This chapter presents a clinical scenario of a 35‐year‐old self‐employed male contractor with a history of extensor tendon injuries. The strength of an extensor tendon repair dictates which postoperative rehabilitation protocol may be implemented. The goal of extensor tendon repair is to create sufficient repair strength to prevent rupture, safely engage in postrepair therapy, and allow the patient to return to work and activities of daily living as soon as possible. Most experts would agree that a strong repair that will withstand tension during early range of motion protocols is advisable. Understanding the extent and severity of the injury could help predict the functional outcome of the patient’s hand. This can further assist the patient, surgeon, therapist, and employer in directing care, rehabilitation, and return to work. The chapter also provides recommendations for implementing evidence‐based practice in the clinical setting.