Podcast
Questions and Answers
What is the purpose of a Radial Gutter Splint?
What is the purpose of a Radial Gutter Splint?
Where is the plaster placed in a Radial Gutter Splint?
Where is the plaster placed in a Radial Gutter Splint?
What is the purpose of a Ulnar Gutter Splint?
What is the purpose of a Ulnar Gutter Splint?
What is the purpose of a Dorsal Splint With Extension Hood?
What is the purpose of a Dorsal Splint With Extension Hood?
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What is the purpose of Dynamic Finger Splinting?
What is the purpose of Dynamic Finger Splinting?
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What is the angle of flexion of the MCP joint in a Radial Gutter Splint?
What is the angle of flexion of the MCP joint in a Radial Gutter Splint?
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What is the angle of flexion of the MCP joint in a Dorsal Splint With Extension Hood?
What is the angle of flexion of the MCP joint in a Dorsal Splint With Extension Hood?
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What is the purpose of the opening made in the plaster of a Radial Gutter Splint?
What is the purpose of the opening made in the plaster of a Radial Gutter Splint?
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What is the material used to make the padding in a Dynamic Finger Splint?
What is the material used to make the padding in a Dynamic Finger Splint?
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What is the purpose of the elastic bandage in a Dorsal Splint With Extension Hood?
What is the purpose of the elastic bandage in a Dorsal Splint With Extension Hood?
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Study Notes
Upper Limb Orthotics
- Upper limb orthotics are external devices designed to improve function and structure of various areas in the upper limb.
Types of Hand Orthoses
- Static orthosis: stiff, holds a specific part in a safe position, stabilizes and supports the injured part by immobilizing and restricting motion at a joint.
- Static progressive orthosis: provides consistent pressure or stretch at the maximum range the joint can reach, used to increase the range of motion.
- Dynamic orthosis: used to increase motion and for function, provides continuous stretch in one direction and allows movement in the opposite direction.
Benefits of Upper Limb Orthotics
- Help return to normal daily living activities
- Improve function of the upper limb
- Reduce limb pain
- Increase range of movement
- Prevent unwanted movement
- Protect area from re-injury
- Correct deformities
- Improve muscle strength
- Enhance tissue healing
Indications of Upper Limb Orthotics
- Stroke
- Paralysis
- Spasticity
- Fracture
- Tendinitis
- Trauma
- Spinal cord injury
- Burns
- Peripheral nerve injury
- Arthritis
- Deformity
- Post-surgery
Contraindications
- Open fractures (requires orthopedic referral)
- Do not delay orthopedic referral due to splint placement
Complications
- Inflammation and swelling of injuries
- Compartment syndrome
- Nerve impingement
- Pressure sores
- Skin breakdown
- Skin infection
- Vascular compromise
- Thermal injury from plaster reaction
Phalengeal Orthosis
- Dorsal Distal Phalanx Splints: metallic splint with sponge rubber padding on the dorsal aspect of the digit, spanning the fracture site.
- Hairpin Splint: thin piece of metal covering the distal phalanx, protects the distal end of the finger from further injury.
Ulnar Gutter Splint
- Soft cotton bandage from distal palmar crease to mid-forearm, plaster cut to same length and placed on medial side of hand.
- Immobilizes the fourth and fifth digits, with the MCP joint flexed 50 to 90 degrees and the DIP and PIP joints in extension.
Dynamic Finger Splinting
- Metallic splint with sponge rubber padding, splints the injured finger side by side with an adjacent uninjured finger.
Radial Gutter Splint
- Soft cotton bandage from distal palmar crease to mid-forearm, plaster cut to same length and placed on medial side of hand.
- Immobilizes the second and third digits, with the MCP joint flexed 50 to 90 degrees and the DIP and PIP joints in extension.
Dorsal Splint With Extension Hood
- Soft cotton bandage from DIP joint to mid-forearm, plaster placed to extend and cover the second, third, fourth, and fifth digits.
- Immobilizes the MCP joint in 50 to 90 degrees of flexion and the PIP and DIP joints in extension.
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Description
Learn about upper limb orthotics, including types such as static, static progressive, and dynamic, and their uses in improving function and structure of the upper limb.
