Transcript Innovative Splinting options for the Thumb MP joint

Innovative Splinting options for
the Thumb MP joint
Kathleen Snelgrove OTR/L, CHT
University Orthopedics Inc.
Providence, RI
Thumb MP Joint Anatomy
The thumb MP joint allows
flexion, extension, abduction,
adduction, and a limited
range of rotation.
Normal Flexion is highly
variable from only a 5 degree
to over 100 degree flexion
extension arc.
Indications for Thumb MP Joint
Splinting
• Common injuries of the Thumb MP joint
include:
• Ulnar Collerateral Ligament injuries: Commonly referred to
Gameskeeper’s or Skier’s Thumb
• Radial Collerateral Ligament injuries
• Dislocations of the MP joint with or without Volar Plate injury
• Volar Plate injuries
• Sesamoid Fractures
• Osteoarthritis
Factors to consider when choosing a
splint design
• Stability of the joint
• Immobilization of non-involved joints
• Materials used and environmental factors
Prefabricated Splints
• Ryno Lacer Wrist and Thumb Support
• Tee Pee Thumb Protector
By Med Spec
• Short Thumb Spica by Exos
Thermoplastic Options
• Thumb Spica Forearm Based
• Thumb Spica Hand Based
• Galindo-Lim Thumb MP Joint Stabilization
Splint
• UOI Design Thumb MP Lateral Support Splint
UOI Design Thumb MP Lateral Support Splint
• Materials and Pattern
You will need:
• Thermoplastic Material such as
NCM Vanilla 3/32 or thin
Aquaplast
• Kinesiotape, Coban or other
adhesive taping.
• Elastic based Velcro may be used
in some cases
• The splint pattern as shown
UOI Design Thumb MP Lateral Support
Splint
• To make the splint:
1. Make the pattern, place onto material, cut
it out and apply it to the patient’s hand.
2. Position the cut out oval over the MP
joint. Widen the opening depending on
lateral stability required and MP flexion
desired.
3. Tag the Proximal Phalanx piece and place
thumb in slight opposition with MP
positioned in vary degree of flexion
depending on goal of splint.
UOI Design Thumb MP Lateral Support
Splint
UOI Design Thumb MP Lateral Support
Splint
References
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WWW.Northcoastmedical.com
WWW.Medspec.com
WWW.DJOglobal.com (Exos)
Galindo A, Lim S. A Metacarpophalangeal
Joint Stabilization Splint. Journal of Hand
Therapy 2002; 15: (1) 83-84.