Finger deformities rehabilitation: How should they be immobilized initially?

• A. Splint in anti-deformity position and keep immobilized for 6-8 weeks
• B. Dynamic splinting immediately
• C. Cast for 2 weeks
• D. Gentle ROM first

Answer: (A)

Immobilize in a posture that prevents the common deforming forces as tissues heal. The anti-deformity position (often the intrinsic plus position) places the fingers in a length that reduces risk of contracture and maintains joint alignment, keeping ligaments and the extensor–flexor mechanisms from shortening during healing.

Staying immobilized for 6–8 weeks provides enough time for soft tissues to heal and reorganize—collagen fibers mature and the repaired structures gain stability—before introducing motion. Starting dynamic movement or gentle ROM too early can disrupt healing and lead to renewed deformity, while a cast for only a short period won’t protect the tissues adequately.