Quizlet Questions Flashcards
Describe the position of the MP stop.
Proximal to the PIP joints with the MP joints in 15 degrees of flexion
Describe the position of the thumb post.
Encircles the distal phalanx of the thumb, but does not interfere with the thumb and finger pads
Describe the purpose of adding a lumbrical bar with an IP extension assist.
Dynamic assistance for IP extension, while preventing MP hyperextension.
Describe the rubber band line of pull for IP extension assist.
The line of pull should be perpendicular to the middle phalanx
The C-bar should place the thumb in what position?
35 degrees of abduction
Thumb post is indicated when:
Thumb opposition and flexion are not adequate for prehension
What is the purpose of the 1st dorsal interosseous assist?
Abducts the index finger to assist prehension
What is the purpose of the MP stop?
Substitutes for lumbrical weakness by positioning the MCP joint in flexion.
What is the purpose of the spring swivel thumb attachment?
Dynamic thumb abduction assistance. Spring tension should allow full adduction, but enough tension to return the thumb to the abducted position.
When is an adjustable MP flexion stop indicated?
When the MP joint is contracted to return the hand to functional position.
IP extension assist can be added if IP flexion contractures are present.
Where is the 1st dorsal interosseus assist positioned?
positioned proximal to the PIP joint of the index finger
Where is the spring swivel thumb positioned?
Proximal to the thumb IP joint
Where should the thumb IP extension assist band be placed?
Positioned distal to the IP joint, but not obstructing the the thumb pad.
A HO is also referred to as:
a short opponens orthosis
A WHO is also referred to as:
a long opponens orthosis
Can a patient be fit with bilateral ratchet WHO’s?
No, due to the difficulty of the ratchet, it is difficult to operate bilateral devices.
Can bilateral WDWHO’s be fit?
Yes, patients can be fit with WDWHO’s.
They can also be fit with a ratchet one one side and WDWHO on the other.
What controls the amount of wrist extension needed to operate a WDWHO?
The actuator
What is the correct position of the C-bar?
Trimmed proximal to the IP joint of the thumb to allow IP flexion
What is the purpose of a C-Bar?
To maintain an adequate web space
List the 3 arches of the hand.
Proximal transverse arch
Distal transverse arch
Longitudinal arch
MCP is the:
Metacarpophalangeal joint
CMC is the:
Carpometacarpal joint
How does mallet finger present?
Flexion of the DIP joint