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Asht-ca chapter splinting


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Physicians guide to custom splinting

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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 or        End Result Function
  34. 34. Thank You Information collected and contributed by Saba Kamal