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Central Slip Injury and Zone 2-3

Date issued: July 2023

Review date: July 2025

Ref: B-486/Occupational Therapy/ET/Central Slip Injury and Zone 2-3

PDF:  Central Slip Injury and Zone 2-3 final July 2023.pdf[pdf] 100KB

Introduction

You have injured or had surgery to repair the tendon that straightens the middle joint of your finger. In the short term, this will need to be protected in a splint; it will take several months to become strong.

Your splint has been made from: ........................................................

Strapping: ........................................................

Wearing your splint

The purpose of the splint is to stop the middle joint of your finger bending allowing the tendon to heal.

When to wear your splint

Please wear your splint:

24 hours a day

Remove daily to wash hand/finger but keep straight at all times – support on a table as directed by your therapist

Wear in bath/shower as directed by your therapist

If you notice:

  1. Red marks on your skin due to rubbing, try relieving with tissue/cotton wool

  2. General irritation or a skin rash, remove the splint more often to wash hand/finger

  3. You experience severe pain, swelling, stiffness or numbness of the hand/ limb concerned when you wear the splint, try elevating hand.

 

If concerned

If you are concerned seek advice from your therapist

 Your splint should not be removed unless instructed to do so by your therapist, that includes showering / bathing.

Keep the splint away from anything hot (hot water / fire / radiator) as it will become soft and lose its shape.

Remember:

Keep your hand elevated to reduce the swelling

Keep your uninjured joints moving to prevent stiffness.

If your splint is rubbing or is uncomfortable please contact us.

Do not use your hand unless advised to do so by your therapist.

Exercise:

When directed by your therapist you will need to do regular exercises to prevent your finger becoming stiff and to allow the tendon to glide when it is strong enough to do so.

The specific type of tendon injury that you have had will dictate the timescales for commencing exercises.

If there is a sudden change in your movement, or the splint is causing you discomfort or is damaged, please contact your therapist.

 

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