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NBCOT LAST Attempt > Splinting Protocols > Flashcards

Splinting Protocols Flashcards

1
Q

Carpal tunnel syndrome

A

Volar wrist splint with wrist neutral (conservative)

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2
Q

Cubital tunnel syndrome

A

Elbow splint or elbow pad, long arm splint (wear at night- conservative)

MCP blocking splint if there is clawing (postop)

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3
Q

Guyon’s canal

A

Splint wrist neutral (conservative)

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4
Q

Pronator teres syndrome

A

Splint elbow 90 degrees, FA neutral (conservative)

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5
Q

Radial nerve palsy

A

Dynamic extension assist, thumb extension assist, Duran dorsal protection splint, volar wrist splint with wrist neutral (conservative)

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6
Q

Thoracic outlet syndrome

A

Wrist splint for postural retraining (conservative)

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7
Q

Radial tunnel syndrome

A

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)

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8
Q

Ape hand deformity

A

C-bar splint, thumb spica/short opponens splint (conservative)

Splint per tendon transfer protocols (postop)

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9
Q

Brachial plexus injury

A

Flail arm splint for shoulder/elbow stability (conservative)

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10
Q

C6-C7 SCI

A

Tenodesis splint

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11
Q

Erb’s palsy

A

Elbow lock splint to stabilize elbow (conservative)

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12
Q

Long thoracic nerve palsy

A

Sling postop

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13
Q

Median nerve injury

A

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)

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14
Q

Median nerve laceration

A

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)

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15
Q

Median & ulnar nerve injury

A

Figure of 8 splint (prevent finger hyperextension) or dynamic MCP flexion splint (conservative)

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16
Q

Radial nerve laceration

A

Dynamic extensor splint (conservative & postop)

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17
Q

Ulnar nerve injury

A

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)

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18
Q

DeQuervain’s tenosynovitis

A

FA based thumb spica/thumb spica (wrist neutral, thumb radially abducted) for 3 weeks then soft splint (conservative)

Wrist 20 deg extension (postop)

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19
Q

Lateral epicondylitis

A

Lateral epi/tennis elbow brace

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20
Q

Medial epicondylitis

A

Medial epi/golfer’s elbow brace (conservative)

Elbow immobilizer 1-3 weeks postop (postop)

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21
Q

Rotator cuff tendinitis

A

Shoulder support sling or neoprene shoulder support cuff (conservative)

Shoulder immobilizer (postop)

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22
Q

Trigger finger/digital stenosing tenosynovitis

A

MCP block, hand based TF splint (MCP, DIP, PIP free), splint to support MCP in extension (conservative)

Blocking splints to protect tendon during healing (postop)

23
Q

Wrist tendinitis

A

Wrist FA support splint (conservative)

24
Q

Avulsion injury

A

May need splinting

25
Q

Extensor tendon injury

A

Volar splint for extension (postop)

26
Q

Flexor tendon injury

A

Dorsal blocking splint including all fingers past the fingertips (postop)

27
Q

Mallet finger

A

DIP extension splint for 6 weeks (conservative)

28
Q

Cumulative trauma disorder

A

Static splint in acute phase

29
Q

PIP flexion contracture

A

PIP extension splint, buddy taping (conservative)

Serial casting or external fixation for prolonged stretching (postop)

30
Q

Skiers/gamekeepers thumb

A

Thumb spica splint at all times (conservative)

Thumb spica cast for first 4 weeks then thumb spica splint for 2 more weeks (postop)

31
Q

Boutonnière deformity

A

silver rings/tri tip PIP in extension (conservative)

32
Q

Swan neck deformity

A

PIP splinted in slight flexion or buttonhole splint (conservative)

33
Q

Ulnar drift

A

Ulnar deviation splint (conservative)

34
Q

Bennett’s fx

A

Sling for type 1 fx, thumb spica splint (conservative)

35
Q

Boxer’s/proximal fracture

A

Wrist cock up with thumb spica splint (conservative)

36
Q

CRPS

A

Static volar splint in extension as tolerated then dynamic as tolerated, circumferential splint to avoid edema (conservative)

37
Q

Carpal fracture

A

Wrist cock up with thumb spica splint (conservative)

38
Q

Colles fracture

A

SLING, casting/thermoplastic splint with hand in palmar flexion, wrist UD (classic immobilization position for Colles), progressive static splint to improve radial & ulnar deviation (conservative)

39
Q

Distal radius fracture

A

Wrist extension splint (conservative)

40
Q

Elbow fracture

A

Sling for type 1 fracture

41
Q

Medial epicondyle fracture

A

Initially, arm splinted in 90 deg elbow flexion then protective splinting for 3 weeks (conservative)

42
Q

Humeral/upper arm fracture

A

Sling for non displaced fracture, humeral fracture brace (provides circumferential pressure to broken bone to prevent it from moving) to support UE while fracture heals (is worn with collar and cuff sling) (conservative)

43
Q

Metacarpal fracture

A

Ulnar gutter splint (conservative)

44
Q

Radial head fracture

A

Type 1 (nondisplaced) = long arm SLING, type 2 (displaced) = non op (conservative)

45
Q

Smiths fracture

A

Sling (type 1 fracture), wrist/FA splint (conservative)

46
Q

Wrist fracture

A

Duran dorsal protection splint, volar splint with wrist neutral (conservative)

47
Q

Adhesive capsulitis/frozen shoulder

A

Dynamic shoulder splint (conservative & post op)

48
Q

Dupuytrens contracture

A

Extension splint at all times except for during ROM and bathing (postop)

49
Q

Flaccid wrist

A

Wrist cock up

50
Q

Index finger injury

A

Buddy strap index & middle fingers (conservative)

51
Q

Rett syndrome

A

Dynamic elbow splints to limit full elbow flexion, lever arch brace, thumb spica splint (conservative)

52
Q

Spasticity

A

Antispasticity splint or cone splint

53
Q

Flaccidity

A

Resting hand splint

NBCOT LAST Attempt (50 decks)

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