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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]
Therefore, people with tenderness over the scaphoid (those who exhibit pain to pressure in the anatomic snuff box) are often splinted in a thumb spica for 7–10 days at which point a second set of X-rays is taken. [7] If a minimally displaced fracture was present initially, healing will now be apparent. Even then a fracture may not be apparent.
Most gamekeeper's thumb partial injuries are treated by simply immobilizing the joint in a thumb spica splint or a modified wrist splint and allowing the ligament to heal. However, near total or total tears of the UCL may require surgery to achieve a satisfactory repair, especially if accompanied by a Stener lesion .
A hip spica cast, by contrast, is used to immobilize the trunk and one or more legs. Variants include the single hip spica, which covers the trunk and one leg down to the ankle or foot; the double hip spica, which covers the trunk and both legs; and the one-and-a-half hip spica, which encases one leg fully and the other only to above the knee.
Nasal splint [4] Posterior lower leg; Posterior full leg; Posterior elbow; Sugar tong – Used for the forearm or wrist. They are named "sugar-tong" due to their long, U-shaped characteristics, similar to a type of utensil used to pick up sugar cubes. [5] Thumb spica – Used for the thumb. [6] Ulnar gutter – Used for the forearm to the palm. [7]
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Buddy-taping toes, using the most suitable adjacent toe to splint the broken toe Buddy wrapping , also called neighbour strapping [ 1 ] or buddy taping , is the act of bandaging a damaged or particularly a fractured finger or toe together with a healthy, uninjured one.
Most small joint manipulation is done on the hands or feet to hyperextend joints as part of a pain compliance strategy. The basic techniques of small-joint manipulation involve grabbing and bending back one or more fingers/toes and by applying pressure to the wrist/ankle joints that disrupt the interconnectivity of the system of smaller joints within.
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