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What does the term "tenodesis" refer to in hand therapy?

The process of repairing tendon tears

The natural passive work of wrist extension and finger flexion through tendon length and position

The term "tenodesis" specifically refers to the natural passive movement that occurs between the wrist and the fingers where wrist extension facilitates finger flexion and vice versa, due to the inherent length and positioning of the tendons. This phenomenon is particularly significant in individuals with quadriplegia or in hand therapy, as it allows for functional grasp and release of objects without active muscle contraction.

In practical terms, when the wrist is actively extended, the fingers are drawn into flexion because of the positioning and tension of the flexor tendons; similarly, when the wrist is flexed, the fingers extend as the flexor tendons relax. Understanding this concept is crucial for therapists working on rehabilitation strategies to maximize functional use of the hand, especially for those with limited muscle control.

The other options pertain to different concepts within hand therapy and do not accurately describe "tenodesis." For example, repairing tendon tears and tendon transfers involve surgical interventions rather than describing a biomechanical phenomenon, and diagnosing nerve damage is related to neurological assessments. Thus, recognizing how tenodesis operates offers valuable insight for therapeutic practices and rehabilitation techniques.

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A surgical technique for tendon transfer

A method of diagnosing nerve damage

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