54 results match your criteria: "Splinting Thumb Spica"
Efficacy of Local Intralesional Steroid Injection for Pain Relief in De Quervain's Tenosynovitis.
Cureus
November 2024
Trauma and Orthopaedics, Ghurki Trust Teaching Hospital, Lahore, PAK.
Introduction: Conservative treatment options, such as rest, massage, cold and heat packs, wrist splints, braces, physical therapy, thumb spica casts, and local steroid injections, have been used with mixed results to treat De Quervain's tenosynovitis. Surgical treatment, like releasing the first dorsal wrist compartment, is the last resort for resistant cases of De Quervain's tenosynovitis, exhibiting an efficacy of 91%. However, complications and increased expenses have limited the use of surgical interventions.
View Article and Find Full Text PDFLigament Suspensionplasty With Suture Tape Augmentation for Basal Thumb Arthritis.
Tech Hand Up Extrem Surg
December 2024
University of Southern Florida Health Morsani College of Medicine, Tampa, FL.
Article Synopsis
- Thumb carpometacarpal arthritis is prevalent in individuals over 40, particularly in women, and usually requires surgical intervention if conservative treatments fail.
- The method of ligament suspensionplasty with suture tape augmentation showed promising results, providing significant pain relief and improved function with less time in a cast after trapeziectomy surgery.
- A study involving 61 patients showed marked improvements in pinch strength, pain scores, and functionality over an average follow-up period of 2.8 years post-surgery.
Unusual case report of concomitant lunate and scaphoid fractures without associated dislocation in a 16-year-old male.
Int J Surg Case Rep
January 2024
Community Memorial Hospital, 147 N. Brent Street, Ventura, CA 93003, United States of America. Electronic address:
Article Synopsis
- Lunate and combination scaphoid-lunate fractures are uncommon injuries, with limited case reports available.
- A 16-year-old male experienced these fractures after hitting a goalpost, and he underwent successful surgery with headless compression screws.
- Follow-up at six months showed full recovery, despite initial complications with adherence to weight-bearing guidelines.
Effectiveness of high-intensity laser application combined with splinting and therapeutic exercise in subacute de Quervain's tenosynovitis: A pilot study.
Lasers Med Sci
October 2023
Department of Rehabilitation Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Article Synopsis
- * Nineteen patients were divided into two groups to receive either HILT or sham HILT treatments over three weeks, while both groups followed the same splinting and exercise program.
- * Results showed that, although both groups experienced improvements in pain and disability, HILT did not provide additional benefits over the combined treatment of splinting and exercise, and there were no significant changes in grip strength.
Case Series: Wide-Awake Local Anaesthesia Without Tourniquet (WALANT) for Camitz Transfer.
J Hand Surg Asian Pac Vol
August 2023
Department of Orthopaedics, Police General Hospital, Bangkok, Thailand.
Article Synopsis
- The study evaluates the use of Wide-Awake Local Anaesthesia Without Tourniquet (WALANT) for the Camitz transfer procedure in patients with severe carpal tunnel syndrome, highlighting its simplicity and low complication rate.
- A total of 36 patients, mostly older adults, underwent the procedure under WALANT at Thammasat University Hospital, with recorded pain levels during anaesthetic injection and surgery, operative time, and blood loss.
- Results showed that all patients experienced minimal pain during the procedure (average VAS score of 0.52) and had no complications, indicating that WALANT is a safe alternative for this type of surgery.
Bridging the Gap between Clinical Service and Academic Education of Hand-Splinting Practice: Perspectives and Experiences of Thai Occupational Therapists.
Int J Environ Res Public Health
July 2022
Division of Occupational Therapy, Faculty of Physical Therapy, Mahidol University, Nakhon Pathom 73170, Thailand.
Article Synopsis
- A research study aimed to identify the gap in knowledge about hand splinting practices between educational programs and clinical services among Thai occupational therapists.
- The study used a mixed-method approach, including a survey of therapists at seven hospitals and semi-structured interviews to gather insights into contemporary splinting practices.
- Findings revealed that splinting primarily addressed conditions like nerve injuries, with functional resting splints being the most common, and highlighted themes related to patient condition, effective function, and the importance of knowledge and experience in practice.
Poor Patient-Reported Outcomes following Surgical Treatment of Eaton Grade 1 Osteoarthritis of the Thumb Carpometacarpal Joint.
J Wrist Surg
April 2022
Hand Clinic, Department of Orthopedics, Herlev-Gentofte University Hospital of Copenhagen, Copenhagen, Denmark.
Article Synopsis
- * This study analyzed outcomes of surgery on 347 patients to understand how the severity of radiographic changes impacts patient-reported outcomes (PROs) and satisfaction after interposition arthroplasty.
- * Results showed that patients with milder Eaton stage 1 OA experienced less improvement and lower satisfaction rates post-surgery compared to those with more advanced stages, suggesting surgery might not be advisable for early-stage patients.
