A member asked:

De quervains syndrome, i now have a thumb spica splint, what is the best angle for the metal strip ?

7 doctors weighed in across 3 answers
Dr. SG Erman answered

Goblet: With your fingers bent like you are holding a wine goblet.

Answered 11/26/2013

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Dr. Hill Hastings answered

Specializes in Orthopedic Surgery

Thumb in abduction: Dequervains involves the abductor pollicis longs and extensor pollicis brevis tendon slips which pass through the first dorsal compartment (tunnel) at the wrist. Only the thumb and wrist need be immobilized, not the index through small finger. Usually the wrist is immobilized in very slight extension (bent back) with the thumb in a slightly extended/abducted position (off to the side).

Answered 3/11/2015

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The most comfortable: The metal strip is there simply to support the thumb so the tendon can rest. The key is comfortable support and rest for the thumb. The exact position is less important. Be sure the brace/splint and the metal strip are not somehow creating new pains.

Answered 7/5/2012

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