Types of Splints/Positioning

Functional position

-Wrist: 20-30 extension
-MCPs: 45 flexion
-IPs: 20-30 flexion
-Thumb abducted

Safe Position

-Wrist: 0-20 extension
-MCPs: 70-90 flexion
-IPs in extension
-Thumb abducted and extended

Positions of deformity

-Wrist flexion
-MCP hyperextension
-IP joints flexed
-Thumb adducted

Brachial plexus injury

Flail arm splint

Radial nerve palsy

Dynamic wrist, finger, and thumb extension splint.

Median nerve injury

Opponens splint, C-Bar, or thumb post splint.

Ulnar nerve injury

Dynamic/static splint to position MPs in flexion.

Combined median ulnar

Figure-of-eigth or dynamic MCP flexion splint.

Spinal cord (C6-C7)

Tenodesis splint

Carpal tunnel syndrome

Wrist splint positioned 0-15 extension.

DeQuervains

Thumb splint, includes wrist, IP joint free.

Skier's thumb

(UCL) hand based thumb splint

CMC arthritis

Hand based thumb splint

Ulnar drift

Ulnar drift splint

Flexor tendon injury

Kleinert or Duran dorsal protection splint

Swan neck

Silver rings or buttonhole splint

Boutonniere

Silver rings or dynamic PIP extension splint.

Arthritis

Functional splint or safe splint, depending on the stage.

Flaccidity

Resting splint

Spasticity

Spasticity splint or cone splint.

Muscle weakness (ALS, SCI, Guillain-Barre)

Balanced forearm orthosis (BFO), deltoid sling/suspension sling.
-Mounts to wheelchair
-Must have shoulder or trunk movement.

Burns

Airplane splint