Article Synopsis
- Traditional rehabilitation for basal joint arthroplasty typically involves extended postoperative immobilization, but this study investigates whether early motion could yield similar outcomes.
- Patients were assigned to two groups: one with early motion in a removable splint and the other with prolonged immobilization.
- Results showed that while the accelerated group had better DASH scores at 6 weeks, both groups were similar by 12 weeks, indicating early mobilization might not negatively affect long-term recovery.
Effects of local anaesthetics (neural therapy) on pain and hand functions in patients with De Quervain tenosynovitis: A prospective randomised controlled study.
Int J Clin Pract
October 2021
International Federation of Medical Associations of Neural therapy, Ankara, Turkey.
Article Synopsis
- - De Quervain tenosynovitis is a common wrist condition causing pain, diagnosed with the Finkelstein test, and treated initially with conservative methods like rest and medication, followed potentially by corticosteroid injections or surgery.
- - A study involving 36 patients examined the effectiveness of neural therapy (NT) alongside standard treatment, assessing pain and hand function improvements at 1 and 12 months using visual analogue scale (VAS) and Duruöz Hand index (DHI).
- - Results showed both groups improved over time, but the NT group reported significantly lower pain levels (VAS) at both follow-up points, indicating NT may be beneficial for reducing pain and enhancing hand function with no adverse effects noted.
Simultaneous Opposition Tendon Transfer with Median Nerve Decompression for Severe Bilateral Carpal Tunnel Syndrome in Adolescents with Hunter Syndrome: A Case Report.
Plast Reconstr Surg Glob Open
November 2020
Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Although carpal tunnel syndrome (CTS) is exceedingly rare in children, its prevalence in those with Hunter syndrome, mucopolysaccharidosis type II, is high. With the advent of hematopoietic stem cell transplantation and enzyme replacement therapy, the survival of patients with Hunter syndrome has dramatically improved. With improved longevity in these patients, CTS continues to progress with age.
View Article and Find Full Text PDFPractice patterns following carpometacarpal (CMC) arthroplasty.
J Hand Ther
May 2022
Santa Fe Schools, Santa Fe, NM, USA.
Article Synopsis
- This study is a descriptive survey aimed at gathering insights from therapy practitioners regarding their practices after thumb carpometacarpal (CMC) joint arthroplasty.
- A web-based survey was distributed to over 3,200 occupational and physical therapists, with 601 responding and revealing various therapy approaches.
- Key findings show that many therapists develop their programs with input from surgeons, but there's significant variability in when they initiate different types of wrist and thumb motions post-surgery, and few practitioners rely on evidence-based guidelines.
Article Synopsis
- - Rolando fractures have a poor prognosis, especially if they happen on the dominant hand, which increases the chance of long-term disability.
- - Quick imaging and the use of a thumb spica splint are crucial for effective treatment.
- - Consulting with an orthopedic surgeon is important for getting the best possible outcome for patients with these fractures.
Sports Medicine: Fractures, Sprains, and Other Musculoskeletal Injuries.
FP Essent
July 2019
Uniformed Services University Department of Family Medicine, 4301 Jones Bridge Road A1038, Bethesda, MD 20814-4799.
Article Synopsis
- Family physicians often treat simple fractures and musculoskeletal injuries in athletes, but more complex cases typically need orthopedic specialists.
- An orthosis, which can be custom-molded or prefabricated, is used during the healing process to support injuries and prevent reinjury, and regular follow-up is important to avoid complications.
- Different types of injuries require specific orthotic techniques, such as splinting for suspected scaphoid fractures and hinged knee braces for certain ligament injuries, while reimbursement for orthosis prescriptions has specific requirements.
Isolated first carpometacarpal joint dislocation managed with closed reduction and splinting.
BMJ Case Rep
March 2019
Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong.
Article Synopsis
- A 56-year-old office worker experienced pain and swelling in his right thumb after an emergency stop, leading to a diagnosed dorsal dislocation of the first carpometacarpal joint.
- After a successful closed reduction, the joint was immobilized in a thumb spica splint for 6 weeks, resulting in reduced pain and full motion by 9 weeks post-injury.
- Two years later, he remained symptom-free with normal joint anatomy, indicating that non-operative splinting is effective for stable first carpometacarpal joint dislocations.
Braces and Splints for Common Musculoskeletal Conditions.
Am Fam Physician
November 2018
West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.
Article Synopsis
- Braces and splints are used to immobilize joints, relieve pain, reduce swelling, and aid in healing, applicable for both acute injuries and chronic conditions.
- The medial unloading knee brace may help osteoarthritis patients, while a patellar stabilizing brace shows mixed results for knee pain; however, a patellar tendon strap effectively treats tendinopathy.
- Functional ankle braces outperform immobilization in treating ankle sprains, and while thumb spica splints are good for thumb issues, wrist splints only slightly help carpal tunnel syndrome symptoms.
