Clinical Reference Only: Protocols are cataloged from third-party sources and provided for reference only. Treating clinicians must verify current accuracy and follow the operative report and surgeon's specific instructions.
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Wrist and Hand Rehabilitation Protocols

Wrist and hand rehabilitation protocols include distal radius fracture ORIF, TFCC repair, carpal tunnel release, trigger finger release, thumb CMC arthroplasty, scaphoid fracture, flexor and extensor tendon repair, and more — sourced from orthopedic and hand surgery specialists across the country.

79 protocols · Search and filter all wrist and hand protocols →

Browse Wrist/Hand protocols by surgery type

Flexor Tendon Repair 14 Extensor Tendon Repair 13 CMC Arthroplasty 5 MP Arthroplasty 4 Distal Radius Fracture ORIF 3
Bony Mallet Repair — Zone 1-2
Orthopaedic Associates of Maine
Bony Mallet Repair — Zone I Mallet Finger Repair — K-Wire Pinning
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
Capsulodesis — Blatt's Capsulodesis
University of Virginia Orthopaedic Surgery
09/2024
Carpal Tunnel Release
University of Virginia Orthopaedic Surgery
09/2024
CMC Arthroplasty — Ligament Reconstruction Tendon Interposition (LRTI) — Thumb CMC Arthroplasty
Lahey Hospital & Medical Center
E. Tolo, MD (approving); P. Ryle, OT; L. Shepard, OT · 2017-08
CMC Arthroplasty — APL Suspension
Orthopaedic Associates of Maine
CMC Arthroplasty — Thumb CMC Arthroplasty — Suspensionplasty
University of Virginia Orthopaedic Surgery
09/2024
CMC Arthroplasty — Thumb CMC Arthroplasty — LRTI
University of Virginia Orthopaedic Surgery
09/2024
CMC Arthroplasty — Thumb CMC Arthroplasty
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
Dr. Gander; Dr. Kruse; Dr. Michelotti; Dr. Salypongse; Dr. Tofte; Dr…
Darrach Procedure — Wrist Darrach Procedure (Distal Ulna Resection)
University of Virginia Orthopaedic Surgery
09/2024
Darrach Procedure — (Distal Ulna Resection)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
de Quervain's Release
University of Virginia Orthopaedic Surgery
09/2024
Distal Radius Fracture
Orthopaedic Associates of Maine
Distal Radius Fracture ORIF — Accelerated
Mammoth Orthopedic Institute / Sierra Park PT
Brian Gilmer MD (US Ski Team Physician); Karly Dawson PA-C; Ellen…
Distal Radius Fracture ORIF — Conservative
Mammoth Orthopedic Institute / Sierra Park PT
Brian Gilmer MD (US Ski Team Physician); Karly Dawson PA-C; Ellen…
Distal Radius Fracture ORIF
University of Virginia Orthopaedic Surgery
09/2024
Dupuytren's Fasciectomy — Dupuytren's Subcutaneous Fasciotomy
Lahey Hospital & Medical Center
E. Tolo, MD (approving); P. Ryle, OT; L. Shepard, OT · 2017-08
Dupuytren's Fasciectomy — Dupuytren's Subtotal Palmar Fasciectomy
University of Virginia Orthopaedic Surgery
09/2024
EPL Repair
Orthopaedic Associates of Maine
Extensor Tendon Repair — Zones III-IV
Orthopaedic Associates of Maine
Extensor Tendon Repair — Zones V-VII
Orthopaedic Associates of Maine
Extensor Tendon Repair — Zone III Delayed Mobilization
University of Virginia Orthopaedic Surgery
09/2024
Extensor Tendon Repair — Zone III Early Short Arc Motion
University of Virginia Orthopaedic Surgery
09/2024
Extensor Tendon Repair — Zone IV Delayed Mobilization
University of Virginia Orthopaedic Surgery
09/2024
Extensor Tendon Repair — Zones V-VI Delayed Mobilization
University of Virginia Orthopaedic Surgery
09/2024
Extensor Tendon Repair — Zones V-VI Relative Motion / Early Motion
University of Virginia Orthopaedic Surgery
09/2024
Extensor Tendon Repair — Zone III Central Slip Conservative
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
Dr. Salyapongse
Extensor Tendon Repair — Zone III Central Slip Short Arc Motion (SAM)
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
Dr. Michelotti; Dr. Gander; Dr. Salyapongse
Extensor Tendon Repair — Thumb (EPL/APL/EPB) Zones II–V Early Active
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Extensor Tendon Repair — Zones IV–VI ICAM (Relative Motion Extension)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Extensor Tendon Repair — Zones IV–VI Non-ICAM Standard Delayed Mobilization
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Extensor Tendon Repair — Zones VII–VIII
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Zone 1 & 2 (Primary Repair / Modified Duran Protocol)
Lahey Hospital & Medical Center
A. Hunter, MD; G. Kasparyan, MD; M. Song, MD; E. Tolo, MD; P. Ryle…
Flexor Tendon Repair — Zone 2 (Early Active Motion Protocol)
Lahey Hospital & Medical Center
M. Miles, OTR/L, CHT; Lahey OT Department · 2023-01
