Name of the Procedure:

Hand Finger Orthosis
Common name(s): Hand splint, Finger splint
Technical/Medical term: Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf

Summary

A hand finger orthosis is a medical device designed to support and align the joints and bones of the fingers, aiding in their movement and healing. It typically includes adjustable components like joints, turnbuckles, and elastic bands/springs, and may come with soft padding and straps for comfort. This device is generally ready-made and available off-the-shelf.

Purpose

This orthosis addresses conditions involving finger joint instability, misalignment, or limited mobility. It aims to support finger joints, improve function, and promote healing while providing pain relief.

Indications

• Joint instability
• Recovering from fractures or surgery
• Tendon or ligament injuries
• Conditions like arthritis causing finger deformities
• Nerve injuries affecting finger movement

Preparation

• No special fasting or medication adjustments are usually needed.
• A diagnostic assessment such as an X-ray or physical examination may be required to determine the necessity and specifics of the orthosis.

Procedure Description

1. Evaluation: The healthcare provider evaluates the patient's hand and finger condition.
2. Fitting: The provider selects the appropriate size and type of prefabricated orthosis from the available options.
3. Adjustment: The orthosis is adjusted using turnbuckles, elastic bands, and other components to fit the patient’s specific needs.
4. Education: The patient is instructed on how to wear and care for the orthosis properly and how to perform any prescribed exercises.

Duration

The fitting and adjustment process typically takes about 30 minutes to an hour.

Setting

This procedure is usually performed in a clinic or outpatient setting.

Personnel

• Occupational therapist or physical therapist
• Orthopedic technician
• Physician or specialist (if required for evaluation)

Risks and Complications

• Skin irritation or pressure sores from prolonged use
• Incorrect fit causing discomfort or ineffective support
• Rarely, allergic reaction to materials used in the orthosis

Benefits

• Improved finger joint stability and alignment
• Alleviation of pain and discomfort
• Enhanced finger function and mobility
• Support during the healing process
• Prevention of further injury or deformity

Recovery

• Follow-up appointments to adjust the orthosis as needed.
• Regular use of the orthosis as directed by healthcare provider.
• Performing exercises to maintain or improve finger mobility.
• Recovery timelines vary based on the underlying condition; improvements are generally noticed within a few weeks to months.

Alternatives

• Custom-made orthoses for a better fit in complex cases
• Physiotherapy or occupational therapy alone
• Surgery for severe cases
• Medication for pain and inflammation management

Patient Experience

Patients might initially feel some discomfort while getting used to the orthosis. Proper adjustment and wearing it as instructed can minimize discomfort. Pain management includes over-the-counter pain relief if necessary, and comfort measures such as gradual adjustment periods can help ease adaptation.