Treatment

Question 1

What conditions may you use a wrist splint

Answer 1

• wrist fracture or proximainal metacarpal #
• wrist sprain or strain
• tenonitis
• carpal tunnel syndome
• SL ligament injury
• scaphoid fracture with ORIF
• FCR/FCU tendon repair

Question 2

what conditions may you use a thumb spica

Answer 2

• scaphoid fracture
• Benet’s fracture 1st MC
• base of thumb OA
• De Quervain’s
  EPB laceration
• UCL (skiers thumb)
• trigger thumb
• positioning in median nerve palsy

Question 3

how do you do a desensitisation treatmen

Answer 3

sensory modalities of textures, contact partciels and vibration which were ranked in the assessment are applied with increasing intensity and frequency. Home exercise performance are done 3-4 times daily for 10 minute sessions

Question 4

how long can desensitisation therapy take

Answer 4

several weeks to months

Question 5

How can buddy taping be used to encourage ROM in an injured DIP

Answer 5

encourages normal use and avoids over protection of the injured finger

Question 6

what splint may you use in dupuytren’s initially and why

then what splint would you move onto

Answer 6

dorsal blocking splint of involved fingers (safe position) to prevent over tension and inflammation with increased scar tissue
palmar extension splint to slowly increase ROM

Question 7

how is grade 1 or 2 UCL injury treated

Answer 7

thumb based spica that allows for IP motion

Question 8

what do you avoid during 3-4 weeks after UCL injury (thumb)

Answer 8

stress to UCL with active tip pinch or grasping until 8 after treatment. Stability is preferred over full motion