1. Wrist opener splint: An effective way to treat chronic wrist flexion contracture
- Author
-
M. Ngoie, M. Gueye, F. Degez, N.F. Coulibaly-Ndiaye, Y. Diamé-Seydi, and I. Sané-Diatta
- Subjects
musculoskeletal diseases ,Dorsum ,Male ,Wrist Joint ,Contracture ,medicine.medical_treatment ,Wrist ,Time-to-Treatment ,Static Splint ,Young Adult ,Wrist flexion contracture ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Prospective Studies ,Muscle contracture ,Orthodontics ,Flexion contracture ,business.industry ,Rehabilitation ,Equipment Design ,Senegal ,body regions ,Upper limb surgery ,medicine.anatomical_structure ,Splints ,Surgery ,Female ,business ,Splint (medicine) ,Follow-Up Studies - Abstract
In Senegal, patients are seen an average of 16 months after their injury in a specialized hand and upper limb surgery department. Because of this lengthy delay, these patients have severe functional sequelae, such as wrist flexion contracture, averaging 45 degrees in our case series (range, 35 to 90 degrees). After reviewing the literature, we did not find any splint that was well suited to these patients. Inspired by the general splinting rules set out by Schultz, MacConaill and Brand, we constructed a volar/dorsal splint to reduce these contractures. We have been using this serial static splint for 2 years. We performed a prospective study of 17 wrists to evaluate its therapeutic benefit, describe its use and outline its optimal application.
- Published
- 2019