UE

lumbricals

IP extension, MP flexion

Interossei

Finger ab/adduction

Anconeus

Elbow extension

Brachioradialis

Elbow Flexion

Palmaris Longus

Wrist Flexion

Flexor digitorum superficialis

spits and stops at PIP

Flexor digitorum profundus

passes through

Glenohumeral rhythm

In abduction the humerus is most of the movement up to 90 degrees, then scapular rotation is most of the movement after 90 degrees

Ligament

bone to bone

Tendons

Ex: Rotator Cuff

-web of several conjoined muscles tendons to form glenohumeral joint capsule

-Needed to hold very mobile shoulder in place

Is the functional position of the hand

slight extension of wrist

Zero position

is the resting orientation of the hand as opposed to the anatomical position (supination)

inflammation

-avoiding infection

-a few days

Proliferation

-forming scar tissue

-few weeks (2-8, 6 common)

Maturation

-getting back to more typical function

-few months or years

Immobilizing splints are called

static splints

3 kinds of mobilizing splints

-Serial static splints/Serial casting

-static progressive splints

-dynamic splints

Static progressive

• adjustable

• non elastic

• 90 degrees

• mobilization

• Follow wear with active use

Dynamic splint

• Dynamic

• Elastic

• 90 degrees

• Mobilization

• Assist with movement/radial nerve palsy

Orthoses General gridlines-fabrication

• Careful of forearm/elbow flexion, distal palmar crease and bony prominences ie, ulnar head

• Don’t impede movement of unaffected joints

• Pad bony prominences

• Flare edges, especially proximal edge for comfort and fit

Orthoses General gridlines-Wear

• Watch for red spots, blanching, sensation changes especially if persists for longer than 10-20 min after removing splint