| Term | Definition |
|---|
| Diagnosis: CVA | AKA stroke; sudden death of some brain cells due to lack of o2 when the blood flow to brain is impaired by blockage or rupture of an artery |
| Diagnosis: colles fx | distal fragment dorsal, usually caused by FOOSH |
| Splint for: RA Hand | Resting hand splint wrist 20-30 degree ext, thum palmer abd, MCP 15-20flex, PIP/DIP slight flex, thumb bet read/palm abd (if severe, 5-10 deg ulnar deviation) |
| Wearing schedule: RA THUMB | Thumb:Wear continuously during pain and inflamm; remove for hygiene and exercise, adjust position by pain |
| Diagnosis: Boutonierre deformity | PIP flexion, DIP hyperextension b/c of RA or ext mech imbalance |
| Splint for: OA thumb | CMC Thumb: Removable hand based CMC immobilization splint |
| Wearing schedule: boxers fx | Boxers: casted 3-4 weeks, ulnar gutter splint a few wks,AROM 3-4 wks if stable |
| Splint for: swan neck | Swan neck splint / dorsal gutter to allow PIP flex and DIP ext |
| Diagnosis: RA | Chronic disease causing inflammation, pain |
| Diagnosis: Ulnar collateral ligament injuries (aka gamekeepers thumb or skiers thumb) | Injury caused by stress on UCL from a fall or injury or from forced abd of thumb / Symptoms-weakened ability to hold objects, decreased thumb stability, local swelling, local pain, and ecchymosis |
| Wearing schedule: Radial collateral ligament injuries (golfer's thumb) | Wear all the time until healed, then wrap thumb or use soft prefab for 1 year post injury |
| Splint for: Boutonierre deformity | Plaster PIP or PIP extension/volar gutter splint: to keep PIP ext and MCP, DIP free |
| Diagnosis: swan neck | PIP hyperextension, DIP flexion, usually caused by RA/OA and/or imbalance of ext mechanism w/dorsally displaced lateral bands |
| Wearing schedule: Boutonierre deformity | Splint 6-8 weeks, wean off |
| Splint for: RA thumb | Thumb: Long forearm based thumb immobilization splint with wrist in 20-30 degrees ext, thumb CMC palm abd 45 degrees, MCP 5 degrees flex |
| Diagnosis: boxers fx | 5th mc fx; usually caused by landed punch |
| Wearing schedule: RA Hand | Acute: worn day and night as necess except for hygiene and exercise / Chronic: during activites and nite |
| Diagnosis: Radial collateral ligament injuries (golfer's thumb) | Caused by repetitive action of the wrist, especially ulnar deviation as in golfing (rad coll lig is in the snuff box) |
| Splint for: OA hand | Hand: DIP immobilization splint to decrease pain |
| Wearing schedule: Ulnar collateral ligament injuries (aka gamekeepers thumb or skiers thumb) | Grade I: wear continuously 3-4 wk, remove for hygiene Grade II: continuously for 4-5 weeks Grade III: After cast immobilization, follow above protocol |
| Splint for: Ulnar collateral ligament injuries (aka gamekeepers thumb or skiers thumb) | Hand based thumb immobilization splint (MCP immobilized, thumb CMC abd 30-40 degrees) |
| Diagnosis: Smiths fx | distal fragment palmar, usually caused by FOOSH |
| Splint for: Radial collateral ligament injuries (golfer's thumb) | Hand based thumb immobilization splint (MCP immobilized, thumb CMC abd 30-40 degrees, thumb positioned in radial deviation at MCP) to remove stress from healing ligament |
| Diagnosis: OA | Most common in women 50-60; degenerative joint condition w/loss of articular cart and enlarged DIP (heberden's nodes) / PIP (bouchard's nodes) |
| Splint for: boxers fx | Ulnar gutter cast-don't splint IP jts |
| Splint for: CVA | Resting hand splint to reduce contractures resulting from increased tone or spasticity |
Combine with other sets
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