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A spica splint is a type of orthopedic splint used to immobilize the thumb and/or wrist while allowing the other digits freedom to move. It is used to provide support for thumb injuries (ligament instability, sprain or muscle strain), gamekeeper's thumb, osteoarthritis, de Quervain's syndrome or fractures of the scaphoid, lunate, or first metacarpal. [1]
Pain medications, splinting the wrist and thumb [4] De Quervain syndrome occurs when two tendons that control movement of the thumb become constricted by their tendon sheath in the wrist. [ 3 ] [ 5 ] [ 6 ] This results in pain and tenderness on the thumb side of the wrist . [ 3 ]
For instance, a splint can be used for certain fractures, soft tissue sprains, tendon injuries, or injuries awaiting orthopedic treatment. A splint may be static, not allowing motion, or dynamic, allowing controlled motion. Splints can also be used to relieve pain in damaged joints. Splints are quick and easy to apply and do not require a ...
For patients with low median nerve palsy, it has been shown that the flexor digitorum superficialis of the long and ring fingers or the wrist extensors best approximate the force and motion that is required to restore full thumb opposition and strength. This type of transfer is the preferred method for median nerve palsy when both strength and ...
Gamekeeper's thumb and skier's thumb are two similar conditions, both of which involve insufficiency of the ulnar collateral ligament (UCL) of the thumb. The chief difference between these two conditions is that skier's thumb is generally considered to be an acute condition acquired after a fall or similar abduction injury to the metacarpophalangeal (MCP) joint of the thumb, whereas gamekeeper ...
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Due to swelling and pain, a full range of motion is unlikely to occur, however if no active flexion or extension can be done, it indicates a high possibility of a tendon rupture. [2] If no avulsion fracture is present, the splint should be in place for four to six weeks to allow the torn central slip to heal in the correct location, with an ...
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