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Splinting for radial nerve palsy

  • Author Footnotes
    2 Presented at the Seventh Annual Meeting of the American Societyof Hand Therapists, Atlanta, Georgia, February 1984.
    Judy C. Colditz
    Correspondence
    Reprint requests to Ms. Colditz, Raleigh Hand Rehabilitation Center, Inc., P.O. Box 3062, Raleigh, NC 27622.
    Footnotes
    2 Presented at the Seventh Annual Meeting of the American Societyof Hand Therapists, Atlanta, Georgia, February 1984.
    Affiliations
    Raleigh Hand Rehabilitation Center, Inc., Raleigh, North Carolina
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  • Author Footnotes
    2 Presented at the Seventh Annual Meeting of the American Societyof Hand Therapists, Atlanta, Georgia, February 1984.
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      Abstract

      The radial nerve is the most frequently injured major nerve of the upper extremity. Splinting to maintain joint motion and functional use of the hand is usually required until nerve recovery occurs or tendon transfer procedures are performed. A review of the literature reveals numerous splint designs for radial palsy. The biomechanics of “harnessing” the hand with radial nerve palsy are reviewed and splint designs are analyzed to determine appropriate use. A design is recommended that reestablishes the normal tenodesis pattern of the hand.
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      References

      1. Barton NJ: Radial nerve lesions. Hand 5(3), 1973

        • Sunderland S
        Nerves and Nerve Injuries. E.&S. Livingstone, Ltd., London1968: 827
        • Spinner M
        Injuries to the Major Branches of the Peripheral Nerves of the Forearm. W.B. Saunders, Philadelphia1978: 102
        • Green DP
        Radial nerve palsy.
        in: Green DP Operative Hand Surgery. Churchill Livingstone, New York1982: 1016
      2. Bevin AG: Early tendon transfer for radial nerve transection. Hand 8(2), 1976.

        • Packer JW
        • Foster RR
        • Garcia A
        • Grantham SA
        The humeral fracture with radial nerve palsy: Is exploration warranted?.
        Clin Orthop. 1972; 88: 38-43
        • Burkhalter WE
        Early tendon transfer in upper extremity peripheral nerve injury.
        Clin Orthop. 1974; 104: 68-79
        • Fess EE
        • Phillips CA
        Hand Splinting: Principles and Methods. 2nd ed. C.V. Mosby Co., St. Louis1987: 346
        • Goldner JL
        Function of the hand following peripherial nerve injuries.
        in: American Academy of Orthopaedic Surgeons Instructional Course Lectures, Vol. X. C.V. Mosby Co., St. Louis1953
        • Penner DA
        Dorsal splint for radial palsy.
        Am J Occup Ther. 1972; 26: 46-47
        • Bowden R
        • Napier Jr, EM
        The assessment of hand function after peripheral nerve injury.
        J Bone Joint Surg. 1961; 43B: 481
        • Thomas FB
        An improved splint for radial (musculospiral) nerve paralysis.
        J Bone Joint Surg. 1951; 33B: 727-728
        • Pearson S
        Splinting the nerve injured hand. In Hunter JW, Schneider LH, Mackin EJ, Callahan A: Rehabilitation of the Hand. C.V. Mosby Co., St. Louis1984: 455
        • Ellis M
        Orthoses for the hand.
        in: Lamb DW Kuczynski K The Practice of Hand Surgery. Blackwell Scientific Publications, London1981
        • Wynn Parry CB
        Rehabilitation of the Hand. Butterworths, London1978: 91-92
      3. Peacock EE Jr: Dynamic splinting for the prevention and correction of hand deformities. J Bone Joint Surg 43A(4), 1952.

        • Thompson JS
        • Littler JW
        Dressings and splints.
        in: Converse JM Reconstructive Plastic Surgery, Vol. 6. W.B. Saunders, Philadelphia1977: 2991-2999
        • Highet WB
        Splintage of peripheral nerve injuries.
        Lancet. 1942; 1: 555-558
        • Thomas FB
        A splint for radial (musculospiral) nerve palsy.
        J Bone Joint Surg. 1944; 26: 602-605
        • Bunnell S
        Splinting the hand.
        in: American Academy of Orthopaedic Surgeons: Instructional Course Lectures, Vol. IX. C.V. Mosby Co., St. Louis1952: 233-243
      4. Bunnell S: Active splinting of the hand. J Bone Joint Surg 28(4), 1946.

        • Von Werssowitz OF
        Analysis of functional bracing of the hand.
        Am J Occup Ther. 1957; 11: 4
        • Von Werssowitz OF
        Biophysical principles in selection of hand splints.
        Am J Occup Ther. 1955; 9: 2
        • Boyes JH
        Bunnell's Surgery of the Hand. 4th ed. J.B. Lippincott Co., Philadelphia1964: 175
        • Hollis I
        Innovative splinting ideas.
        in: Hunter JM Schneider LH Mackin EJ Bell JA Rehabilitation of the Hand. C.V. Mosby Co., S. Louis1978: 641
      5. Crochetiere W, Goldstein S, Granger CV, Ireland J: The Granger orthosis for radial nerve palsy. Orthot Prosthet 29(4), 1975.