An OT practitioner is evaluating the ROM of a client with an acute full thickness burn to the dorsum of the hand. The therapist is concerned about the integrity of the extensor tendons and should take which of the following actions?
A. Measure passive composite finger flexion.
B. Measure active composite finger flexion.
C. Measure metacarpophalangeal (MP) flexion with the interphalangeal joints in extension.
D. Refrain from performing all hand joint measurements until the burn has healed.
ANS: C
Boutonnière deformity precautions should be initiated until the integrity of the hand's extensor hood mechanism can be verified. These include avoiding active and passive composite flexion of the fingers. MP flexion can be safely measured if the interphalangeal joints are held in extension.
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