Protective Splinting for the Hand and Wrist

Gieck, Joe H.; Mayer, Vi

doi:10.1016/s0278-5919(20)31091-7

Cited by 24 publications

(3 citation statements)

References 5 publications

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“… 16 Occasionally, a computed tomography (CT) scan is needed to better appreciate fracture pattern and fragment displacement. 6 Nonoperative treatment can be used if reduction of the CMC joint can be maintained. 3 , 16 …”

Section: Bony Injuries Of the Hand: Thumbmentioning

confidence: 99%

“…If an acute distal phalanx fracture of the thumb is suspected in an athlete during gameplay, a prefabricated plastic splint covering the entire distal tip of the digit and crossing the IP joint may be applied and affixed using athletic tape. 2 , 6 , 19 This technique will provide adequate immobilization for the 4 weeks required for bony healing of the fracture to occur and allow for immediate continuation of gameplay.…”

Section: Bony Injuries Of the Hand: Thumbmentioning

confidence: 99%

“…For daily wear, athletes should be placed in a well-padded short arm ulnar or radial gutter cast, which prevents rotation of the distal segment of the fracture ( Figure 4a ). 6 , 17 The typical cast is extended distally to encompass the entire tip of the included digits, although in select cases it may be reasonable to end the cast just past the MCP joint to allow for motion at the distal aspect of the digit. 3 When the entire finger is included in the cast, it is recommended to cast or splint the hand in the intrinsic plus position to protect the soft tissues from contracting ( Figure 4b ).…”

Section: Bony Injuries Of the Hand: Non-thumbmentioning

confidence: 99%

See 2 more Smart Citations

Casting and Splinting Management for Hand Injuries in the In-Season Contact Sport Athlete

Carruthers

O’Reilly

Skie

et al. 2017

Sports Health: A Multidisciplinary Approach

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Context:Upper extremity injuries are extremely common in contact sports such as football, soccer, and lacrosse. The culture of competitive athletics provides an environment where hand injuries are frequently downplayed in an effort to prevent loss of game time. However, studies have shown that many sport-induced hand injuries do not actually require immediate surgical attention and can be safely treated through immobilization so that the athlete may complete the athletic season. In these cases, appropriate casting and splinting measures should be taken to ensure protection of the injured player and the other competitors without causing loss of game time.Evidence Acquisition:Articles published between 1976 and 2015 were reviewed to capture historical and current views on the treatment of hand injuries in the in-season athlete.Study Design:Clinical review.Level of Evidence:Level 5.Results:Although traditionally many sports-induced traumatic injuries to the hand held the potential to be season-ending injuries, experience has shown that in-season athletes do not necessarily need to lose game time to receive appropriate treatment. A thorough knowledge of converting everyday splints and casts into game day, sport-approved protective immobilization devices is key to safely allowing athletes with select injuries to play while injured.Conclusion:Protective techniques allow for maximum functionality during gameplay while safely and effectively protecting the injury from further trauma while bony healing takes place.

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