B. Early passive motion method 1. 0 to 21 days postoperatively a. Splinting (Fig. 20-11) (1) Dorsal: wrist in 30 degrees static extension; MCP/IP in 0 degrees dynamic extension (2) Volar: static splint allowing 60 degrees of IP motion b. Therapy (1) By patient: active flexion to volar splint with passive extension via dynamic traction (2) By therapist: maximal wrist extension with simultaneous MCP joint flexion to 30 degrees (3) Wrist tenodesis: wrist to 0 degrees extension with simultaneous thumb CMC, MCP, and IP extension, alternating with full wrist extension with thumb CMC, MCP, and IP relaxed.