Splints and Braces
Paul A. Lotke
SHOULDER
Simple Shoulder Sling
Treatment: Painful shoulders including bursitis, tendinitis, nondisplaced fractures, contusions in arm, and painful elbow
Comment: This is a classic, inexpensive, readily available device that can be made from almost any cloth fabric. It is inexpensive, versatile, and effective. Care should be taken not to keep patients in slings too long in order to avoid stiffness.
Abduction Pillow Shoulder Immobilizer
Treatment: Fractures of the humerus, status post shoulder dislocation
Comment: This is a more constrained device that prevents abduction and external rotation of the arm. Therefore, it protects dislocations and allows fractures to heal. It is reasonably comfortable. Care should be taken to permit good underarm hygiene. Avoid using it for prolonged periods of time to prevent stiff shoulders. The harness can be released for short periods in order to begin pendulum exercises.
Sling and Swathe Bandage
Treatment: Postreduction shoulder dislocation, fractures of the humerus, postsurgical treatment of the humerus
Comment: A very effective immobilization of the shoulder and humerus. It keeps the humerus supported to the chest wall and prevents external rotation. Reasonably comfortable. Care for underarm hygiene.
Shoulder Immobilizer
Treatment: Rotator cuff tear, status post repair rotator cuff tear Comment: This is a very bulky and somewhat cumbersome splint that is effective in maintaining abduction of the shoulder. It can be used for acute support of the rotator cuff.
Figure-of-8 Strap
Treatment: Moderately displaced clavicle fractures, acromioclavicular joint separation
Comment: Readily available splinting that can be made of a variety of materials, including off-the-shelf foam padding or a padded stockinette. Available and reasonably effective in relieving symptoms.
ELBOW
Tennis Elbow Band
Treatment: Tennis elbow, medial and lateral epicondylitis
Comment: This is a band that can be placed over the forearm for symptomatic relief of epicondylitis/tennis elbow. It should only be used during activity and offers relief of symptoms during activity. It should not be worn for prolonged periods of time.
Neoprene Pull-On Elbow Sleeve
Treatment: Minor sprains of the elbow or persistent swelling
Comment: Used for diffuse swelling about the elbow and strains or sprains of the elbow where patients need support to the elbow. Usable for rehabilitating a prior injury to the elbow.
WRIST
Wrist Splint
Treatment: Carpal tunnel syndrome, synovitis, wrist sprain, active inflammatory arthritis of the wrist
Comment: This is a very simple splint that is readily available. It can be made from plaster or fiberglass casting. It can stabilize the wrist and base of the thumb to give symptomatic relief and support of injury or inflammation. Patients can remove the splint periodically for skin hygiene.
Thumb Spica
Treatment: Injuries to the base of the thumb, metacarpophalangeal arthritis, injuries to collateral ligaments of the thumb, synovitis
Comment: Simple, effective brace that is removable and gives excellent support to the base of the thumb. Useful for a variety of injuries and inflammation to the base of the thumb.
Taping of the Thumb
Treatment: Strains and sprains about the thumb, prevention of injuries to the thumb; used for athletes with a history of recent thumb injury or thumb instability
Comment: Very simple taping can be used for short-term protection of the base of the thumb.
HAND
Buddy Taping of the Fingers
Treatment: Finger sprains, status post dislocations
Comment: Two fingers can be taped against each other to offer support after severe sprains or dislocations of the fingers. The taping should be applied with the fingers flexed 30 to 45 degrees to prevent stiffness.