Forearm Wrist Orthoses PDF Print E-mail

Forearm/wrist orthoses are volar or dorsal and either gutter-based or circumferential. Ideally, the wrist should be positioned in 15-30° of dorsiflexion (wrist extension), except in carpal tunnel syndrome, when the wrist should be maintained at neutral to minimize median nerve compression.

  • The volar type should allow for metacarpophalangeal (MP) flexion by ending before the distal palmar crease.
  • Examples of forearm-wrist orthoses include the following:
    • Wrist cock-up splint

Wrist Brace - New Cock-Up Wrist Splint

    • Wrist extension splint

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    • Ulnar gutter splint (see the image below)

Ulnar gutter splint. Courtesy of Medical Center Br

  • These types of orthoses are used for immobilization in patients with lateral or medial epicondylitis, wrist sprain, wrist or forearm fractures, postoperative wrist fusions, and arthritic conditions.

 

 

Original Article Reference: http://emedicine.medscape.com/article/314774-overview#aw2aab6b4