orthotic prescriptions

Question 1

lat epi

Answer 1

to dec pain at origin of ECRB

wrist cock up splint - allows 0-45° ext but no flexion; acure

forearm support band or counterforce brace - dec tension at tendon; subacute to chronic

Question 2

cubital tunnel syndrome

Answer 2

prevent stretch of ulnar nerve to dec pain and paresthesia

custom splint - elbow at 45° flexion

posey soft splint - night splint to prevent elbow flexion

Question 3

carpal tunnel sndrome

Answer 3

prevent wrist flexion

volar resting hand splint - may press on median nerve

dorsal resting hand splint - better choice; prevents wrist flexion but allows finger motion

Question 4

DQC

Answer 4

min glide of APL and EPB

custom - neutral wrist to slight ext c thumb radially abd; thumb IP can be free

Question 5

trigger finger

Answer 5

restrict tendon glide at A1

custom
- MCP 10-15° flexion
- PIP 15-20° flexion

Question 6

boutonierre’s

Answer 6

ring orthosis that blocks PIP flexion

Question 7

swan neck

Answer 7

ring orthosis to enocurage flexion but block PIP extension

Question 8

median nerve injuries

Answer 8

control thumb and prevent opposition

short opponens orthosis - has C bar and opponens bar for pinch

Question 9

radial nerve neuropathy

Answer 9

prevent wrist drop

volar wrist flexion control orthosis -

Question 10

extension contractures

Answer 10

dynamic hand finger orthoses - stretches shortened collat ligament

Question 11

extensor tendon repair

Answer 11

dynamic wrist finger orthoses
- nuetral or ext wrist c flexion block at MCP and IP of uninvolved
- ext traction