1. time of presentation
   1. 1ry
      1. early = w. in 24 h
      2. delayed = 24h to 2/52
   2. 2ry
      1. early 2-5/52
      2. delayed = more than 5 weeks
2. S/S
3. Rx.
   1. Choosing not to operate, performing an arthrodesis(joint ossification via surgery.), or amputating the digit may be a more prudent intervention than subjecting the patient to what may ultimately restore little function.
      1. I. tendon and pulley integrity is found to be satisfactory---> tenolysis to restore tendon gliding
      2. II. tendon transfer
      3. III. tendon grafting
         1. A primary tendon graft can be carried from palm to fingertip when the palm is uninjured and there is minimal scarring
      4. IV. significant scarring--> 2 staged surgery: 1st- pulley recon. & scar revision & temporary silicone spacer to develop a smooth gliding bed;;; 2nd-graft placement sliding the tendon starting from the non-scarred area
      5. I. OT
4. Dx.
5. complications
   1. Subtopic 1
   2. reconstruction is a/w neurovascular insult and may result in a cold and atrophic finger even with good ROM
6. causes
   1. Failed primary tendon repairs
   2. , crush injuries, fractures
   3. infections
   4. surgery