. However, if scarring has occurred as a result of a metacarpal fracture, such tendon gliding may be compromised. These authors are presenting their protocol for addressing adherence of the extensor digitorum communis tendon after a metacarpal fracture.—Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor