The results were impressive as the patient gained 50 degrees of flexion in the MCP joints. The scar tissue also improved and is softer and more mobile. The pattern of motion has improved as it is no longer an intrinsic minus pattern due to extrinsic tightness of the extensor tendons. He is yet to achieve a full fist and has been provided with a second cast that positions the MCPJ's in further flexion to achieve lengthening of the scar tissue over the dorsum of the hand. The second will be worn for 2 weeks. No therapeutic intervention is needed in between cast changes. Theuns has been provided with his cast exercises to improve MCPJ flexion and maintain PIPJ & DIPJ flexion.