Review Article
Early Functional Treatment and Modern Cast Making for Indications in Hand Surgery
| | Type of cast | Variant | Site of lesion/indications | Treatment specifications |
| | Thumb orthoses (Figure 2) | DIPJ (excluded or included) | Sprained thumb, IPJ & MCPJ instability (L), 1st metacarpal & proximal phalangeal fracture (F and FC), osteoarthritis (D) | Up to 8 weeks; definite treatment or postoperative protection IPJ & MCPJ |
| | Middlehand orthoses | Fingers excluded (Figure 3) | Different types of metacarpal fractures (F and FC) | Four–six weeks; non/postoperatively | | Fingers included (Figure 4) | Distal metacarpal proximal and middle phalangeal fractures (F and FC), MCPJ & PIPJ injury (L) | Four–six weeks; non/postoperatively |
| | Dynamic finger orthoses (Figure 4) | Combined with buddy-taping of two adjacent fingers | Proximal phalangeal fractures (F): criteria for nonoperative treatment (see the paper) | Four–six weeks; double-finger stall splinting principle; early functional treatment in cast |
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F: fracture treatment; FC: fracture treatment children; L: luxation/ligament injury; D: degenerative connective tissue disease; for other abbreviations, see the paper.
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