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Flashcards in Upper Extremity and Spinal Deck (71)
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1

EWHO

elbow wrist hand orthosis

2

Opponens Orthosis/Spica Splint

Maintain, assist or provide opposition by stabilizing the thumb in a functional position

3

What is a thumb spica indicated for?

Scaphoid Fractures, thumb phalanx fractures or dislocations

4

Most common uses of thumb spica?

Gamekeepers thumb or skiers thumb
DeQuiervans tenosynovitis

5

Fitting of thumb spica:

Extends from DIP joint of thumb incorporates the thumb and extends up 2/3 of the proximal lateral forearm

6

Ulnar gutter splint indications:

phalangeal and metacarpal fractures

7

Most common uses of ulnar gutter splint:

most common-Boxer fracture
5th MCP and soft tissue injury to little and ring finger

8

Radial gutter splint indications:

fractures, phalangeal and metacarpal and soft tissue injury of the index and middle fingers

9

What is a wrist hand orthosis (WHO) commonly referred to as?

resting hand splint

10

What is a WHO used for:

Commonly used to prevent contractures
Maintains neutral/static wrist, hand, and finger

11

Cock-up splint uses:

Commonly used in cases of carpal tunnel syndrome
Maintains wrist in slight extension

12

Tenodesis orthosis

Commonly used in cases of cervical spinal cord injury that result in paralysis of prehension

13

What does a tenodesis orthosis do?

Creates approximation of the 2nd and 3rd digits and the thumb with active extension of the wrist

14

How long does extensor tendon repairs take?

12 weeks in some degree of splinting. 4-6 months for full recovery

15

How long are flexor tendons immobilized?

6-8 weeks

16

What are patients placed in following extensor tendon repair?

static volar splint

17

Setting of static volar splint:

wrist in 30d of ext, the MCP joints in 0-15d flexion, and IP joints in full extension

18

What are patients placed in following flexor tendon repair?

dorsal protective splint

19

Setting of dorsal protective splint:

30-40d wrist flexion, 50-70d MCP flexion, and the IP joints are allowed full extension

20

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

21

Mallet Finger: extensor tendon DIP; PIP joint:

the PIP joint should remain mobile

22

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

23

Treatment of Central slip extensor tendon injury (may cause boutonniere deformity over time)

splint PIP joint in full extension for 6 weeks

24

Exam of collateral ligament injury (usually at the PIP joint)

maximal tenderness at involved collateral ligament

25

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

26

Exam of extensor tendon injury at DIP joint

tender at dorsal aspect of the DIP joint
no active extension of DIP joint

27

Treatment of extensor tendon injury at DIP joint

Splint the DIP joint continuously for 6 weeks

28

Exam of FDP tendon injury

tender at volar aspect of the DIP joint
inability to flex the DIP joint

29

Treatment of FDP tendon injury:

splint finger and refer to orthopedic or hand surgeon

30

Exam of volar plate injury (usually at PIP joint)

maximal tenderness at volar aspect of involved joint