UE Orthoses Flashcards
purpose
stabilize
immobilize
restrict
mobilize
important to remember for pressure areas
do not pad areas
fit principles for straps
- non constricting
- wide and flat straps
- pull strap towards you to secure
- diagonal straps
important to remember fit principles
- total contact splinting
- anchor wrist securely
- allow for function
- maintain normal arches
- normal axis rotation
- permit muscle balance
- free up the palm for sensory input
common pressure points
- dorsal MCP with dorsal splints
- palmar MCP with c-bar
- ulnar head
- base of 1st MTC
- center of palm for wrist cock up
- base of thenar eminence
- proximal end of splint
articular splints
crosses joint
nonarticular splints
doesnt cross joint
static splint
no motion, no joint
dynamic splint
allow motion, joint in brace
is static splinting articular or nonarticular
can be either
positioning for static splints
anatomic position or resting position
what does static splinting provide
- immobilization
- protection
- preserve joint alignment
- decrease spasticity
- prevent contractures
- pressure to healing scars
motion blocking splints
allow motion in one direction
limit motion in the other direction
static progressive
allow for gradual elongation of tissue
modified as patient progresses
dynamic with motion blocking
assist in one direction
allow limited motion in opposite direction
humeral fx
static non-articular humeral stabilizing brace
carpal tunnel syndrome
- bracing in neutral of flexion/extension
- could be volar or dorsal
bracing for RA
- vary depending on location of synovitis
- stabilizing for the most part
- preventing further deformity
how to brace for swan neck deformity
- keep PIP from going into hyperextension
how to brace for ulnar drift
brace that straps pull fingers towards radial side
dequervains syndrome
- thumb spica splints
- can splint up to IP
scaphoid fx
- immobilize the CMC
dupuytren’s contracture
- provides palmar pressure and holds MCP in extension
- splint relatively flat to keep stretched out
gamekeepers thumb
- strain or tear of ulnar collateral ligament of 1st MCP
- spica brace
off loader brace
- lateral epicondylitis
- prevents the forces from getting the common extensor tendon
median nerve splints
- splint in MCP flexion
- “puppet” position
ulnar nerve splint
- only splinting digit 4 and 5
- assisting in flexion
radial nerve splints
- assist extension at the wrist and fingers
