Early Active Short Arc Motion Following Central Slip Repair

Open repairs of the central slip have traditionally been treated with 4 to 6 weeks of immobilization, followed by therapy to restore motion. Although rehabilitative efforts were usually directed at avoiding extension lag, loss of flexion was also commonly encountered. Early active short arc motion produces improved range of motion with shorter treatment time compared with static immobilization of the repaired central slip. The technique is straightforward but its success depends on attention to the details of splinting and exercise, and the patient's active cooperation and compliance.