Thumb Spica Splint

Aka: Thumb Spica Splint, Thumb Spica Orthosis, Functional Thumb Spica Splint

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II. Indications

  1. Scaphoid Fracture
  2. First Metacarpal Fracture (non-angulated, non-displaced)
  3. De Quervain Tenosynovitis
  4. Thumb Carpometacarpal Osteoarthritis

III. Technique: Splinting

  1. Positions
    1. Thumb in position of function (holding can)
    2. Wrist extended to 20-25 degrees
    3. Forearm in neutral position
  2. Fiberglass splint
    1. OrthoWristThumbSpicaSplint.png
    2. Splint radial aspect of Forearm from proximal third of Forearm to thumb DIP joint
  3. Alternatives
    1. Pre-fabricated splint (cushioned plastic with straps)

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