|
Diagnosis
|
Splint
|
Management
|
|
Basal
joint Arthritis
|
|
Providing
information on proper writing device, use of paraffin, splint use and
management of problem. We also educate the patient on the progression of
the disease
|
|
deQuervain's
Tendonitis
|
|
Custom
Forearm Based splint
|
|
Boutonnière
deformity
|
|
Dynamic
Extension splint (day) along with night static extension splint
ORL
stretches
|
|
Mallet
splint
|
|
Custom
splint to ensure hyperextension at DIP and allow functional use of the
finger.
|
|
PIP
dorsal dislocation
|
|
For
patients with dorsal PIP dislocation a Certified Hand Therapist can
fabricate a dorsal blocking splint. This is done by blocking the PIP joint
in -30 extension. This helps to prevent re-dislocation. The patient can
exercise within the splint thus preventing the finger from getting stiff.
Pt. wears the splint for 3 weeks. Therapy is initiated to regain the last
30 degrees of extension. This reduces stiffness and thereby the treatment
time.
|
|
Rheumatoid
Disease and the Hand
|
Anti-ulnar
Deviation / post-op splint - radial pull
|
Anti-deformity
splints, night splints
Anti
Swan neck/ boutonnière
Pan
Splints etc.
|
|
Amputation
|
Protective
splint post Amputation
|
|
|
Carpal
Tunnel Syndrome
|
|
Prefab
night splint, or
Pan
splint with Lumbrical involvement
|
|
Cubital
Tunnel Syndrome
|
|
Soft
Anti Elbow flexion splint, or rigid elbow splint
|
|
Dupuytren's
Disease
|
|
Post
Surgical Pan splint
This
splint can be worn at night only for about 6 months post surgery
|
|
Extensor
Tendon Injuries
|
|
Dynamic
Extension splint post surgery
Passive
Extension, active flexion protocol with reverse Klinert splint
|
|
Flexor
Tendon Injuries
|
|
Passive
flexion, active Extension protocol
with Duran or
Klinert
splint
Synergist
Splint
|
|
Ganglion
Cysts
|
|
Custom
wrist splint, Taping tech, Iontophoresis, teaching proper mechanics
|
|
Hand
Fractures
|
|
Forearm
Fx Bracing
Metacarpal/Boxers
Fx bracing
Finger
Fx bracing
Humeral
Fractures
|
|
Kienbocks
Disease
|
|
Dynamic
splint post surgery
Static
Wrist splint for night time
Dynamic
during the day
|
|
Lateral
Epicondylitis
|
 Counterforce bracing with
conservative tennis elbow management
 Lateral
Epicondylectomy splint
|
Pre-Op:
Counterforce brace, Wrist splint, Iontophoresis, strengthening.
Post
Op splint shown, worn for 6 weeks, with a post op protocol of
non-composite ROM program.
|
|
Trigger
Finger
|
|
A trigger finger splint is fabricated by blocking the MP
joint in extension. This helps to prevent the finger from flexing at night
and thereby prevents the tendon from getting locked at the A1 pulley.
Ultrasound & Iontophoresis can also be done along with ice and
activity modification, or patient can also get a cortisone shot and then
have the splint to prevent triggering.
|
|
DISI
splint
Dorsal
intercalated segmental instability
|
 
|
For
mild Scapho-lunate instability
Designed
by Dr. Lichtman
|
|
Wrist
Sprains
|
|
Wrist
Restore for mild instability, S-L Instability splint custom
|
| TFCC
Injury |
  |
Patient
wears splint to allow small increments of midrange forearm rotation,
avoiding >than 30 degrees of pronation or supination for 6 to 8 weeks.
Allows the patient to move the wrist in flexion/extension planes and
radial/ ulnar planes within restraints of splint.
A soft strap
with a pad over ulnar styloid has been proven to decrease pain from TFCC
injuries
|
| ECU
subluxation |
 |
A
neoprene strap with a hole for the ulnar styloid prevents ECU subluxation
ECU glides
from dorsal to medial aspect of the wrist with pronation supination
activities. It snaps when there is inflammation around this structure. The
two ends around the hole act as a lasseau holding the tendon preventing it
from snapping. |
|
Web
Space
|
|
Preventing
1st webspace contracture
|
Ulnar
Nerve Injury
|
|
Anti
claw splint
|
|
Elbow
Contracture
|
|
Post
elbow release- static progressive splint
|
|
Wound
Care
|
Protective
splints
|
|
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