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Coaches Finger; Splints to Protect an Injured Hand and Prevent Long Term Deformity

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Coaches Finger; Splints to Protect an Injured Hand and Prevent Long Term Deformity

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  1. McCue established the term "coaches finger" for an on-field finger injury that receives no treatment, but has significant consequences (McCue 1974). When accurate diagnosis with early intervention is not initiated, what first appeared to be an innocuous injury becomes complicated, and treatment is often unsuccessful (McCue, 1974). Conversely, prompt intervention can result in no residual deformity or recurrence of injury (Palmer, 1978). McCue FC (1974). The coaches finger. Journal of Sports Medicine, 2(5) 270-275 Palmer RE (1978) Sports Casting of the In-season Athlete. Peoria, Illinois Coaches Finger; Splints to Protect an Injured Handand Prevent Long Term Deformity 4th/5th metacarpal fracture brace 2nd/3rd metacarpal fracture brace Why Splint? • Splints are custom made, low profile & comfortable • Fabricated from 1.6mm thermoplastic or neoprene • Material is water-proof, re-usable, durable & cost effective • Moulding the splint takes 3-5 minutes and can be done on-site • Splints can be worn under a glove, tape, or padding • Attach brace with tape or velcro as necessary • Splints can be alternated with other braces when player is off-field • Will permit full motion at non-involved joints • Splints have been trialled on professional and amateur athletes • Player can return to training or play with confidence, quickly and safely • Long term deformity avoided • Dorsal splints can prevent loss of sensory input 4th/5th metacarpal fracture brace including 5th MCP joint Dorsal mallet finger splint Spiral PIP joint splint Dorsal thumb splint Indications • Fractures- stable or post fixation • Chronic joint instability • Collateral ligament injury • Mallet finger injury • Metacarpal fractures • Phalangeal fractures • Bennett’s fracture • Volar plate injury • Arthritis • Tendon avulsion • Post surgical repair protection Thumb MCP joint anti hyper-extension splint Dorsal PIP joint splint Hamish Anderson CHT Anderson Hand therapy 0413 426 474

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