A Customised paediatric thumb web splint for management of adduction contracture of thumb. 2023

Krishnakumar Ramalingam, and Lokesh Siva, and Nisha Lenin, and Nandakumar Sundaramurthy
Paediatric and Preventive Dentistry, Government Dental College and Hospital, Cuddalore Dist, (Erstwhile Rajah Muthaiah Dental College and Hospital), Annamalai Nagar, Tamil Nadu, India.

The thumb web has a unique anatomy, the integrity of which is vital to both form and function of the hand. Thumb web space adduction contractures are a common consequence of hand burns and are a progressive disabling deformity and prevention or early intervention is advisable. This case describes the use of a customised removable web splint in children with scarring and gradual contracture of the first web space causing pain with movement and significant restriction in the hand function to maintain the thumb web expansion. This inexpensive and effective appliance can be safely applied to an injured hand, maintain web space following surgical release and allows movement at the first carpometacarpal joint and hence obtains a good functional outcome.

UI MeSH Term Description Entries
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003286 Contracture Prolonged shortening of the muscle or other soft tissue around a joint, preventing movement of the joint. Contractures
D006226 Hand Deformities Alterations or deviations from normal shape or size which result in a disfigurement of the hand. Deformities, Hand,Deformity, Hand,Hand Deformity
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013165 Splints Rigid or flexible appliances that are used to maintain a displaced or movable part in position, or to maintain the position of and protect an injured part. Dynamic Orthoses,Dynamic Splint,Dynamic Splinting,Dynamic Splints,Static Orthoses,Static Splint,Static Splinting,Static Splints,Dynamic Splintings,Splint,Splint, Dynamic,Splint, Static,Splinting, Dynamic,Splinting, Static,Splints, Dynamic,Splints, Static,Static Orthose
D013933 Thumb The first digit on the radial side of the hand which in humans lies opposite the other four. Thumbs

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