Customized Dynamic Splinting: Orthoses that Promote Optimal Function and Recovery after Radial Nerve Injury: A Case Report

Dynamic splinting in wrist extension following distal radius fractures

“…The results of that study showed efficacy of dynamic splinting in reducing symptoms from carpal tunnel syndrome [15]. The outcome measured changes in Levine-Katz function/pain survey and nerve conduction, which showed statistically significant differences [15] The benefits of WED in this retrospective cohort study were comparable to results seen in a case report on dynamic splinting for contracture following radial nerve injury [13]. McKee and Nguyen's case described a 76 year old patient who suffered a radial nerve injury following a shoulder replacement.…”

“…McKee and Nguyen's case described a 76 year old patient who suffered a radial nerve injury following a shoulder replacement. They found that dynamic splinting helped this patient regain motor functions that were previously disabled by the excessive wrist flexion contracture [13]. Molecular analysis has proven prolonged stretching responsible for connective tissue elongation [14-16], as employed in dynamic splinting.…”

“…Patient satisfaction through increased joint mobility has been the primary outcome measure in numerous studies that examined the current therapeutic protocols for treating DRF [8-13] and protocols supplemented with prolonged durations of therapeutic stretching [14-19]. Franco et al conducted a randomized, cross-over, cohort study of 45 asymptomatic patients treated with static splints (which restricts mobility similar to immobilization) [4].…”

“…Dynamic splinting employs passive, prolonged stretching which has proven responsible for contracture reduction in other joints and pathologies [13-16]. The purpose of this retrospective study was to evaluate the initial effect of dynamic splinting on wrist extension (active range of motion), in both surgical and non-surgical patients following distal radius fractures.…”

Importance of Neurological Evaluation Before Reverse Shoulder Arthroplasty in Patients with Previous Poliomyelitis

“…11 Neuropathic arthropathy could be an indication for reverse prosthesis: In glenoid deformity secondary to brachial plexus birth palsy, 12 this procedure has been used with good results. 13 This case illustrates triceps muscle dysfunction as a possible factor that limits the outcome of patients with cuff-tear arthropathy, resulting in a persistent limitation of overshoulder activities. …”