Upper Extremity Splinting

Question 1

Radial nerve injury splint

Answer 1

Dynamic extension splint, wrist cock-up

Question 2

Ulnar nerve injury splint

Answer 2

MCP flexion block splint

Question 3

Low lesion median nerve injury splint

Answer 3

Dorsal protection splint with wrist in 30 degrees flexion

Question 4

High lesion median nerve injury splint

Answer 4

Dorsal protection splint with elbow at 90 degrees flexion

Question 5

Median nerve injury splint considerations

Answer 5

1) “C- bar” to maintain webspace and prevent thumb adduction contracture
2) Thumb opponens splint (allows thumb to be in a functional position)

Question 6

Flexor tendon injury

Answer 6

Dorsal block splint
- wrist in 20-30 degrees flexion
- MCPs in 50-70 degrees flexion
- IPs in extension

Question 7

Zone 1 (DIP JOINT) extensor tendon injury

Answer 7

DIP extension splint
- for “mallet finger”, helps extend DIPs

Question 8

Zone 3-4 (PIPs and prox. phalanx) extensor tendon injury

Answer 8

PIP extension splint
- for “boutonniere deformity”, helps extend PIP

Question 9

Zone 5, 6, 7 (MCP, metatarsals, and writ joint) extensor tendon injury

Answer 9

Volar wrist splint
- wrist in 20-30 degrees extension
- MCPs in 0-10 flexion

Question 10

Carpal tunnel splint

Answer 10

wrist in neutral position, soft/flexible splint, worn at night/ wrist cock-up splint

Question 11

De Quervain’s splint

Answer 11

Forearm based thumb spica splint

Question 12

Burn positioning

Answer 12

Intrinsic plus
- wrist 30 degrees extension
- MCP’s 70 degrees flexion
- IP’s full extension

Question 13

Burn splint

Answer 13

anti-deformity splint/burn intrinsic plus