| Title | Dynamic splinting of forearm rotational contracture after distal radius fracture. |
| Author(s) | Shah MA, Lopez JK, Escalante AS, Green DP |
| Institution | Division of Hand Surgery, Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, TX 77555-0165, USA. |
| Source | J Hand Surg [Am] 2002 May; 27(3):456-63. |
| MeSH | Adult
Aged
Contracture
Female
Fracture Fixation
Fracture Healing
Humans
Male
Middle Aged
Radius Fractures
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Rotation
Splints
Supination
Treatment Outcome
Wrist Joint
|
| Abstract | The results of dynamic forearm rotational splinting for the treatment of forearm rotational contractures in patients with acceptably aligned, healed distal radius fractures are documented. Fifteen patients with distal radius fractures that healed with < or =+5 mm ulnar variance and < or =20 degrees dorsal tilt had dynamic forearm rotational splinting for contractures that had failed conventional hand therapy. Average pronosupination arc before splinting was 83 degrees. Dynamic forearm rotational splinting increased forearm rotation by 52% to an average of 126 degrees. Only one patient with development of ectopic bone in the interosseous space during splinting failed to obtain at least 30 degrees pronation and supination after splinting. Dynamic forearm rotational splinting effectively treats rotational contractures in patients who have healed distal radius fractures that are in acceptable alignment. |
| Language | eng |
| Pub Type(s) | Journal Article
|
| PubMed ID | 12015720 |
