My spouse has a hand injury which lends itself to PIP flexion contracture, and this splint works better than any I have made for him (and we have tried a good variety of splints!) In group II, 25 fingers achieved near full extension (< 10° contracture) after 6 months. I am a hand therapist and use this finger extension splint frequently for Boutonniere deformity. I generally add a velcro strap at the end to prevent DIP hyperextension. If contracture is >30deg you may need to try a circumferential thermoplastic splint or even serial Plaster of Paris (PIP POP) casting. Proximal interphalangeal (PIPJ) joint flexion contractures, or loss of extension at the middle joint of the finger, can occur after injury, disease and surgery and can interfere with the functional use of the hand. Provides constant force to help correct finger flexion contractures of the PIP joint. AliMed offers a wide variety of Finger Splints to meet your patient's specific needs. What type of splint would you use to treat a PIP flexion contracture (post flexor tendon repair) that is causing loss of full PIP extension? Only the prima… Flexion is prevented by volar plate adhesions to the palmar surface of the proximal bony head. Flexion contracture of proximal interphalangeal joints of hand is a common condition resulting from injuries and trauma to hand. 00 Dynamic splinting was an effective form of treatment for PIP flexion contracture. Conclusions: Percutaneous release combined with finger splint is regarded as a useful therapy to speed recovery of trigger finger with proximal interphalangeal joint flexion contracture. In a 2-month study of 19 patients, we assessed whether dynamic splinting could decrease proximal interphalangeal (PIP) flexion contractures. Proximal interphalangeal (PIP) flexion contracture is a common complication following hand injuries and conditions. The orientation of the spacer between the two rings holds them farther apart for better leverage at a more comfortable angle. Volar plate. It is designed to assist the stiff PIP joint into extension and correct finger flexion contractures through constant and progressive force. The screw is very easy to adjust to modify traction pressure for customizable healing progression. - See: boutonniere injury. Flexion Contacture of the PIP Joint. There are several ways to treat finger flexion contracture. About The Joint Jack PIP Finger Flexion Contracture Splint. Patients are often offered finger amputation. This study investigated the treatment outcome of 20 subjects with PIP flexion contracture who followed a dynamic splinting program using either a Capener or low-profile outrigger. 1 They may be distinguished from each other. Flexion at PIP, extension at DIP; Non-urgent MRI as outpatient can confirm the diagnosis; ED Management. If the collateral ligaments are contracted, finger abduction–adduction in extension (normally about 45°) is greatly reduced. Recurrent severe Dupuytren contracture of the small finger’s proximal interphalangeal (PIP) joint is a difficult problem. One of the major factors in the decreasing functional ability of patients with progressive systemic sclerosis is involvement of the patient’s hands with secondary immobility and contractures. If there has been a volar plate injury, a dorsal gutter is fabricated to block about 20 to 30 degrees of PIP extension while allowing PIP flexion (Figure 12-8). Type 0. Efficient Mechanics of PIP Mobilisation Splinting - Judy C Colditz, 2000 Skip to main content Acute Injury Splint PIP joint in extension for 6 weeks leaving MCP and DIP free to move to prevent contracture; Have patient follow up in 1-2 weeks; Chronic Injury Splint if possible but may be unable to fully extent at PIP It is named after Guillaume Dupuytren, who first described the underlying mechanism of action followed by the first successful operation in 1831 and publication of the results in The Lancet in 1834. The Static Progressive Positioning Splint PIP and DIP Flexion is designed to increase the range of motion of the fingers around the PIP and Flexor tendon Kleinert orthosis Complications from this protocol, primarily PIP flexion contractures due to holding the injured finger in flexion all of the time, contributed to the creation of another passive motion protocol called the Modified Duran Protocol. Green and McCoy (1979) reported the findings of 15 patients with acute flexion contractures of the elbow after injuries or operations were treated with a turnbuckle splint. Easy-to-use finger extension splint. Chronic or PIP flexion contracture Focus is on regaining passive PIP extension through dynamic, static progressive splint or serial casting Once PIP joint passive extension established – initiate or continue with emphasis on reverse blocking and active DIP blocking motion Continued focus on swelling reduction Sufficient time should be allowed for the conservative treatment to work, but the patient's compliance may be a limiting factor.15, 16 An improvement of 16° to 18° has been reported after 10 weeks and up to 4 months of splinting for contractures less than 45°.15, 16 Approximately half of the final correction can be achieved in the first 2 weeks with hand therapy and splint. 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