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S3- Musculoskeletal > UE Orthoses > Flashcards

UE Orthoses Flashcards

1
Q

What are the purposes of UE orthoses?

A
  • Stabilize
  • Immobilize
  • Restrict
  • Mobilize
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2
Q

What are the fit principles for UE orthoses?

A
  • Do not pad a pressure area
  • Total contact splinting
  • Non-constricting straps
  • Wide straps
  • Flat straps
  • Anchor wrist securely
  • Pull straps toward you to secure
  • Diagonal straps
  • Allow for function
  • Maintain normal arches
  • Retain normal axis of rotation
  • Permit balanced muscle function
  • Provide for prehension
  • Free up the palm for sensory input
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3
Q

Why do we not want to pad a pressure area?

A

Makes the brace even tighter, causing more pressure.

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4
Q

Why do we want total contact splinting?

A

Decreases the forces at any one area and helps spread out forces.

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5
Q

What strap characteristics do we want in a brace?

A
  • Non-constricting
  • Wide straps
  • Flat straps
  • Diagonal straps
  • Pull towards you to secure
  • Anchors wrist securely
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6
Q

With bracing we want to allow for _________ of whatever part is not braced.

A 
function
-overbracing causes disuse atrophy
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7
Q

We want to maintain normal _______ and _____ of _________.

A

arches and axis of rotation

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8
Q

With bracing we want to permit balanced __________ function.

A

muscle

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9
Q

We want to provide for prehension, which means what?

A

grasp

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10
Q

Why do we want to free up the palm?

A

sensory input

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11
Q

What are some common pressure areas?

A
  • Dorsal MCP with dorsal splints
  • Palmar MCP with c-bar splints
  • Ulnar head
  • Base of 1st metacarpal
  • Center of palm for wrist cock-up splints
  • Base of thenar eminence
  • Proximal end of splint
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12
Q

Categories of splints?

A
  • Articular vs nonarticular

- Static vs Dynamic

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13
Q

What is an articular splint?

A

Splint that crosses a joint whether or not it allows motion.

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14
Q

What is a nonarticular splint?

A

Does not cross a joint.

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15
Q

What is a static splint?

A

Does not allow motion.

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16
Q

What is a dynamic splint?

A

Allows motion.

17
Q

Static Splints:

  • Can be _________ or _________
  • Placed in either ________ position or proper resting position for injury/deformity
  • Immobilize
  • Provide protection
  • Preserve Joint __________
  • Decrease ________
  • Prevent __________
  • Pressure to healing scars
A
  • articular or nonarticular
  • anatomical
  • alignment
  • spasticity
  • contracture
18
Q

Motion Blocking Static Splints allow motion in _____ direction and limit motion in the other direction.

A

one

19
Q

Static Progressive Splints allow for gradual _________ of tissue and is modified as a patient progresses.

A

elongation

-via creep

20
Q

Dynamic Splints assist with __________.

A

mobiliation

21
Q

Dynamic Splints are usually used with ______ injuries.

A

nerve

22
Q

Dynamic With Motion Blocking Splints assist in one directions but allow ________ motion in the opposite direction.

A

limited

23
Q

SPECIFIC DIAGNOSIS

A

SPECIFIC DIAGNOSIS

24
Q

Humeral Fractures braces used?

A

Humeral Fracture Brace

-may cast if needed

25
Q

A Carpal Tunnel Brace keeps them in some wrist _________ and disallowing _______.

A
  • extension

- flexion

26
Q

RA bracing will vary depending on what?

A

Location of synovitis.

  • Swan neck
  • Ulnar drift
  • Ulnar drift with wrist stabilizer
27
Q

Dequervain’s Syndrome Splinting involves stabilizing the _________.

A

thumb (CMC and possible MCP)

28
Q

With a Scaphoid Fracture you must immobilize the _____.

A

CMC

  • often not seen on x-ray
  • if pain still after 1 week, will be treated like a scaphoid fracture
29
Q

What is Depuytren’s Contracture?

A

Progressive shortening in palmar aponeurosis and fascia.

30
Q

Depuytren’s Contracture Splinting involves providing _______ pressure and holds _____ in extension.

A
  • palmar

- MCP

31
Q

What is Gamekeeper’s Thumb?

A

Strain or tear of ulnar collateral ligament of 1st MCP.

32
Q

NERVE INJURIES

A

NERVE INJURIES

33
Q

Median Nerve Muscles?

A
  • 1st and 2nd lumbricals
  • FPL, FPB
  • APB
  • Opponens pollicis
34
Q

Ulnar Nerve Muscles?

A
  • 3rd and 4th lumbricals
  • interossei
  • ADD pollicis
35
Q

Radial Nerve Muscles?

A

-Wrist extensors

36
Q

Median Nerve Splints involve maintaining the thumb in ________ and also bringing digits 2 and 3 MCP into ________.

A
  • opposition

- flexion

37
Q

Ulnar Nerve Splints involve maintaining digits 4 and 5 MCP into ________.

A

flexion

38
Q

Radial Nerve Splints involve ________ assist braces into extension.

A

-dynamic

39
Q
  • Lateral Epicondylitis straps go _________.

- What do they do?

A
  • distally

- Change insertion point of extensor muscles so that when forces are transmitted up they stop where the brace is.

S3- Musculoskeletal (27 decks)

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