Extension block splinting.
Extension block splinting (EBS) at the proximal interphalangeal joints of the fingers is a common technique for both primary treatment of reduced dorsal dislocations/fracture-dislocations at that joint and as a rehabilitation method following open reduction of such injuries. It is seldom realized that the method is a classic example of two orthopedic principles: stable arc splinting and early protected motion. As a primary treatment technique, following reduction of the dislocation, EBS is exemplary for an ideal group of cases, competitive for a marginal group of cases, and often unsatisfactory for a questionable group of cases. Demarcation between the groups is made, and the technique of EBS is reviewed.
Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota.
J H
JH
Dobyns
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EC
McElfresh
D000328:Adult; D002370:Casts, Surgical; D005260:Female; D005383:Finger Injuries / Q000628:therapy*; D005384:Finger Joint; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000534:rehabilitation / Q000628:therapy*; D006801:Humans; D004204:Joint Dislocations / Q000534:rehabilitation / Q000628:therapy*; D008297:Male; D013165:Splints