A Prospective, Randomized Trial of Mobilization Protocols Following Ligament Reconstruction and Tendon Interposition.
J Bone Joint Surg Am
August 2018
Department of Orthopaedics, University of Utah, Salt Lake City, Utah.
Article Synopsis
- This study aimed to determine if longer immobilization after trapeziectomy with ligament reconstruction and tendon interposition (LRTI) leads to better patient outcomes compared to an early mobilization approach.
- 223 patients were randomly assigned to either an immobilization or early mobilization protocol, with various measures (like pain, strength, and satisfaction) tracked over time.
- Results showed no significant difference in outcomes between the two groups, indicating that both rehabilitation protocols were similarly effective.
Article Synopsis
- De Quervain tenosynovitis is a condition often experienced by individuals performing repetitive wrist movements, leading to pain and inflammation, particularly on the radial side of the wrist.
- This study aimed to compare the effectiveness of corticosteroid injection (CSI) alone versus CSI paired with a period of immobilization in managing the condition, finding that both treatment options led to significant symptom improvement at 6 months.
- Results showed that while both groups had positive outcomes, the CSI alone group had a better resolution of radial-sided wrist pain, suggesting that immobilization may not be necessary and could even complicate recovery.
Article Synopsis
- - The study focuses on the treatment of thumb ulnar collateral ligament (UCL) ruptures in elite athletes, particularly how surgical repair and early return to play in a thumb spica cast can help minimize downtime.
- - A retrospective review of three Division I collegiate linemen showed these athletes experienced adjacent joint dislocations while in thumb spica casts after their surgeries, including three dislocations of the proximal interphalangeal (PIP) joints and one elbow dislocation.
- - The results indicated that, while thumb spica casting protects the repaired UCL and allows for quicker return to sports, it may also increase stress on nearby joints, leading to additional injuries; thus, clear communication regarding the risks and benefits of this
Bilateral wrist pain · limited range of motion · tenderness to palpation · Dx?
J Fam Pract
March 2018
University of California Riverside School of Medicine, Riverside, CA, USA.
Article Synopsis
- A 12-year-old girl experienced wrist pain after a fall where she landed on both wrists in different positions.
- She didn't hear any snapping sounds during the incident, but felt immediate pain when her wrists were hyperextended.
- X-rays showed no fractures, and she was treated with bilateral thumb spica splints to support her wrists.
Repair of the Thumb Ulnar Collateral Ligament With Suture Tape Augmentation.
Tech Hand Up Extrem Surg
December 2017
Kerlan Jobe Orthopaedic Clinic, Los Angeles, CA.
Article Synopsis
- - The ulnar collateral ligament (UCL) in the thumb is commonly injured, and while primary repair is effective, healing typically requires immobilization, delaying rehabilitation.
- - A new surgical technique involving suture tape augmentation is introduced to enhance the strength and support of the UCL repair during the critical early healing stages.
- - A case of a professional basketball player illustrates the procedure's application, highlighting a quick transition to therapy with immobilization for just three days post-surgery.
Synthesis of evidence for the treatment of intersection syndrome.
World J Orthop
August 2017
Konstantine Balakatounis, Neurology Institute of Athens, 10676 Athens, Greece.
Article Synopsis
- Intersection syndrome is a rare overuse injury from friction between the first and second compartments of the forearm, often confused with De Quervain tendonsynovitis.
- Diagnosis typically involves a clinical examination, but MRI and ultrasound can support the findings.
- Treatment includes rest, splinting, pain relievers, followed by stretching and strengthening; if symptoms last over 2-3 weeks, corticosteroid injections may help, and surgery is an option for severe cases.
The effects of below-elbow immobilization on driving performance.
Injury
February 2017
San Antonio Military Medical Center, Fort Sam Houston, TX, 78234, USA.
Article Synopsis
- Limited research exists on the safety of driving while wearing upper extremity immobilization, prompting this study to examine below-elbow removable splints and fiberglass casts.
- Twenty healthy subjects drove a closed course while wearing different types of immobilization; performance was assessed by an instructor and subjective difficulty ratings.
- Results showed that fiberglass spica casts significantly increased failures and perceived driving difficulty, leading to a recommendation against driving with these casts.
Effectiveness of therapeutic ultrasound with or without thumb spica splint in the management of De Quervain's disease.
J Back Musculoskelet Rehabil
April 2018
Article Synopsis
- The management of De Quervain's disease, a condition affecting the wrist, largely relies on intuition rather than solid scientific evidence, leading to ongoing debate about the best conservative treatment options.
- A study aimed at evaluating the effectiveness of therapeutic ultrasound with and without a thumb spica splint involved 30 patients aged 30-50 with a history of the disease for at least 6 months.
- Results indicated that combining therapeutic ultrasound with a spica splint yielded significantly better outcomes than using ultrasound alone, highlighting the advantage of the combined treatment strategy.