Splints. A. Thumb spica. B. Volar splint (proximal forearm to metacarpal heads). C. Safe position splint for metacarpal fractures (10 degrees wrist extension,

Slides:



Advertisements
Similar presentations
Innovative Splinting options for the Thumb MP joint
Advertisements

Splinting “Basic Splinting Techniques” M.T. Fitch, B.A. Nicks, M. Pariyadath, H.D. McGinnis, D.E. Manthey New Engl J Med 359: e32, 2008 Video If link above.
Splinting 101 Carl Kaplan, MD
Common splints used for hand injuries/surgeries. A. Ulnar gutter splint. The ring and small fingers are included. The surgeon pushes on the dorsum of the.
Commons splints used for hand injuries/surgeries. A
Adhesive capsulitis of the shoulder
Laparoscopic inguinal hernia repair (A→D). (Used with permission of Dr
Reproduced from Hadzic A
Splinting and exercise for early active motion postflexor tendon repair. (A) Following removal of the surgical compression dressing and fabrication of.
A widely displaced fracture of the distal radius
A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.
CT scan of the chest. These axial images of the lower chest demonstrate the difference in lung and soft tissue windows. This patient has a history of congenital.
Depth of burn injury in relation to skin level
Depth of burn injury in relation to skin level
Forearm support for sustained work at the computer.
During a modified barium swallow, children sit in special chairs affixed to the fluoroscopy table and consume various consistencies of solids and liquids.
A 39-year-old woman sustained a traumatic shoulder dislocation with a lower brachial plexus injury. She was initially treated with upper arm immobilization.
(a) Attitude of hand with clenched fist (b) Thumb movement—opposition (c) Tendon integrity—flexor digitorum profundus. The patient flexes the DIP joint.
(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.
Radiograph of a giant cell tumor of the thumb
Flow–volume loops. A. Normal flow–volume loop
The muscle attachments of the forearm act to predict displacement of radius fractures. A. The supinator muscle supinates, the bicep muscle flexes, and.
Umbilical artery catheter insertion. (A) Artery dilation
During carpometacarpal (CMC) abduction, the examiner uses one hand to stabilize the subject's second metacarpal. Her other hand grasps the subject's first.
A: Preoperative lateral radiograph of a patient with hallux rigidus
Scaphoid fracture. A. Scaphoid fracture nonunion. B
Flexion abduction external rotation (FABER) test (Patrick Test).
Femoral shaft fracture. A
Heel pads, night splints, short leg casts, and cowboy boots can all play a role in the nonoperative management of plantar fasciitis (C: Licensed from Shutterstock).
SPECT images from a brain scan obtained in the interictal state in a child with seizures demonstrates marked asymmetric uptake in the left temporal lobe.
Cross-table lateral radiograph of the cervical spine shows a flexion teardrop injury at the C5 level. In addition to the fracture of the anterior, inferior.
An AP view of the proximal right femur shows a healing stress fracture in the lateral cortex of the proximal right femoral diaphysis (arrowhead). This.
Rodin, “The Kiss” (545 x 800). Accessed at
Areas that are chronically excoriated can evolve into lichen simplex chronicus. Source: Atopic Dermatitis, Comprehensive Pediatric Hospital Medicine, 2e.
Diagnostic algorithm for infants suspected of having a UTI. A
An adolescent with a peripherally inserted central venous catheter (PICC line) in the right upper extremity. Source: Pediatric Acute-Care Hospital, Meeting.
A (Left) Variety of off-the-shelf lower extremity braces
AP view of the abdomen shows multiple rib fractures in various stages of healing along with a spiral fracture of the left femur in a child who has not.
A standard epidural order form.
Monteggia’s fractures. The classification of Monteggia lesions by Bado
Lateral view of the c-spine show traumatic spondylolisthesis of C2 upon C3. This “hangman’s” fracture (arrow) resulted from a high-speed MVA where the.
