Asht-ca chapter splinting

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Physicians guide to custom splinting

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  • Instability of mp joint in full extension can happen only with avulsion of UCL and volar plate
  • Bakshi & Kamal 60 Pearls in 60 Minutes Information collected and contributed by Saba Kamal, OTR, CHT
  • Asht-ca chapter splinting

    1. 1. Physicians guide to Custom Splinting For Various Hand and Upper Extremity Problems ASHT-Ca chapter
    2. 2. Shoulder <ul><li>Brachial Plexus </li></ul>
    3. 3. Elbow <ul><li>Elbow Flexion contracture </li></ul><ul><li>Elbow Extension Contracture </li></ul>
    4. 4. Wrist <ul><li>Composite Wrist and finger extension </li></ul><ul><li>Wrist extension </li></ul>
    5. 5. Ulnar Wrist pain <ul><li>TFCC sprain </li></ul><ul><li>ECU subluxation </li></ul>
    6. 6. Wrist instability (Mild) <ul><li>DISI </li></ul><ul><li>DISI splint </li></ul>David Lichtman, MD
    7. 7. Fracture Bracing <ul><li>Metacarpal fracture </li></ul><ul><li>Boxers Fracture </li></ul>
    8. 8. Finger <ul><li>Radial Nerve </li></ul><ul><li>Extensors tendon </li></ul><ul><li>Zone V post junctura </li></ul>
    9. 9. Stiff Hand <ul><li>Composite fist Static </li></ul><ul><li>Composite fist Dynamic </li></ul>
    10. 10. Finger tightness <ul><li>Intrinsic tightness </li></ul><ul><li>Web Space contracture </li></ul><ul><li>Anti Claw splint </li></ul>
    11. 11. Finger Contracture <ul><li>MP extension contracture </li></ul><ul><li>PIP flexion contracture </li></ul>
    12. 12. Fracture PIP Grade II Closed reduction with static traction – 2 weeks Open reduction & internal fixation Dynamic traction splinting & early mobilization (6 Weeks) PIP in extension @ rest in traction splint
    13. 13. Fracture PIP Grade III Open reduction & internal fixation Dynamic traction splinting & early mobilization (6 Weeks) PIP joint in alternating flexion & extension @ rest in traction splint
    14. 14. Early Motion program
    15. 15. PIP dislocation
    16. 16. Wound closure <ul><li>Protect the wound </li></ul><ul><li>Protect the pin site </li></ul><ul><li>Avoid friction over wound/ grafts </li></ul><ul><li>Decrease edema </li></ul>
    17. 17. Mallet <ul><li>Dorsal Mallet splint </li></ul><ul><li>Allows for function </li></ul>
    18. 18. Mallet Finger Management Addressing Swan Neck Tendency
    19. 19. Flexor Tendon Zone I
    20. 20. Flexor Tendon Zone II <ul><li>Duran / Klinert </li></ul><ul><li>Combo </li></ul>
    21. 21. Saggital Band injury Yolk splint (non rheumatoid) L Catalano, MD
    22. 22. Saggital Band Rheumatoid
    23. 23. Trigger finger
    24. 24. UCL injury <ul><li>UCL injury </li></ul><ul><ul><li>Gamekeepers thumb </li></ul></ul><ul><ul><li>Grade I and II </li></ul></ul><ul><li>RCL injury </li></ul><ul><ul><li>Post op </li></ul></ul>
    25. 25. CMC Arthritis
    26. 26. Dequervains
    27. 27. Rheumatoid Arthritis <ul><li>Swan Neck </li></ul><ul><li>Boutonniere </li></ul><ul><li>Ulnar Drift </li></ul>
    28. 28. Carpal tunnel <ul><li>Carpal Tunnel </li></ul><ul><li>Carpal Tunnel with lumbrical involvement </li></ul>
    29. 29. Cubital Tunnel <ul><li>Night Splint </li></ul><ul><li>Day Taping </li></ul>
    30. 30. Hand Therapy
    31. 31. Complications of Injuries
    32. 32. Conclusion <ul><li>Hand injuries and its deformities are frequent. </li></ul><ul><li>Early & precise intervention via early referral predictably produces better results. </li></ul>
    33. 33. To find a certified hand therapist in your area visit www.ASHT.org or www.HTCC.org        End Result Function
    34. 34. Thank You Information collected and contributed by Saba Kamal

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