What is Kleinert protocol?
Olivia Shea
Updated on March 01, 2026
Objective: Kleinert (active extension, rubber-band passive flexion) and Duran (passive extension, passive flexion) protocols are two basic types of early motion programs for rehabilitation of flexor tendon injuries.
What is Kleinert?
Kleinert Institute is a nonprofit education and research organization funded by an endowment for education and research in hand and microsurgery. Kleinert, M.D., started a hand surgery clinic in Louisville, Kentucky, in 1953.
How long can you wait to repair an extensor tendon?
Mallet injuries are uncommon in the thumb because the terminal extensor tendon is thicker on the thumb [36]. For open injuries most surgeons would recommend primary repair with splinting for 6 weeks.
How long does an extensor tendon repair take to heal?
Your tendon will take up to 12 weeks to completely heal and it is important to follow all advice to avoid rupturing your tendon.
Is a quadricep tendon a flexor or extensor tendon?
The quadriceps tendon (quad tendon) is the large tendon just above your kneecap. The quad tendon is part of the extensor mechanism of the knee that includes the quadriceps muscle, the quad tendon, the kneecap (patella) and the patellar tendon. It is the extensor mechanism that allows us to straighten our knee or perform a kicking motion.
What is an extensor tendon rupture?
Extensor tendon ruptures are usually characterized by immediately popping or tearing sensation upon injury. It is followed by swelling, anterior pain and inability to extend the injured leg.
What is the extensor tendon sheath?
The common extensor tendon is a tendon that attaches to the lateral epicondyle of the humerus. It serves as the upper attachment (in part) for the superficial muscles that are located on the posterior aspect of the forearm: Extensor carpi radialis brevis. Extensor digitorum. Extensor digiti minimi.
What is a flexor tendon repair?
Tendon repair is surgery done to treat a torn or otherwise damaged tendon. Tendons are the soft, band-like tissues that connect muscles to bone. When the muscles contract, the tendons pull the bones and cause the joints to move. When tendon damage occurs, movement may be seriously limited.