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JHT Read for Credit
JHT READ FOR CREDIT
JHT Read for Credit Quiz: Article #004
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue. There is only one best answer for each question. 1. The primary functions of the sheath-pulley system are to provide the tendon with: a. nutrition, mechanical advantage, conduits for blood supply b. a gliding surface, conduits for blood vessels, a barrier against infection c. protection, mechanical restraint, a gliding surface d. isolation of the FDP from the FDS, proprioceptive input, secure points of insertion 2. The forces required to produce full digital flexion after tendon repair: a. are significantly increased b. are significantly decreased c. are unchanged compared to an uninjured tendon d. have not been able to be measured and reported 3. In an attempt to limit adhesion formation after tendon repair the following interventions have
been experimented with, but have not provided predictably positive results: a. ‘‘controlled lathyrism’’ b. various anti-inflammatory agents c. mechanical barriers d. all of the above 4. Currently the basis for the best results from flexor tendon repair are strong gap resistant suture technique and: a. heavy resistive exercise at four postoperative weeks b. early motion enhanced by aggressive application of NMES and thermal agents c. early controlled motion in therapy d. early full passive range of motion of all digital joints 5. The mainstay of the so-called early active motion therapy advocated by Strickland is: a. short arc active motion of the PIP b. a place-hold technique involving both wrist and digital joints c. active wrist flexion and extension with the resultant synergistic digital motion d. rubber band traction to restrict the active ROM of the digits to safe limit
April–June 2005 111
JHT Read for Credit Quiz: Article #004
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue. There is only one best answer for each question. 1. The primary functions of the sheath-pulley system are to provide the tendon with: a. nutrition, mechanical advantage, conduits for blood supply b. a gliding surface, conduits for blood vessels, a barrier against infection c. protection, mechanical restraint, a gliding surface d. isolation of the FDP from the FDS, proprioceptive input, secure points of insertion 2. The forces required to produce full digital flexion after tendon repair: a. are significantly increased b. are significantly decreased c. are unchanged compared to an uninjured tendon d. have not been able to be measured and reported 3. In an attempt to limit adhesion formation after tendon repair the following interventions have
been experimented with, but have not provided predictably positive results: a. ‘‘controlled lathyrism’’ b. various anti-inflammatory agents c. mechanical barriers d. all of the above 4. Currently the basis for the best results from flexor tendon repair are strong gap resistant suture technique and: a. heavy resistive exercise at four postoperative weeks b. early motion enhanced by aggressive application of NMES and thermal agents c. early controlled motion in therapy d. early full passive range of motion of all digital joints 5. The mainstay of the so-called early active motion therapy advocated by Strickland is: a. short arc active motion of the PIP b. a place-hold technique involving both wrist and digital joints c. active wrist flexion and extension with the resultant synergistic digital motion d. rubber band traction to restrict the active ROM of the digits to safe limit
April–June 2005 111