Flashcards in Upper Extremity and Spinal Deck (71)
elbow wrist hand orthosis
Opponens Orthosis/Spica Splint
Maintain, assist or provide opposition by stabilizing the thumb in a functional position
What is a thumb spica indicated for?
Scaphoid Fractures, thumb phalanx fractures or dislocations
Most common uses of thumb spica?
Gamekeepers thumb or skiers thumb
Fitting of thumb spica:
Extends from DIP joint of thumb incorporates the thumb and extends up 2/3 of the proximal lateral forearm
Ulnar gutter splint indications:
phalangeal and metacarpal fractures
Most common uses of ulnar gutter splint:
most common-Boxer fracture
5th MCP and soft tissue injury to little and ring finger
Radial gutter splint indications:
fractures, phalangeal and metacarpal and soft tissue injury of the index and middle fingers
What is a wrist hand orthosis (WHO) commonly referred to as?
resting hand splint
What is a WHO used for:
Commonly used to prevent contractures
Maintains neutral/static wrist, hand, and finger
Cock-up splint uses:
Commonly used in cases of carpal tunnel syndrome
Maintains wrist in slight extension
Commonly used in cases of cervical spinal cord injury that result in paralysis of prehension
What does a tenodesis orthosis do?
Creates approximation of the 2nd and 3rd digits and the thumb with active extension of the wrist
How long does extensor tendon repairs take?
12 weeks in some degree of splinting. 4-6 months for full recovery
How long are flexor tendons immobilized?
What are patients placed in following extensor tendon repair?
static volar splint
Setting of static volar splint:
wrist in 30d of ext, the MCP joints in 0-15d flexion, and IP joints in full extension
What are patients placed in following flexor tendon repair?
dorsal protective splint
Setting of dorsal protective splint:
30-40d wrist flexion, 50-70d MCP flexion, and the IP joints are allowed full extension
Mallet Finger: extensor tendon DIP; DIP joint:
DIP joint should be splinted with stack splint in a neutral or slight hyperextension position for six weeks
Mallet Finger: extensor tendon DIP; PIP joint:
the PIP joint should remain mobile
Exam of Central slip extensor tendon injury (may cause boutonniere deformity over time)
tender at dorsal aspect of PIP joint (middle phalanx)
inability to actively extend the PIP joint
Treatment of Central slip extensor tendon injury (may cause boutonniere deformity over time)
splint PIP joint in full extension for 6 weeks
Exam of collateral ligament injury (usually at the PIP joint)
maximal tenderness at involved collateral ligament
Treatment of collateral ligament injury (usually at the PIP joint)
stable joint: buddy tape for 2-4 weeks. Do not leave 5th digit exposed if ring finger is taped
Exam of extensor tendon injury at DIP joint
tender at dorsal aspect of the DIP joint
no active extension of DIP joint
Treatment of extensor tendon injury at DIP joint
Splint the DIP joint continuously for 6 weeks
Exam of FDP tendon injury
tender at volar aspect of the DIP joint
inability to flex the DIP joint
Treatment of FDP tendon injury:
splint finger and refer to orthopedic or hand surgeon