gms | German Medical Science

Clinical issue/s: Many common clinical conditions of the thumb and fingers benefit from simple orthotic management and design. A review of the most common diagnoses, the anatomy affected and orthotic fabrication and design for the thumb and finger are highlighted.

Clinical reasoning: Hand Therapists treat a wide range of acute and chronic conditions involving the thumb and fingers including fractures, sprains, ligament and tendon injuries, and arthritis. Orthotic fabrication for these thumb and finger conditions is a recognized and important therapeutic intervention, yet the idea of orthotic fabrication can be challenging. This poster offers basic information on common thumb and finger conditions that might benefit from orthotic management, including mallet deformity, boutonniere, swan neck, and CMC joint arthritis. The evidence to support orthotic fabrication for these conditions is cited.

Innovative, analytical or new approach: Easy to follow orthotic fabrication instructions are offered.

Contribution to advancing HT practice: Hand therapists need to recognize conditions of the thumb and fingers that benefit from orthotic management for Osteoarthritis, Rheumatoid Arthritis, fractures, mallet finger, boutonniere and swan neck deformities. They can gain valuable skills by reviewing orthotic fabrication instructions and designs. Through repeated practice, therapists can develop the skills necessary to successfully fabricate and fit custom orthoses for the thumb and fingers.