Practice Forum| Volume 28, ISSUE 4, P421-424, October 2015

Low profile radial nerve palsy orthosis with radial and ulnar deviation

Published:December 03, 2014DOI:
      Individuals who sustain damage to the radial nerve experience a significant loss in functional use of the hand. Traditional orthoses have been effective in providing assistance with wrist stabilization and finger/thumb MP extension. These authors adapted a low profile orthosis to provide the necessary support while allowing radial and ulnar deviation of the wrist, thus increasing functional use of the hand. – Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Hand Therapy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Ingari J.V.
        • Green D.P.
        Radial nerve palsy.
        in: Wolfe S.W. Hotchkiss R.N. Pederson W.C. Kozin S.H. Green's Operative Hand Surgery. 6th ed. Churchill Livingstone, 2011: 1075-1092
        • Colditz J.C.
        Splinting for radial nerve palsy.
        J Hand Ther. 1987; 1: 18-23
        • Duff S.V.
        • Estilow T.
        Therapist's management of peripheral nerve injury.
        in: Skirven T.M. Osterman A.L. Fedorczyk J.M. Amadio P.C. Rehabilitation of the Hand and Upper Extremity. 6th ed. Elsevier Mosby, Philadelphia, PA2011: 619-633
        • Colditz J.C.
        Splinting the hand with a peripheral-nerve injury.
        in: Mackin E.J. Callahan A.D. Skirven T.M. Schneider L.H. Osterman A.L. Rehabilitation of the Hand and Upper Extremity. 5th ed. Mosby, Inc, St. Louis, MO2002: 622-634
        • Hannah S.D.
        • Hudak P.L.
        Splinting and radial nerve palsy: a single-subject experiment.
        J Hand Ther. 2001; 14: 195-201

      JHT Read for Credit

      Quiz: #377

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • #1.
        With the entire orthosis being worn, the patient cannot
        • a.
          maintain wrist extension
        • b.
          perform the Dart Thrower Motion
        • c.
          ulnar or radial deviate
        • d.
          effectively fist
      • #2.
        The author advocates using
        • a.
          dark colored material to minimize showing dirt and scuffing
        • b.
          hypoallergenic cords between fingers
        • c.
          a copper rivet to avoid rusting
        • d.
          a damp paper towel to keep the two thermoplastic elements from sticking during fabrication
      • #3.
        The primary purpose of the orthosis is to
        • a.
          allow radial and ulnar deviation
        • b.
          facilitate radial nerve recovery
        • c.
          prevent overstretching of the wrist extensor muscles
        • d.
          prevent overstretching of the MCP extensor muscles
      • #4.
        The pivot point for the rivet is directly over the
        • a.
        • b.
        • c.
          Lister’s tubercle
        • d.
          2nd dorsal compartment
      • #5.
        This creative orthosis is unfortunately both expensive and involves a lot of time consuming work to fabricate
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.