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
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- 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
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JHT Read for Credit
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 JHTReadforCredit.com. 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
- 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
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Published online: December 03, 2014
© 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.