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Hi, looking for ideas on this one: 20 yo male sustained an arm saw injury to the extensor aspect of his forearm, proximal third to mid radial forearm primarily. The laceration transversed the entire dorsal aspect obliquely torwards and into the volar forarm. Injuries were identified and repair was done for extensor digitorium, extensor carpi radialis brevis, entensor pollicis longus, abductor pollicis longus as well as fracture of his radius. Appears to be no neurovascular compromise. It is now almost 4 months post injury. He has had ongoing physio, and occupational therapy and all in all has progressed well. Problem areas remain in that he cannot actively extend his wrist with his fingers extended. To extend his MCP he has to flex his wrist. Passively he has full ROM into extension with or without MCP extension. His ext dgitorium is intact as he can extend his PIP and DIP with his wrist flexed. (I know lumbricals can assist with this however he can do it even with MCPs in neutral as long as the wrist is flexed and they shouldn't be affected by wrist position). There have been alot of adhesion formation and we have worked on this with frictions and laser. Basically his hand is becoming quite functional although MCP extension always brings about wrist flexion and it is very strong, he cannot overcome this pull even when attempting to stabilize his wrist. He does not have good disassociation between extensor indicis and extensor digitorium either. Any ideas on how to combat this problem? Thanks. Troy Harvie B.Sc PT Nova Scotia, Canada %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%