Flexor Tendon Repair — Zones I-III
Orthopaedic Associates of Maine
Flexor Tendon Repair — Flexor Pollicis Longus (FPL) Repair — Early Active Place and Hold
University of Virginia Orthopaedic Surgery
09/2024
Flexor Tendon Repair — Zones I-IV Delayed Mobilization
University of Virginia Orthopaedic Surgery
09/2024
Flexor Tendon Repair — Zones I-IV Early Active Place and Hold
University of Virginia Orthopaedic Surgery
09/2024
Flexor Tendon Repair — Zones I-IV Early True Active Flexion (St. John)
University of Virginia Orthopaedic Surgery
09/2024
Flexor Tendon Repair — Flexor Pollicis Longus (FPL) Repair — Modified Duran
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Flexor Pollicis Longus (FPL) Repair — Early Active Motion
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Flexor Tendon Staged Repair (Two-Stage — Zones I–II)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Zones I–III Early Active Motion (EAM)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Zones I–III Modified Duran (Passive)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Zones IV–V Conservative
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Flexor Tendon Repair — Zones IV–V Early Active
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Mallet Finger — Non-Operative — Extensor Tendon Mallet Finger — Zone I-II Non-Operative
University of Virginia Orthopaedic Surgery
09/2024
Mallet Finger — Non-Operative — Zone I Mallet Finger — Conservative
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
MP Arthroplasty
Orthopaedic Associates of Maine
MP Arthroplasty — MCP Joint Arthroplasty
University of Virginia Orthopaedic Surgery
09/2024
MP Arthroplasty — MCP Joint Arthroplasty with EDC Centralization
University of Virginia Orthopaedic Surgery
09/2024
MP Arthroplasty — MCP Arthroplasty with Extensor Tendon Repositioning/Reconstruction
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Opponesplasty — Conservative
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Opponesplasty — Early Active Motion
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
PIP Arthroplasty — PIP Joint Arthroplasty
University of Virginia Orthopaedic Surgery
09/2024
Proximal Row Carpectomy — Wrist Proximal Row Carpectomy
University of Virginia Orthopaedic Surgery
09/2024
Proximal Row Carpectomy — (Wrist Salvage)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Sagittal Band — Non-Operative — Conservative Treatment
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
2022-05-24
Sagittal Band Repair
University of Virginia Orthopaedic Surgery
09/2024
Sagittal Band Repair
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
2022-05-24
Scapholunate Ligament Reconstruction
University of Virginia Orthopaedic Surgery
09/2024
Scapholunate Ligament Repair
Orthopaedic Associates of Maine
Tendon Transfer — Thumb EPL Tendon Transfer — Early Active Motion
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
2022-04-15
Tendon Transfer — Thumb EPL Tendon Transfer — Conservative
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
2022-04-15
TFCC Debridement — TFCC (Triangular Fibrocartilage Complex) Debridement
University of Virginia Orthopaedic Surgery
09/2024
TFCC Debridement — TFCC Central Tear Surgical Debridement
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
TFCC Peripheral Repair — TFCC (Triangular Fibrocartilage Complex) Peripheral Repair
University of Virginia Orthopaedic Surgery
09/2024
TFCC Peripheral Repair — TFCC Peripheral Tear Surgical Repair
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Thumb MCP Ligament Repair — Thumb MCP UCL/RCL Repair
University of Virginia Orthopaedic Surgery
09/2024
Thumb UCL — Non-Operative — Conservative Treatment
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
Trigger Finger Release
University of Virginia Orthopaedic Surgery
09/2024
Trigger Finger Release — Trigger Finger A1 Pulley Release
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
2022-04-15
UCL Repair — Arthrex Internal Brace
Orthopaedic Associates of Maine
UCL Repair — Thumb UCL Repair — Conservative
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
UCL Repair — Thumb UCL Repair — Early Mobilization
UW Health Orthopedic Surgery; UnityPoint Health - Meriter Rehabilitation
Ulnar Shortening Osteotomy
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Wrist Partial Fusion — 4-Corner Fusion
University of Virginia Orthopaedic Surgery
09/2024
Wrist Partial Fusion — Four-Corner Fusion (Wrist Salvage)
UW Health
UW Health Orthopedic Surgery; UnityPoint Health - Meriter…
Wrist Total Arthroplasty
University of Virginia Orthopaedic Surgery
09/2024