These injuries should be managed by a dedicated hand surgeon who has experience in the management of these injuries, as a strong repair needs to be executed in order to allow early range of motion to prevent adhesions forming between the tendon and the pulleys. There are also often associated nerve and vessel injuries that will be addressed at the time of surgery.

Crucial to the postoperative management of these injuries is strict adherence to a defined early active range of motion protocol in order to achieve an optimal outcome. Following tendon repair, the hand is placed in a splint in order to restrict the movement of the wrist and hand to some measure, so as not to place undue stress on the repair in the rehabilitation phase

For flexor tendons the splint needs to be in place for 4 weeks, whereas for extensor tendons it only needs to be in place for 3 weeks.