3 SPLINTING Flashcards
SPLINTS
Hold a limb/ part of a limb in a functional position.
CREASES (5)
Digital creases.
Distal palmar crease.
Proximal palmar crease.
Thenar crease.
Wrist creases.
ARCHES
Longitudinal arch.
Distal transverse arch.
Proximal transverse arch.
JOINTS OF THE HAND
DIP: distal interphalangeal.
PIP: proximal interphalangeal.
MCP: metacarpophalangeal.
CMC: carpometacarpal.
BONY PROMINENCES
Ulnar styloid process.
Radial styloid process.
FUNCTIONAL POSITION
Holding a ball.
Finger flexion.
Thumb opposition and adduction.
Wrist extended.
RESTING POSITION
Resting hand on a table.
Fingers naturally flexed.
Thumb adducted and partial opposition.
Wrist resting on the table.
SAFE POSITION
Fingers flexed at 90 degrees.
Thumb abducted.
Wrist neutral.
SENSORY DISTRIBUTION
Ulnar, radial, median.
STAGES OF TISSUE HEALING
Inflammatory stage: immobilize to reduce stress.
Remodeling stage: mobilize and protect healing tissues.
Final stage: maximize stretch of healing structures.
3 TYPES OF STRAPS
- Conventional Velcro strap.
- Wrap around strap.
- Pull back strap.
SPLINTING FOR BURNS
Resting hand splint, hand in the safe position.
Axillary splint.
Foot drop splint.
Neck conformer.
SPLINTING FOR RA
Resting hand splint.
Wrist cock-up splint.
Ulnar deviation splint.
Arch supports for the foot.
Finger splints, preventing swan neck and boutonniere deformity.
Thumb spica.
SPLINTING FOR NEUROLOGICAL CONDITIONS
Flaccid limb splinting: resting hand splint, foot drop splint, maintain position and prevent contractures.
Anti-spasticity splinting: maintain mobility.
UE CONDITIONS
CTS (Carpal Tunnel Syndrome): resting hand splint, wrist cock-up splint.
UCL or RCL sprains: thumb spica.
Hand stiffness: serial splinting to obtain ROM.
Tennis/ golfers elbow: straps over muscle insertion.
