Your patient sustained a laceration of the palmar aspect of the fingers in zone II ("no-man's land") of the hand.The patient subsequently underwent a repair of the lacerated tissues.During the subacute (moderate protection) phase of healing, it is critical to:

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In zone II of the hand, there is a high risk of developing adhesions between the flexor tendons and their surrounding sheaths during the healing process, which can limit range of motion. Therefore, it is important to start tendon-gliding exercises during the subacute phase of healing to minimize the formation of adhesions and promote finger mobility. Keeping the fingers immobile or initiating maximum-level resistance exercises can interfere with the healing process and potentially lead to complications. Limiting exercise to passive ROM may not be sufficient to prevent adhesion formation.

Your Patient Sustained a Laceration of the Palmar Aspect of the Fingers