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Doctor insights on: Thumb Splints

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Dr. Mark Galland
639 doctors shared insights

Splint (Definition)

A splint can be any type of external protection device designed to shield a bone or joint from injury. It may be used prophylactically to prevent injury or protect an injured bone or ...Read more


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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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Is it normal for a thumb injury to hurt more when splinted?

Is it normal for a thumb injury to hurt more when splinted?

Not really: Usually splinting will help keep the patient and injury more comfortable make sure the splint is applied properly and not too tight. ...Read more

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Why does thumb injury hurts more splinted?

Why does thumb injury hurts more splinted?

Not sure: Possibly the splint is not applied properly or in correct position. If it for a fracture, perhaps a well padded thumb spica cast might be more comfortable. One should actually be more comfortable if an injury is immobilized in a splint or cast in the proper position check with your ortho if not better. ...Read more

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I was diagnosed with a partially torn left thumb ucl. After 4 weeks of splinting and 4 weeks of casting, i feel no relief. What's next?

Thumb ucl tear: Most partial ucl tears will improve after 4-6 weeks of casting/immobilization. If the pain is not improving with time out if the cast the next step is to consider oral anti inflammatories/ice or a cortisone injection if the ligament feels stable clinically. If the ligament still is painful when stressed you may need to consider surgical repair. ...Read more

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Any ideas why thumb injury hurts more while splinted?

Position: It may be the position of the thumb in the splint, which can be adjusted by your doctor. The splint may also be too tight, if that is the case you need to elevate more or get the splint removed. ...Read more