Splinting Protocols Flashcards
Carpal tunnel syndrome
Volar wrist splint with wrist neutral (conservative)
Cubital tunnel syndrome
Elbow splint or elbow pad, long arm splint (wear at night- conservative)
MCP blocking splint if there is clawing (postop)
Guyon’s canal
Splint wrist neutral (conservative)
Pronator teres syndrome
Splint elbow 90 degrees, FA neutral (conservative)
Radial nerve palsy
Dynamic extension assist, thumb extension assist, Duran dorsal protection splint, volar wrist splint with wrist neutral (conservative)
Thoracic outlet syndrome
Wrist splint for postural retraining (conservative)
Radial tunnel syndrome
Long arm splint with elbow flexed, wrist extended, FA neutrally rotated (conservative)
Long arm splint with elbow flexed, wrist extended, FA neurally rotated for 2 weeks, then wrist cock up for 2 more weeks (postop)
Ape hand deformity
C-bar splint, thumb spica/short opponens splint (conservative)
Splint per tendon transfer protocols (postop)
Brachial plexus injury
Flail arm splint for shoulder/elbow stability (conservative)
C6-C7 SCI
Tenodesis splint
Erb’s palsy
Elbow lock splint to stabilize elbow (conservative)
Long thoracic nerve palsy
Sling postop
Median nerve injury
Static thenar web space splint (conservative)
Static thenar web space splint for 6 weeks then dorsal blocking splint with wrist 30 deg flexion for 4-6 weeks (postop)
Median nerve laceration
Dorsal protection splint (wrist flexed 30 deg for LOW lesion, elbow flexed 90 deg for HIGH lesion), C bar splint to prevent thumb adduction contracture (conservative)
Median & ulnar nerve injury
Figure of 8 splint (prevent finger hyperextension) or dynamic MCP flexion splint (conservative)
Radial nerve laceration
Dynamic extensor splint (conservative & postop)
Ulnar nerve injury
SLING (type 1 fx), dynamic/static splint with fingers flexed
- LOW level injury = MCP dorsal blocking splint to prevent MCP hyperextension (conservative)
Dorsal protection splint with wrist 30 deg flexion (postop)
DeQuervain’s tenosynovitis
FA based thumb spica/thumb spica (wrist neutral, thumb radially abducted) for 3 weeks then soft splint (conservative)
Wrist 20 deg extension (postop)
Lateral epicondylitis
Lateral epi/tennis elbow brace
Medial epicondylitis
Medial epi/golfer’s elbow brace (conservative)
Elbow immobilizer 1-3 weeks postop (postop)
Rotator cuff tendinitis
Shoulder support sling or neoprene shoulder support cuff (conservative)
Shoulder immobilizer (postop)