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Doctor insights on: Thumb Spica

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

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

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). ...Read more

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In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?

Yes: If a scaphoid fracture is suspected, then there is an injury (whether bone or ligamentous) in the region of the scaphoid and pain is the most common presenting sign. The splint should help immobilize the joint but the injury is still there and can be painful. ...Read more

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About 3/4 months ago I was taken to A&E with a suspected scaphoid fracture I was seen by 2 doctors and was put in a thumb spica (not a cast) for 10 days because they suspected the scaphoid was broken. I later had another appointment for an X-ray to decid

About 3/4 months ago I was taken to A&E  with a suspected scaphoid fracture I was seen by 2 doctors and was put in a thumb spica (not a cast) for 10 days because they suspected the scaphoid was broken. I later had another appointment for an X-ray to decid

Varies: Scaphoid fractures are often difficult to fully assess with X-ray. Often a ct scan or MRI is used if someone has persistent pain and X-rays look ok. Sometimes rather than doing a lot of initial studies, we will treat a patient in a splint if they have an exam and X-rays could be consistent with a scaphoid fracture, but then dc their splint if their exam and X-ray normalize. ...Read more

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I have painful trigger thumb with thumb dislocation found on xray. Rheum wants me to wear splint/spica,but can this heal dislocation?

I have painful trigger thumb with thumb dislocation found on xray. Rheum wants me to wear splint/spica,but can this heal dislocation?

No! not unless the -: dislocation is reduced and held reduced in a stable position. Most of these require Pin Fixation and a cast to treat the dislocation. The trigger thumb can be treated with a steroid shot. If that doesn't help or if it comes back then surgery might be needed for it as well. ...Read more

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Got a spica splint,ice & nsaids for quervains tendonitis. Only feel pain when doing extensions with my thumb..When/how should i start rehab exercises?

Got a spica splint,ice & nsaids for quervains tendonitis. Only feel pain when doing extensions with my thumb..When/how should i start rehab exercises?

Now: You have to do this with your physicians guidance. This depends how long you have had and what type of trauma you have Early you use ice but after 2 days then heat.You may need injections or even surgery ...Read more