Certified Hand Therapist (CHT) Practice Exam

What should be included in the immediate post-operative care for Dupuytren's?

1. Begin aggressive range of motion exercises

2. Apply an orthosis with wrist in neutral position

3. Perform deep tissue massage

4. Keep the hand immobilized for 2 weeks

The correct answer is: Apply an orthosis with wrist in neutral position

In the immediate post-operative care for Dupuytren's contracture, applying an orthosis with the wrist in a neutral position is crucial. This approach helps to protect the surgical site and maintains appropriate positioning of the fingers, which is essential for optimal healing. By stabilizing the wrist and fingers, the orthosis supports any structures that were manipulated or repaired during surgery, thus minimizing stress on the surgical area. Continuing with this practice allows for proper alignment of the tendons and prevents any potential complications, such as retraction or excessive scarring. The neutral wrist position also creates an optimal environment for subsequent rehabilitation phases, facilitating the transition to gradual mobilization and range of motion exercises once the healing process allows. In contrast, beginning aggressive range of motion exercises too soon may lead to increased swelling or strain on the surgical site, potentially jeopardizing the surgical outcome. Deep tissue massage is generally not recommended right after surgery as it may lead to inflammation or additional stress on the healing tissues. Keeping the hand immobilized for 2 weeks also does not align with the current practices which favor early mobilization within a protected framework to encourage healing and recovery.