Example of orthoplast resting ankle splint fabricated to protect free flap at medial malleolus and maintain ankle range of motion. Source: Integumentary.
Posterior ankle splint
Radiograph of a solitary plasmacytoma in the proximal femur of a 46-year-old man. Source: Chapter 5. Musculoskeletal Oncology, Current Diagnosis & Treatment.
Histopathology demonstrating A. Gross appearance of the liver. B
A–E. The resisted isometric component of STT testing for the elbow
Left orbital cellulitis with subperiosteal abscess and extensive ethmoid and maxillary sinusitis are seen in this postcontrast CT scan. About 75% to 90%
Swelling of the phalanges of the right thumb and hemorrhagic rash in an adolescent girl. Her blood culture was positive for N. gonorrhea. (Photo contributor:
Longitudinal view of the proximal plantar fascia as it originates from the calcaneus (CALC). Source: Musculoskeletal Ultrasound, CURRENT Diagnosis & Treatment:
The seasonal prevalence of bronchiolitis caused by specific pathogens
An AP pelvis x-ray showing a patient with a normal left hip joint and right hip bone-on-bone arthritis. Note the dark, radiolucent “gap” between the ball.
The triplane (A) and juvenile Tillaux (B) fractures are variations of ankle fracture that occur in the adolescent shortly before physeal closure. Because.
A Pavlik harness used to treat developmental dysplasia of the hip.
The Pavlik harness, a device used for treatment of hip dislocation, subluxation, and dysplasia. Source: Chapter 10. Pediatric Orthopedic Surgery, Current.
A Pavlik harness used to treat developmental dysplasia of the hip.
Testing the first MTP joint motion. (From Dutton M
A. Use of athletic tape to make an extension block for the wrist. B
Thumb spica splint for ulnar collateral ligament injury and De Quervain’s tenosynovitis. Source: Orthotics, CURRENT Diagnosis & Treatment: Physical Medicine.
The straight leg knee immobilizer brace
[From: Galli : et al: Emergency Orthopedics: The Spine
Radiograph of a pathologic fracture secondary to Gaucher disease involving the distal femur in a 29-year-old man. Source: Chapter 5. Musculoskeletal Oncology,
Static wrist and hand splints: (A) a resting splint to prevent contracture formation during healing, (B) functional wrist hand splints, and (C) a thumb.
The nomogram is also not useful if the time of ingestion is uncertain, if ingestion occurred more than 24 hours before presentation, or if repeated ingestion.
When you perform the 1st CMC grind test, compress the joint and rotate thumb metacarpal. It’s the same motion you would use when using a mortar and pestle.
(A) A wrist extension immobilization splint is modified to hold a utensil for a client who does not have active grip. (B) A hand-based utensil holder is.
The “windshield wiper test” (passive internal and external hip rotation in 90 degrees of flexion). Pain and stiffness suggest hip joint arthritis. Source:
In the study of 120 patients with defective alpha activity by mental arithmetic at Mayo Clinic, 32 patients had Bancaud phenomenon. Associated focal slowing.
Application of a Volar Static Splint in Poststroke Spasticity of the Upper Limb  Assunta Pizzi, MD, Giovanna Carlucci, MD, Catuscia Falsini, MD, Sonia.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

Splints. A. Thumb spica. B. Volar splint (proximal forearm to metacarpal heads). C. Safe position splint for metacarpal fractures (10 degrees wrist extension, 60–70 degrees flexion at MCP joints, extension at IP joints). Source: Orthopedics, The Philadelphia Guide: Inpatient Pediatrics, 2e Citation: Shah SS, Zaoutis LB, Catallozzi M, Frank G. The Philadelphia Guide: Inpatient Pediatrics, 2e; 2016 Available at: http://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/1698/shah_c23_f003.png&sec=112042270&BookID=1698&ChapterSecID=112042236&imagename= Accessed: November 11, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved