Orthosis for the wrist joint: types, indications, purchase rules. Orthosis for the wrist joint: indications, types, price Modern fixators for wrist fractures

A wrist orthosis is used when it is necessary to limit the mobility of the wrist and support the joint. Clamps are divided into varieties according to their degree of rigidity. Depending on this feature, the orthosis can either provide support in the joint area or completely limit movement, providing immobilization.

IN Everyday life The upper limbs of a person are subject to heavy load, so the joints of the hands are often damaged. These are not only dislocations and fractures, but also microtraumas. At the same time, in cartilage tissue microcracks and microtears appear, an inflammatory process develops, involving the tendon-ligament apparatus and connective tissue of the joint. In addition, the median nerve may be compressed, leading to pain and numbness in the wrist and fingers. Therefore, the use of wrist braces is quite common. An orthosis for the wrist joint is often used after a fracture. In addition, such devices are used during the rehabilitation period after minor injuries, as well as preventive measure.

In case of injury and inflammation in the wrist area, the joint needs rest. This helps accelerate the regeneration of damaged tissues, reducing pain and swelling.

In everyday life, wearing braces is necessary for people who excessively load the wrist joint or often perform flexion and extension movements in the joint during professional activities.

Indications for wearing wrist joint braces

In what cases is fixation of the wrist joint indicated?

1. or arthrosis in the wrist or carpometacarpal region.
2. Inflammatory processes in muscles or ligaments (tenosynovitis, myositis).
3. For pain in the wrist area of ​​any etiology.
4. With the wrist - pain, numbness, decreased mobility due to compression of the median nerve.
5. For ruptures and microtraumas of the ligamentous apparatus.
6. In case of paralysis or paresis of the upper limbs.

For diseases of the carpometacarpal joints, the patient is recommended to wear a brace that will immobilize not only the wrist area, but also the thumb.

Fixation of the wrist joint can help in partial restoration of movements in case of paralysis and paresis of the hands. In this case, the retainer will serve as a muscle corset. It is recommended to wear an orthosis on the wrist and fingers.

In case of fractures, the wrist joint fixator will prevent the displacement of bone fragments, deformation of the articular area, and the appearance. In addition, fixation with this device will help to quickly restore function. injured limb. With this method of immobilization, a plaster cast may not be used.

Fixing the affected limb in the wrist is also necessary after surgical interventions in this area. With the help of bandages a short time it is possible to gradually restore mobility in the joint.

As a preventative measure, fixation of the wrist joint is necessary in the following cases:

1. During sports (bodybuilding, volleyball and basketball, tennis).
2. If the profession involves plastering or painting walls, playing musical instruments, locksmith work.
3. When spending a long time at the computer (typing, system administration).

Preventive fixation of the articular area of ​​the wrist does not restrict movement, but at the same time protects the joint. It is possible to purchase bandages for strength exercises, tennis lessons and ball games.

Types of orthoses for the wrist joint according to the degree of fixation

All orthoses are divided according to the degree of fixation into the following types:

• hard;
• semi-rigid;
• soft.

In addition, there are child restraints.

The amount of possible movements in the joint depends on the degree of rigidity. Some diseases require complete immobilization of the affected area, while for other diseases, complete immobilization will make the condition worse. More detailed indications for wearing a particular retainer are given below.

This type of wrist brace is an elastic fabric without rigid ribs. Mobility in the joint is practically preserved, but the wrist is protected from excessive stress. This type of fixation is recommended in the following cases:

1. Tunnel syndrome.
2. Arthritis and arthrosis of mild severity.
3. The final stage of rehabilitation after surgery and severe injuries.
4. Inflammatory processes of mild severity.
5. Bruises and sprains in the joint area.
6. Prevention of injuries.

In addition to fixing the joint, orthoses warm and massage the affected area, which helps accelerate regenerative processes and reduce pain and swelling. They can be either in the form of a wristband or additionally placed on the fingers, palms, or cover the forearm area.

You can buy a soft retainer for 1-4 thousand rubles.

These wrist restraints are also made of elastic fabric, but contain a plastic and metal frame. They start on the forearm (lower third) and end on the palm. In this case, mobility in the joint is moderately limited, the wrist will be protected from excessive load, and the hand will be maintained in the correct position. All this contributes to the accelerated restoration of movement in the joint and prevents the occurrence of contractures.

These devices are prescribed in the following cases:

1. Arthritis and arthrosis of moderate and severe degree.
2. After surgery.
3. Moderate soft tissue injury.
4. After removing a plaster cast or rigid orthosis.
5. Paralysis and paresis.

The price of this device is 1000-11000 rubles.

It is a rigid structure made of metal or plastic. It is attached to the arm using straps that also regulate the degree of contact with the skin. Adjustment of fixation is carried out by means of hinged metal structures. Such designs completely or partially immobilize the affected limb. Rigid fixation is used in the following cases:

1. Articular fractures of the hand and carpal bones.
2. Tears and muscle tissue.
3. Postoperative period for complex fractures.
4. Developing contractures of the hand.

Fixation with orthoses has significant advantages compared to wearing a plaster cast: less weight, ease of care, and the ability to loosen the fixation. In addition, when wearing a retainer, the risk of complications is minimal, and it can be removed without much effort at any time. Such an orthosis costs from 2 to 15 thousand rubles.

A children's wrist orthosis differs from an adult orthosis only in size and bright, colorful colors.

Fixation with an elastic bandage can be used for a dislocated wrist. It is necessary to secure the wrist joint with an elastic bandage as soon as possible after the injury. This is done as follows:

1. Take 1-1.5 m of elastic bandage, medium or high degree extensibility.
2. Make a full turn starting from the inner surface of the wrist.
3. Make a diagonal downward rotation through the outside of the hand between the thumb and index fingers, and return through the palmar surface back to the wrist.
4. Wrap the bandage around the wrist, down through the palm, then pass the bandage around the outside of the hand between the thumb and forefinger, and back to the palm. Make a circle on your wrist. We also make a second full turn in a figure eight.
5. Wrap the bandage around your wrist again and begin to climb up your forearm, making circular turns, partially covering (half) the previous layer of bandage fabric.
6. You need to finish applying the elastic bandage in the middle of the forearm.

The tension when bandaging should be uniform. IN lower sections You don't need to pull the bandage too tight. As the joint is fixed, the tension should be loosened.

Conclusion

A wrist joint brace is a good alternative to a plaster cast for injuries and in the postoperative period. It helps accelerate blood circulation and lymph outflow due to its warming effect and reduces pain. Wearing a brace is also useful in everyday life to prevent injuries and sprains.

A bandage is an orthopedic device that secures a damaged limb or joint. The use of bandages is very wide application among patients. This is due to the fact that the bandage is much more convenient and practical in everyday life than gypsum bandage.

Arm support bandage performs a series important functions: fixes the damaged area, preventing the displacement of fragments, ensures a comfortable and physiological position of the limb, minimizes painful sensations after injury, prevents muscle tension and the formation of contractures, prevents the development of edema.

All together this contributes to rapid recovery from injury.

Bandages can be used in the following cases:

• Joint diseases: arthritis of various origins, deforming osteoarthritis, inflammation, tendon ruptures, etc.
• Bone fractures.
• Postoperative period. Often, surgical intervention is necessary to treat a fracture, after which it is very important to maintain immobility in the damaged area.

The ease of use of the bandage is due to the fact that it is practical to use, has a small weight, and can always be hidden under clothing.

It happens that there is no special device at hand to support the injured limb. In this case, you can make a bandage at home.

The main task of a support bandage is to provide reliable protection and fixation of the injured limb. Before applying it, you need to consult with a specialist who will tell you which bandage is best to use and what its width should be.

In addition, applying some types of bandages requires a certain skill, so at first you cannot do without outside help.

It is important to remember that the support bandage is applied over the underwear. Do not under any circumstances apply any gels, ointments or creams under the bandage. Correctly applying a bandage means fixing not only the damaged joint, but also 2 others adjacent to it (above and below the damage).

When an arm is broken, a bandage is needed to support and restore the damaged area. The doctor determines the degree of the fracture and applies an appropriate bandage. It is made from the inner part, which is in contact with the wound, and the outer side. The inner edge must be sterile.

You can make a bandage for a fracture with your own hands:

• take one meter of elastic fabric square shape;
• you can make a bandage from a pillowcase, shirt or sheet, cutting the ends with scissors;
• fold the resulting material diagonally in the shape of a scarf;
• Before dressing, sit the patient in a position that is comfortable for him;
• pass the bandage near the shoulder joint under the elbow;
• wrap the upper part of the fabric around the neck and grab the injured arm;
• lift the end of the scarf and circle it around your forearm.

When a fracture occurs, the bandage should be worn like a sling: the narrow sides should be placed behind the head, and the wide side should support the arm. If it is inconvenient to make it from a square, you can cut the fabric diagonally. A properly applied bandage should not interfere with blood circulation.

If there is an open wound, a number of measures should be taken:

• remove all jewelry from fingers and wrists;
• before dressing, rinse the damaged area with clean water;
• Carefully remove pieces of dirt that are not washed off with tweezers;
• wash the damaged area antibacterial soap;
• Place clean gauze on top of the wound;
• make a bandage from fabric that will completely cover the wound;
• on the side of the injury, tie a knot, secure it with a special device or a safety pin.

When applying the bandage, hold the limb at a right angle to keep it stationary.

Orthoses for the treatment of fractures

Treatment of non-displaced hand fractures is carried out on an outpatient basis. A plaster cast is placed on the hand to prevent movement of the injured arm. The bandage can cover an individual finger or the entire hand. In some cases, the cast is applied up to the elbow joint.

Displaced fractures of the hand, as well as splintered and crushed injuries, require surgical intervention(operations). In this case, the bone is fastened manually using bone plates or an intraosseous pin.

The Ilizarov apparatus and other external structures are not used in the treatment of hand fractures. The duration of treatment usually does not exceed 3 months. For complex and poorly healing injuries, the immobilization time can be extended to six months or more.

To prevent high lateral loads on the hand during the rehabilitation period, patients are recommended to wear a bandage that tightens the wrist joint and somewhat limits movement in it.

Bandages for a broken arm are made from composite materials, which makes them convenient and easy remedy immobilization.

For uncomplicated fractures and bone cracks, they can be used as an alternative to a heavy and uncomfortable plaster cast.

As a rule, the bandage covers the wrist joint and hand. However, there are options designed to fix individual fingers.

An orthosis is a type of bandage. Depending on their purpose, orthoses are divided into several groups: elastic (soft), semi-rigid and rigid.

Rigid and semi-rigid orthoses differ from elastic ones in that they are equipped with frame plates made of high-strength material. Such bandages are secured using lacing or Velcro straps. A rigid orthosis is prescribed by traumatologists and orthopedists for injuries to large joints and fractures.

Orthoses made from neoprene are gaining popularity. Neoprene is a synthetic material that has a warming effect and at the same time allows the skin to “breathe”.

In the vast majority of cases, surgical intervention for hand injuries is not required. For more effective and quick recovery, fragments of the damaged bone are fixed with a bandage, which often reaches the elbow.

7 days after such fixation, an x-ray of the hand is taken. This makes it possible to determine how the damaged area is healing. In most cases, the bandage is removed after 4-5 weeks.

If a finger (one phalanx) was broken without displacement, then a splint will be used as restorative measures.

In the case when you have to deal with a fracture of the first metacarpal bone, the fragments are repositioned, and within two days from the moment of injury. Plaster, pins and knitting needles can be used for fixation. For injuries without displacement of other metacarpal bones, a cast will be sufficient after reduction.

Regarding the fracture scaphoid, then its treatment is the most difficult. In most cases, plaster is ideal for fixation, but not always. It is worth noting that treating such an injury becomes much more difficult if the fracture line runs along the body of the bone. In this case, recovery may take six months.

If you have to treat a finger, then only the damaged phalanx is fixed, and for a minimum period. In this case, the position of the finger remains half-bent.

Sometimes it is necessary to treat a more severe fracture. A misaligned hand, for example, can significantly complicate the recovery process.

The most effective method of exposure in this case is open or closed reposition. Another complicating factor may be an open fracture, the treatment of which is surgical intervention, or more precisely, skin grafting.

Results of using the orthosis

Orthoses are selected according to the type of rigidity. The level of rigidity of the brace determines its purpose.

According to the degree of rigidity, orthoses are as follows:

• soft (supportive), which are used for inflammatory diseases of the joint;
• semi-rigid, used in the acute stage tunnel syndrome, as well as for sprains;
• rigid (immobilizing), strong fixation, which are used during the rehabilitation period after fractures and dislocations.

Fixing and removing a certain unloading with a bandage primarily reduces or completely eliminates pain syndrome caused by injury. When an orthosis is applied, the joint is fixed in a natural physiological position, which allows it to be at rest, without moving or shifting.

In addition, the orthosis provides compression, a massage effect and warming, in other words, improves blood supply and lymph flow. As a result painful sensations in the joint calm down and completely disappear.

In case of joint damage, the main factor successful recovery is the complete property of the joint and hand. In this case, thanks to the fixator, sprains, fractures, neurological symptoms, dislocations and bruises go away faster.

Very often, as a result of injury, a displacement or deformation of any part of the musculoskeletal system occurs, so a splint allows you to stop or correct further destruction of this part of the skeleton.

If any part of the musculoskeletal system does not perform its job (arm, foot, thumb, leg), then the bandage takes over their functions, maintaining this area in a physiologically correct position, preventing their further destruction and complications.

Also, retainers are effective prophylactic. They protect joints from complications and secondary injuries after surgery. The orthoses are universal and can be used for both right and left hands.

The modern medical industry produces a wide variety of types of orthopedic products, including for upper limb. All of them are made of natural materials that “breathe” and absorb moisture, do not cause allergic reactions, are easily washed without loss of functionality and dry quickly.

Models of orthoses provide the possibility of “adjustment” for patients from different weight categories; there are also modifications for children. In addition, bandages are produced for fixing both individual parts of the arm and the entire limb as a whole.

All main types of hand orthoses can be represented as follows:

• bandages on the hands;
• finger bandage;
• wrist bands;
• orthoses for the elbow joints (supports, elastic bandage, bandage reinforced with metal knitting needles);
• shoulder bandages;
• a full-arm orthosis that grips the fingers and is fixed on the opposite shoulder;
• Deso bandage, or shoulder orthosis, which covers the shoulder, chest, back and ends at the waist;
• scarf bandage.

The sports wrist strap helps improve your training efficiency. Providing excellent fixed support to the joint, it takes some of the stress off the hand during intense exercise. physical exercise.

With a wrist brace, you can improve your athletic performance by minimizing the likelihood of any damage to the ligaments or muscles of the joint. The fixer will help you:

• increase the performance of the hand;
• improve tendon flexibility;
• reduce fatigue of trained muscles;
• reduce pain in the wrist;
• reduce the load on the wrist joint;
• improve blood circulation in the hand;
• reduce swelling and tension in the wrist;
• protect the joint from possible damage and injury.

During competitions or intense physical activity, you cannot do without a wrist brace. This is an effective means for protecting the hands from dislocations, sprains, tears, and fractures of the joints during a fall, collision or sudden unsuccessful movements present in any active sports.

In addition, in case of wrist injury, the bandage will help you restore damaged tissues and speed up recovery after injury several times.

Shoulder bandage

The shoulder joint is considered one of the most mobile parts of the human body, and therefore it is very often susceptible to various types of injuries.

There are several types of shoulder bandages for a fracture or dislocation:

• Deso bandage. Counts universal remedy, as it is suitable for almost any injury involving damage to the shoulder girdle. Made from airtight knitted fabric.
• Spica bandage. Necessary in cases where it is important to achieve maximum immobilization of the shoulder, for example, with dislocations.
• Scarf bandage on the shoulder. It is also considered universal in use. The bandage is easy to apply and provides reliable and comfortable fixation of the shoulder girdle.

A turtle bandage is suitable for fixing the arm in case of a fracture of the elbow joint at home. To apply it, you must use a natural material that has good elasticity and can allow air to pass through.

You can make a turtle bandage in 2 ways: convergent and divergent. The first is used in case of injury to the joint itself, and the second - in case of damage to the periarticular areas.

When applying a turtle bandage, it is important to ensure that each subsequent round (turn) overlaps the previous one by exactly half. Then the bandage will sit firmly and comfortably on your arm.

The wrist is one of the most fragile in the human skeleton, and it bears a lot of stress.

To prevent injury or speedy recovery after them, as well as during treatment chronic diseases joints, doctors recommend using a wrist joint orthosis.

What types can be found on the market, and what specific tasks are they ready to perform? Are there any contraindications for its use? How to choose and wear a wrist brace correctly?

There are plenty of cases when an arm orthosis can be prescribed. Thus, it is often recommended for wearing when hereditary predisposition to diseases of the joints, as well as if they are present.

First of all, we are talking about arthrosis, polyarthritis, tendonitis, paresis, paralysis and osteoarthritis.

A correctly selected bandage will help improve the patient’s condition, reduce pain, swelling, and correctly distribute the load on the problem area.

It is also worn for preventive purposes to reduce the risk of exacerbation of chronic diseases in order to improve hand function.

The wrist joint performs many various functions, without which normal human life is impossible.

However, the joint apparatus of the hand will be subjected to heavy load, and it can easily be injured or “earn” various diseases. Athletes are especially susceptible to this. For protection and fixation, special bandages have been created for the wrist joint.

A bandage for fixing the wrist and metacarpophalangeal joints and fingers is called an orthosis.

The device is used for diseases and injuries of the anatomical structures of the hand and forearm.

The wrist joint has a complex structure that allows a person to perform precise movements with the hand and fingers to carry out their professional and everyday activities.

It was the opposable thumb that allowed man to quickly evolve and achieve technological progress.

At the same time, under intense functional load, the hands are subject to inflammatory, dystrophic, and traumatic effects, which reduces performance and limits the ability to self-care, and worsens the quality of life.

For the treatment and prevention of diseases and damage to the joints of the hand, an orthosis for the wrist joint was created.

Types of orthoses

The devices are available in different sizes (S, M, L, XL) for children and adults.

Children's bandages have their own size chart, are distinguished by bright colors and interesting designs that are attractive to the child.

All types of orthoses have anatomical shape, contribute to the subsidence of inflammation, normalize tissue regeneration processes, and prevent the formation of contractures of the upper extremities.

Soft wrist orthosis

The product is made of elastic hypoallergenic material that allows the skin to “breathe” thanks to the use of high-tech fabrics.

The device does not hinder the physiological movements of the hand and fingers, limiting maximum flexion and extension in the joints, and rotation of the hand.

The bandage not only provides easy fixation, but also has a massage and warming effect at the site of application.

A soft orthosis is prescribed in the following cases:

• the period of rehabilitation after a hand injury, accompanied by inflammatory processes in the joints, tendons, and ligaments;
• late postoperative period after surgical interventions on the anatomical structures of the hand;
• degenerative-dystrophic diseases of the wrist and metacarpophalangeal joint (arthrosis);
• inflammatory diseases of the wrist joint, adjacent muscles and ligaments of the forearm or hand (arthritis, tendovaginitis, myositis);
• tunnel syndrome (compression of the median nerve);
• rheumatoid arthritis, including juvenile (children's) form;
• instability in the wrist joint.

A special type of soft orthoses are considered products for athletes, who use them to prevent injuries during training and competitions, as well as during the rehabilitation period after injury to the hands.

Semi-rigid wrist orthosis

The device is made of comfortable elastic material that does not cause skin irritation.

To create rigidity, inserts made of soft plastic or flexible metal are sewn into the fabric, which are placed along the palm surface of the product.

The bandage is designed for moderate fixation of the wrist joint and fingers. It limits movement and maintains the limb in a physiological position.

The wrist joint experiences enormous loads every day. It is the hand that is involved in performing a wide variety of tasks in human professional and everyday activities.

Therefore, if there is a predisposition to joint diseases or, due to the type of activity, a person is at risk, the wrist joint needs additional protection from injuries, stress, external and internal influences.

This requires a special orthopedic device that can be used for both therapeutic and preventive purposes - a bandage for the wrist joint. Products of different designs and purposes are produced:

• Rigidly fixing the wrist;
• Reducing range of motion;
• Protecting against mechanical damage during physical activity;
• Stimulating blood circulation and tissue restoration after injury or surgery due to the warming and massaging effect.

Who needs a wrist bandage and when?

The wrist is injured more often than other parts of the human body due to the intense stress it experiences every day.

As a result, bruises, sprains, fractures, dislocations occur, pathological processes inflammatory in nature.

To reduce the risk of developing consequences, use drug therapy and specialized devices for fixing the wrist joint. Among them, an orthosis for the wrist joint is known.

Application of the orthosis

An orthosis is a brace that, when worn, does not allow movement of the injured limb in order to avoid displacement of the bones and aggravation of the pathology.

Fixation allows you to reduce the degree of load on the limb after injury or surgery. For certain cases, fixatives are used as a preventive measure or to treat pathological conditions in a patient.

The use of fixation devices is widely used for patients of any age.

Among the varieties of orthoses, there are:

• Joint pain limits your movement and full life…
• You are worried about discomfort, crunching and systematic pain...
• You may have tried a bunch of medications, creams and ointments...
• But judging by the fact that you are reading these lines, they did not help you much...

Soft wrist orthoses

The soft orthosis is a bandage for the wrist joint, which is made from hypoallergenic and water-permeable technological material of high elasticity. A wrist orthosis is applied to the affected joint, but it does not hinder the motor activity of the fingers and hand.

The bandage prevents excessive extension and flexion of the joint, as well as rotation of the hand. This splint of the wrist joint guarantees easy fixation, provides a warming effect and a noticeable massage at the site where the orthosis is applied.

Light elastic bandages are suitable for those who work at the computer for a long time. Such orthoses are used for carpal tunnel syndrome, which creeps up unnoticed and is a scourge for people whose work activity involves working at a computer.

At first, a person feels slight discomfort when bending the hand to the outside or back. If you ignore these unpleasant sensations, then suddenly an acute, unbearable pain appears at the base of the hand, which is accompanied by numbness, goosebumps and tingling.

A soft orthosis for the wrist joint can solve the problem, albeit temporarily. The disease is very insidious and, if left untreated, can lead to disability.

These orthoses look like a glove (short or long) with a special holder on the thumb. The material is elastic, but at the same time rigid enough to limit the movement of the hand.

An orthosis is also placed on the thumb to fix it in a stationary position. An elastic finger orthosis tightly supports it in a safe position, relieving pain, preventing the development of edema, and increasing blood circulation in the affected area of ​​the hand.

Soft orthoses apply an even load on the joints, pre-distributing it and forcing the joints to take a natural position. During sports, a wrist orthosis protects the joint from injury because it distributes the load evenly throughout the entire working area.

A soft bandage is used in the following cases:

• recovery from bone injury, accompanied by inflammation of ligaments, joints and tendons;
• rehabilitation after surgery on bone structures;
• degenerative-dystrophic diseases of the wrist joint;
• inflammatory processes of ligaments, muscles and joints;
• with tunnel syndrome (compression of the median nerve);
• rheumatoid arthritis.

Semi-rigid orthoses are a special orthopedic hypoallergenic device made from elastic material. Made from breathable materials.

To create the necessary rigidity, flexible metal or plastic inserts are sewn into the fabric. They are located on the inner surface of the orthosis.

The device is necessary for some fixation of the fingers and joint. It supports the hand in its natural physiological position, limiting it involuntary movements.

Semi-rigid orthosis is a design that prevents the creation of joint contractures and normalizes the work of the hands.

Semi-rigid orthoses provide a greater level of immobilization and unloading of the joint than soft bandages.

A semi-rigid orthosis is used in the following cases:

• after operations on ligaments, joints, tendons of the hand or lower third of the forearm;
• for fixing the upper limbs in a natural position after removing the plaster cast;
• after a stroke with paralysis and paresis of the upper limbs;
• in case of rupture and sprain of ligaments;
• with hand bruises;
• for everyday tendon sprains.

Choosing an orthosis is a very important matter, since you will need to be in it almost all day, and sometimes even during the day. Therefore, you must first try on the bandage and evaluate its comfort.

The decision to wear an orthosis should not be made on your own. It is necessary to visit a doctor and make sure that there are no contraindications to wearing a bandage.

Contraindications may include tumor processes, purulent inflammatory processes, allergic reactions and other diseases. Using a semi-rigid bandage will create a compression effect and a natural position of the limb.

To secure the orthopedic device to the hand, the design is equipped with belts with fasteners that can change the degree of pressure on the hand.

Semi-rigid wrist orthoses

A rigid orthosis serves for strong fixation of the fingers and wrist joint, which implies complete immobilization of the hand. The greatest fixation occurs as a result of the use of metal plates (stiffeners), plastic elements, a hinge and sleeves in such a bandage to immobilize the joint.

Wearing rigid orthoses on the wrist joint is usually prescribed after fractures of this area.

Rigid bandages are used in the following cases:

• after hand surgery (after fractures, damage to tendons and ligaments);
• at hand contracture due to degenerative changes, inflammatory processes and neurological diseases(reactive arthritis, rheumatoid arthritis, arthrosis, after stroke and injury;
• with immobilization of the joint due to rupture of ligaments and tendons, fractures and muscle damage;
• in case of violations of the integrity of anatomical structures;
• for deformities of the musculoskeletal system;
• with rheumatic exacerbation;
• during restrictions on the flexion function of the hand;
• The orthosis fixes not only the joint and hand itself, but also the forearm.

With diseases of the joints of the upper extremities, the motor activity of the hands suffers, as a person loses control over his actions. It is difficult for him to take objects, hold them in his hands, and perform simple actions with his fingers. And the piercing pain in the wrist does not allow you to take care of yourself, which leads to a deterioration in the quality of life.

A rigid wrist orthosis will help reduce negative factors and speed up the restoration of the functions of the wrist joint. Rigid splints prevent displacement, limit and direct joint movement.

The use of such an orthopedic device is regarded as a natural - physiological method of fixation, which does not cause complications, reduces recovery time and helps maintain motor activity of the hand.

What is a scarf bandage

A scarf bandage is a kind of cover into which the injured arm is placed.

To make such a bandage at home, you will need a triangular piece of fabric, the dimensions of which are approximately 80*80*120 cm.

This is the simplest type of bandage that can be applied to the arm even for some types of fractures, but only for a short time. The upper limb bends at the elbow (if not damaged elbow joint), is placed in a case made of soft and comfortable material and is secured behind the patient’s neck with long ties.

A scarf is most often made from any fabric found at hand. Depending on how tall the injured person is, take a square piece of material, fold it in half, and the resulting long ends should be tied together and placed around the person’s neck. The injured hand is placed in the resulting sheath, or “pocket.”

Despite the simplicity of such a fixing device, it fully fulfills its main tasks and has some advantages:

• when applied correctly, it perfectly fixes the limb, which relieves pain;
• made quickly and from the simplest materials;
• can be made and put on by the patient independently if there are no other people nearby;
• if necessary, the scarf fabric can be used as a tourniquet to stop bleeding.

Of course, as soon as circumstances allow, the scarf bandage (for a broken limb) is replaced with a plaster cast or orthosis of the required rigidity. For minor injuries, the patient can use a scarf until recovery, but it is better to purchase a bandage of the same design, but of industrial production.

It is made of special fabric, soft and moisture-permeable, has additional fasteners and is designed for very long use, which is very important in cases of extended rehabilitation period after injuries or operations.

Tires in case of fracture

A splint is a structure that helps to safely transport a person with fractures. By the way, if the injury occurred far from civilization, then the role of a splint can be performed by any durable object - a piece of cardboard, a branch, etc.

Tires come in several types:

Deso bandage

The indication for applying the Deso bandage is an uncomplicated clavicle fracture. The design of the bandage is such that it provides reliable fixation of bone fragments and supports the entire upper limb.

In addition, such a bandage provides a comfortable physiological position of the upper limb: the arm is bent at the elbow at a right angle and brought (pressed) to the body. It is in this position that the optimal fusion of bone fragments occurs.

To perform the Deso bandage, a certain skill is required, so to apply it you need to go to a trauma center.

It is important that the bandage sits firmly and, at the same time, does not squeeze too much soft fabrics. If the bandage is applied too tightly, it will prevent adequate blood flow.

Under no circumstances should the bandage be removed: this will lead to serious consequences - improper fusion of bones, impaired limb function, disability, etc.

The Deso bandage is a mandatory attribute of the rehabilitation period after surgical treatment collarbone fractures. It accelerates the time of bone fusion and prevents the development of many complications postoperative period.

Delbe rings

Delbe rings are a shoulder brace used for clavicle fractures. It consists of 2 rings that are put on the shoulders and then pulled tightly together on the back.

The mechanism of action of the rings comes down to 3 main points:

• The shoulders are separated, due to which the deformity of the upper thoracic spine is corrected.
• The acromioclavicular joint is fixed.
• The ligamentous apparatus of the clavicle is unloaded.

Previously, Delbe rings were made from bandage and gauze. To do this, a tight figure-of-eight bandage was applied to the shoulders, a ball of cotton was secured between the shoulder blades, and the patient was sent for an X-ray examination to make sure that the bone fragments were fixed in the desired position.

These days, Delbe rings are much more comfortable and reliable. The modern orthopedic industry produces Delbe rings in different sizes. The material of the retainer is highly durable and allows air to pass through well, so that the person does not sweat or experience discomfort. To select the correct brace, you need to measure the chest circumference of the victim.

Indications for wearing a Delbe fixator:

• The rehabilitation period after surgical treatment of clavicle fractures, including subperiosteal ones;
• Injuries to the tendons and ligaments of the acromial clavicular joint.

Difference from a regular plaster cast

Plastic plaster for a broken arm is finding more and more widespread use in traumatology every day; it is an alternative to conventional plaster. And this is not surprising, because the plastic structure is much more convenient to use than the plaster one.

The patient feels the plastic cast like a regular tight bandage, which gives the limb the desired position for proper and rapid fusion of bones.

Today, several types of plastic gypsum are produced: Softcast, Scotchcast, Turbocast, NM-cast.

The main advantages of plastic plaster:

• Plastic bandages allow air to pass through well and allow the skin to breathe. This ensures comfortable use throughout the entire period of immobilization of the arm during a fracture.
• The surface of the plastic plaster largely follows the anatomical relief of the limb, which ensures comfortable use of the product.
• The material from which the bandages are made is hypoallergenic.

IN Lately plaster casts are actively being forced out orthopedic bandages. And this is not surprising.

After all, such fixatives have a lot of advantages and are worthy competitors to the usual plaster.
The arm bandage for a fracture also provides complete fixation and effectively reduces stress.

It is light in weight and has a pleasant appearance. Convenient to use and does not cause discomfort while wearing.

Unlike a plaster cast, it is not afraid of moisture and does not restrict patients from bathing. And most importantly, it takes up much less space.

For example, a bandage for a radius fracture is placed neatly on the wrist and covers only a small part of the base of the hand, providing free movement fingers.

Any injury must be treated by immobilizing the injured limb. Typically, plaster casts are used for this, which cover almost the entire limb.

But they have long been talking about their inconvenience and ineffectiveness. Patients complain of the heaviness of the cast, itching and discomfort under the bandage, as well as the inability to move normally or take a shower.

But doctors also note the disadvantages of this method of treatment. The main thing is that, due to the solid plaster, it is impossible to monitor the correct fusion of bones, since they do not pass through it well. X-rays.

And with prolonged immobilization of the limb, muscle atrophy or tissue ischemia may develop. Therefore, in recent years, solid plaster has increasingly been replaced with splints.

Their use is especially convenient on the upper limbs.

Like a regular plaster cast, a splint is used for fractures and other injuries. It also effectively fixes the bone in the correct position and promotes its fusion. But there are also some advantages of using a splint over a regular plaster cast.

• It is much easier to remove after healing. After all, it is simply applied to the hand and wrapped with a bandage. Therefore, it is not necessary to cut the plaster or carry out other complex manipulations to remove it.
• The splint is much lighter, which is especially convenient for finger injuries. After all, for example, a cast on the little finger is very uncomfortable and leads to immobility of the neighboring fingers. After its removal, the muscles then take a long time to recover.
• The splint bandage makes it possible to periodically remove it to monitor the condition of the skin and the process of bone fusion. If necessary, the doctor can adjust the treatment.
• The splint prevents the development of tissue ischemia and compression of blood vessels when edema occurs. After all, the swelling increases gradually and pushes the edges of the plaster apart.
• This bandage retains the possibility of some movement, which reduces the rehabilitation period after its removal, since muscle atrophy is prevented.

Splints for fractures

A splint bandage is a strip made of plaster material of a certain thickness and length. It, unlike a conventional circular plaster cast, covers the injured limb in the form of a kind of “gutter” (no less than 2/3 of the volume). This allows you to prevent the consequences associated with an increase in the volume of the limb due to edema.

The advantages of a splint bandage include the following:

• You can observe the condition of the skin not covered with a bandage.
• The splint bandage is easy to remove.
• The splint reduces the risk of developing soft tissue ischemia, a condition that develops due to slow blood flow.

Before placing the splint on your arm, it is important to carefully straighten the fabric and check that there are no nicks or folds on it. Otherwise, this may lead to necrosis (death) of soft tissue due to compression.

The wrist is one of the most fragile joints in the entire musculoskeletal system, and therefore attention to it must be appropriate. In order to prevent injuries and treat certain diseases, it is advisable to use an orthosis on the wrist joint. What types of bandages exist for this area and in what cases can they be useful?

There are a great many cases when you may need the help of an orthopedic device for the wrist joint. Most often it is prescribed for the following conditions and situations. With a hereditary predisposition to diseases of the musculoskeletal system, especially if relatives had problems in the hand area.

In the presence of many joint diseases - tendinitis, polyarthritis, tendon inflammation, osteoarthritis, paresis, paralysis. In addition, a wrist brace may be indicated for the following groups of people:

• With professional loads on this area of ​​the upper limbs. We are primarily talking about athletes - dancers, basketball players, weightlifters, tennis players, skiers, gymnasts. Constant load Persons whose work is computer-related also receive a joint allowance. Accountants, graphic designers, and typists have one hand (usually the right) constantly resting on the computer mouse. The muscles in this area are compressed, and they remain in this state for several hours. By the way, unlike athletes, this group of people have problems only on one side (usually the right), and therefore the orthosis is worn only on right hand. Finally, musicians, seamstresses, milkmaids, drivers and a number of other specialists, and even young mothers, who, due to their new role, often have to lift the baby, and the load (weight of the baby) on the right or left hand is constantly growing, professionally use the wrist joint in their work.
• During the rehabilitation period. After injuries, it is necessary to maintain parts of the articulation in a stable condition, and the best assistant in this matter is a wrist brace. It will help to properly distribute the load and thereby restore this area faster. In addition, such support will reduce the likelihood of similar injuries in the future.

Types of bandages

Almost all of them should include fixation of not only the wrist itself, but also the thumb, as well as part of the palm. Only thumb orthoses can properly support the joint. They differ in many ways: and appearance, and by function.

Elastic

Most often, such a wrist bandage is used by athletes, which is why such a brace is sometimes called a sports brace. They can be different in shape - look like a bandage or a cut-off glove. The main task of such a bandage is to provide compression on the wrist, but it does not limit the mobility of the joint, but only slightly limits the range of motion and prevents injuries.

There are a great variety of professional elastic wrist braces. Most often they look like cut-off gloves, but unlike regular ones, a special fabric is used here that creates decompression and thereby prevents dislocations, tears and sprains

Such orthoses can be seen on weightlifters when athletes perform exercises with lifting a barbell. These devices can prevent sprains or sprains. Among the most popular models is T 8301. Made of neoprene, it maintains the anatomy of the joint in proper condition, and thanks to the latest material, the skin will not sweat.

Hard

Most often, the design is based on plastic, which means that such a wrist joint lock completely immobilizes the wrist. In the vast majority of cases, it is used as a replacement for the traditional figure-eight plaster cast. If we compare plaster and a rigid orthosis, then plaster has many disadvantages, the main one of which is the inability to get it wet, but it is very difficult for the patient to wash himself while keeping the plaster dry.

In addition, a plaster cast is very heavy, while plastic weighs several times less. Finally, the plastic wrist brace is easy to remove, for example when visiting a specialist or for x-rays. But there are some disadvantages to a plastic rigid orthosis. So, it cannot (or not all models have such an opportunity) to be adjusted to the size and shape of the patient.

A plaster cast can be applied to a patient of any age, regardless of the parameters of the hand. But there are some models in which it is possible to tighten or, conversely, loosen individual parts of the wrist in order to best fit the device to the patient’s arm. Popular splinting brands that produce orthoses in this group include Orlett and Orto.

Combined

As the name implies, their modification involves the use of both hard and soft elastic elements. Most often, the models are made of elastic bandages, but hard parts are inserted into some areas for protection. Thanks to the fastening system that almost all models have, you can “customize” the device for yourself, that is, increase or decrease the compression of the splint on certain areas of the wrist.

Are there any contraindications?

In general, such devices have almost no contraindications, but in some cases you should refuse to wear an orthosis:

• malignant neoplasms in the wearing area (friction will intensify pathological processes);
• foci of inflammation skin diseases in the wrist area;
• individual intolerance to the bandage material.

And of course, if the joint is destroyed to such an extent that it can only be restored with prosthetics, then no amount of wearing an orthosis will help it.

How to choose the right one

It is very difficult to choose a wrist brace yourself, because different situations different types are used. In addition, they are selected according to the size of the product, which should be indicated on the packaging.

Standard sizes are suitable for the following wrist circumferences:

• XS – from 10 to 13 cm;
• S - from 13 to 15 cm;
• M – from 15 to 18 cm;
• L – from 18 to 21 cm;
• XL – from 21 to 23 cm.

A pharmacist at a pharmacy can also take measurements, but it is better to clarify these parameters with the attending physician, who understands this much more professionally. Some manufacturers also have separate children's models. The doctor also selects the type of construction needed by the patient. Selecting the wrong type of brace can lead to loss of the ability to rotate the arm normally at the wrist.

This can cause complications, including joint conditions where it will be difficult to restore lost mobility to the joint. If you have relatives or friends who have already used orthoses for the wrist joint, then you can use their reviews about different models and devices. You shouldn’t exclude the opinions of people on the Internet. Finally, having selected the orthosis models that are most suitable for all characteristics, you can begin making your choice.

It will be better if the patient can first put on the orthosis, thereby testing it. Perhaps in this way it is possible to weed out models whose wearing brings significant discomfort

It is advisable to go to a pharmacy or specialty store to make a purchase, rather than ordering the product online. You can only directly ask to try on a bandage with finger fixation and personally make a choice based on your preferences, although in online stores many models are much cheaper. On average, an elastic bandage will cost the patient from 1,000 to 4,000 rubles, a semi-rigid brace – from 1,000 to 11,000 rubles, and a rigid orthosis – from 2,000 to 15,000 rubles.

The brand also plays a significant role, because well-known manufacturers not only produce a device for supporting the wrist, but test it before releasing it for sale. As for the country of origin, this feature does not play a special role. Nowadays, good products are produced not only on the foreign, but also on the domestic market.

How to wear it correctly

The wearing mode is determined by the doctor. If the device is prescribed immediately after an injury as a means of rehabilitation, then such an orthosis must be worn almost constantly, occasionally removed for hygiene procedures. A little later, the specialist will give recommendations on periodically removing the bandage.

In the later stages of recovery, you should try to stop wearing the orthosis as often as possible. If a person regularly plays sports or professional activity implies a load on the wrist, the bandage should be put on immediately before training or work, and immediately after it should be removed.

Since elastic bandages are used in this case, it is also impossible to treat them irresponsibly. We are talking about a permanent, so-called preventive wearing orthosis. Such a constant mode of using a bandage is unacceptable, since it causes excessive compression on muscles, soft tissues and bone structures, thereby forming atrophy of muscle tissue.

The metacarpal bone is a small tubular bone of the human skeleton, which is located on the hand. There are five of them in your hand. The metacarpal bones count from the thumb and end with the little finger.

A fracture of the metacarpal bone is a violation of its integrity, partial or complete damage received in the process mechanical impact on the hand.

A careless swing of the hand and injury is guaranteed.

Very often the causes of fracture of the metacarpal bones are:

• various household injuries (heavy objects falling on hands, sudden pinching);
• sports (hitting a punching bag or an opponent during hand-to-hand combat, excessive zeal in training);
• criminal (during fights and quarrels).

This type of injury is also called a “brawler’s fracture” because of the habit of some people, in the heat of a quarrel, to slam their palms too hard on hard objects or hit them with their fist, expressing their anger - this makes it very easy to get a fracture of the metacarpal bone.

Types of fracture

In order to determine the type of metacarpal fracture, doctors use several types of classification. According to the nature of the injury:

1. Open – damaged along with the bone skin. Often a piece of bone sticks out.
2. Closed - the fracture is under the skin, its integrity is not broken.
3. Comminuted fractures are the most dangerous. They can be either open or closed. It is characterized by a violation of the integrity of the bone with one or more fragments breaking off from it.

By amount of damage:

• single - no more than one;
• multiple - more than one fracture.

By form and direction:

• oblique;
• corner;
• rotary;
• helical.

Due to the possibility of bone displacement, a fracture of the metacarpal bone occurs:

• without displacement – ​​broken bones, despite the fracture that appears, remain in the same anatomical position;
• with displacement - a change in the position of bone fragments relative to each other.

According to the location of the injured area:

• at the head (in the area of ​​the metacarpophalangeal movable joint of the bones);
• at the base (near the wrist);
• in the central part of the bone.

Depending on the type of fracture, treatment and methods of fixing the damaged hand will be prescribed.

Fracture of the first metacarpal bone

The most common injury in this class is a fracture of the first metacarpal. This bone is involved in the opposition and movement of the thumb and is the one that moves most frequently.

Medical specialists distinguish two types of this injury.

Localized at the base of the bone, it occurs when a triangular fragment is injured on the side of the elbow without changing the location.

The peripheral part of the bone bends towards the radial side, thus causing both dislocation and fracture. From the outside, characteristic deformations of the finger are visible at the site of the source of injury.

Occurs due to mechanical impact on the axis of the thumb, impact or falling of a heavy object. The patient may complain of pain in the area of ​​injury and limitation of motor activity; abduction of the finger is almost impossible due to the intensity of the sensations. Attempts to palpate this place are very painful.

Fracture without dislocation

The fracture without dislocation is located at a short distance from the gap of the mobile joint. It is called "bending". It is formed when the metacarpal bone is sharply bent towards the palm, most often due to an impact with a hard object.

The fragments change their position to the inner palmar part. The signs are the same as for a Bennett fracture, the difference in definition is only in establishing the fact that the carpometacarpal joint has not been dislocated.

Such pathologies are often characteristic of athletes, people whose profession involves carrying heavy loads, or those who are used to resolving conflicts in fights.

Injuries are characterized by edema, swelling, sometimes pathological mobility and unpleasant crunching of the bone.

Injury to the II-V metacarpal bones

Injuries can be very different in nature, bone fracture line, number of damaged areas, since tubular bones are capable of breaking absolutely anywhere, depending on the location of the deforming mechanical effect.

Fractures of the second to fifth metacarpals are much less common than injuries of the first. This injury requires immediate help and increased attention from a traumatologist, since if the bones heal incorrectly, this can significantly reduce function and disrupt the functioning of the entire hand.

These damages occur due to mechanical influence: impact, compression, squeezing.

A change in the position of bone fragments and the fracture itself can be easily detected by palpation, which will be unbearably painful for the patient.

The hand is not able to assume the position of a fist, the grasping function is greatly weakened. Bruises and swelling may form under the skin, and the finger itself may even appear smaller.

In cases where several bones are broken, the fragments move at an angle back part palms. This position is maintained due to the action of the hand muscles.

Diagnostics in a medical institution

In order to determine the location, nature and severity of the injury, doctors conduct the following types of examinations:

• visual examination, interviewing the patient, collecting a complete medical history, determining the causes of the injury;
• radiography in two planes is mandatory;
• for multiple fractures, computed tomography is used.

More often clinical picture in case of such fractures it is simple.

A doctor can easily identify an injury based on symptoms and diagnostic results.

First aid

In the case of an open fracture, you should try to stop the bleeding and call ambulance for further hospitalization.

In case of a closed fracture, the injured limb should be secured with a bandage, scarf or handkerchief to limit the displacement of the broken bones to the maximum extent possible and the victim should be immediately sent to the emergency room.

The fingers of the hand should be bent.

Goals and methods of therapy

The goal of treating a metacarpal fracture is to completely eliminate the injury, returning the bone to its integrity, physiological position and functioning. Any type of treatment, regardless of the fracture, is carried out under the strict supervision of a doctor.

Treatment of any fracture begins with pain relief with Procaine solution. If the case is uncomplicated, there are few fragments and cracks, then conservative treatment is carried out.

The surgeon presses on the back of the hand, moving the fingers and broken bones into physiologically correct positions, eliminating the pathological abnormal angle. The injured arm will then be firmly fixed in one position using a cast.

After four weeks, a repeat x-ray is performed to see how the fracture is healing. If this is a fracture of the first bone, then a plaster cast is applied without padding with a dorsal splint.

If the injury is complicated by displacement, the patient is sent to hospital. At the hospital, the doctor determines what type of surgery needs to be performed and whether the debris needs to be removed.

If the fracture does not have a stable position, then after reduction through the nail phalanx, the surgeon inserts a special wire for skeletal traction of the fragments. The operation is performed under careful fluoroscopy.

For the most complex injuries, the hand is cut under anesthesia, osteosynthesis is performed (reduction and comparison of injured parts surgically directly, giving the fingers and hands a physiological position), a needle is inserted, the end of which is left above the surface of the skin.

Then the incision is sutured in a layer-by-layer manner, and a thick plaster cast is applied.

Depending on the nature of the fracture and the course of the operation, the intensity of the deformity can be monitored using X-ray images 1-4 times a month. If the fusion is successful, then after 3 weeks the needle is carefully removed, the plaster is allowed to be removed after another 2-3 weeks.

In case of an open fracture, before starting reduction and surgical intervention, clean the wound as much as possible from foreign objects, dirt, small bone fragments, if any.

While the arm is in a cast, the patient will need to try to move his fingers as often as possible in order to physiological function was not seriously injured. At severe pain After surgery and discomfort during the fusion process, doctors may prescribe analgesics.

Complications can arise both in the absence of contact with a specialist, and in the incorrect implementation of the doctor’s instructions during treatment.

If the fracture is open, then infection and a purulent abscess are possible. Possible consequences closed fractures consist of improper bone healing and pathological deformation.

How to avoid injury?

The best prevention of injuries to the metacarpal bones is to follow precautionary measures, safety rules, and carefully monitor the situation while dragging heavy objects, while playing sports and other types of physical activity.

Those who engage in professional sports or heavy physical labor at work will need to perform daily exercises to warm up the muscles of the hand and take vitamin and mineral complexes containing calcium to strengthen bone tissue.

Every day we perform many small and large functions with our hands, and if the hand is damaged, the quality of life is greatly reduced. The articular connection of the bones of the hand and forearm is so complex that the slightest damage to this segment leads to a decrease or complete disruption of the function performed. To prevent injury and to limit mobility after injury, elastic fixation is used on the wrist joint and finger joints.

Wrist bandage and orthosis

A wrist brace is one of the ways to temporarily fix an injured limb. It consists of several elastic components, rigid plates and Velcro fasteners. This design allows you to choose optimal size and a shape for any hand. You can choose this type of hand brace for almost any part of the body. But most often it is used to limit the mobility of the upper limb, namely the hands.

A wrist orthosis is also a medical device that fixes the injured arm in the required position, but its difference is that it has a more rigid design, immobilizing the joint as much as possible.

Indications

A bandage or orthosis on the wrist joint is used for many pathologies. They are most often prescribed:

• If there is a fracture of the bones of the hand.
• After a severe bruise or sprain.
• After a broken finger or fingers.
• If there is a dislocation or semi-dislocation in the joint.
• For diseases such as polyarthritis, osteoarthritis, tendonitis.
• As a preventive measure.

Only a doctor can prescribe a bandage or orthosis for an arm. You can use a semi-rigid or elastic bandage yourself to prevent injuries and dislocations of the wrist joint. This fixation is indicated for the following people:

• Professional athletes. More often for those involved in weightlifting.
• For those involved in construction. High risk of injury or sprain.
• Musicians.
• For artists.
• Drivers.
• And many others whose work involves the risk of hand injury.

In addition, fixation of the wrist joint is necessary for people who are predisposed to joint diseases or those who have previously injured their hand.

Contraindications

Before using any medical device yourself, consult your doctor.

Therapeutic effects

Depending on which fixation method you choose, the therapeutic effect will depend. If this is a simple elastic compression of the joint, then we can note an increase in the resistance of the hand to physical damage and sprains. Using a hand orthosis of medium hardness, we completely eliminate the load on the damaged segment and maintain movement in the adjacent joints. And with rigid fixation orthoses, we completely eliminate motor activity on the entire damaged hand, which speeds up the recovery process.

Kinds

The wrist strap may have varying degrees rigidity, immobilize individual joints and even fingers. Exists a large number of various orthoses and bandages for the hand. Depending on the degree of fixation, there are:

1. Maximum rigid fixation and protection from external physical influence. This group includes a wrist orthosis, which, in terms of rigidity and degree of immobilization, can replace a plaster cast.
2. Fixation of medium degree of rigidity. This level of compression allows you to eliminate movement in the damaged joint and maintain mobility in the undamaged one. This group includes intermediate fixators (between the bandage and the orthosis).
3. A simple elastic bandage on the wrist with or without finger fixation. It maintains mobility in the joint, slightly limiting movement. It best helps to preserve and protect the wrist joint. Most often used by athletes with heavy loads on their hands. Used for finger injuries.

The choice will depend on what kind of injury the patient has received or may receive, how many joints are affected, and whether there are any finger injuries.

Elastic bandage

As mentioned above, such a wrist joint brace is used to prevent injuries and sprains of the ligamentous apparatus. Its main function is to provide the necessary compression to the joint. Most often, this type of fixation is used by volleyball players, weightlifters and many other athletes who expose their hands to excessive stress.

This type of bandage for the wrist joint is divided into detachable and non-detachable (there is a hole for the thumb or not). It can be worn like a regular glove, or it can be wrapped like a bandage.

The negative aspects include the fact that it is not able to limit the mobility of the hand; it can only be used as a preventive measure.

Medium hardness clamp

This type of fixator combines both elastic compression and limitation of mobility. This is achieved by combining elastic material and metal spokes (plates). This product can be used for serious injuries, since mobility will be eliminated, and elasticity will provide the necessary protection.

Rigid wrist brace

The product consists entirely of metal plates and spokes and completely immobilizes the necessary joints. The base can be made of plastic, which reduces the weight of the entire structure. It is prescribed after surgery, after a fracture (instead of a cast) or dislocation. The disadvantages include the fact that the hand orthosis has significantly more weight and volume than a bandage, and moreover, it can only be prescribed by a doctor in a medical institution. For achievement therapeutic effect proper selection is required.

How to choose the right one?

First of all, a patient with an injury consults a doctor, who, in turn, must find out the mechanism of injury and how often they occur. Based on this, the rigidity of the future hand clamp is determined. Next, you need to use a measuring tape to measure the circumference of your wrist and the size of your entire hand. Then compare the results with the size table. Having chosen a model by size, ask to try it on. It should sit comfortably on your hand and not cause discomfort. How quickly you recover will depend on how correctly you choose an orthosis or bandage for the wrist joint.

How to wear?

Having chosen a model, bring it and show it to the doctor. He must assign a wearing period and explain the basic rules:

1. You can only remove it after your doctor approves it (especially if you have had surgery).

Fifth metacarpal fracture (Boxer's fracture)

Fractures of the "neck" of the metacarpal bones, usually the fifth (V), are sometimes called a boxer's fracture. Happens when the fist hits a hard object incorrectly. Doctors divide them into 2 types:

Brawler’s fracture is a fracture of the “neck” of only the fifth (V) metacarpal bone.
A Bar Room type fracture is a fracture of the “neck” of the IV and/or V metacarpal bones.

Typical symptoms are pain and swelling at the fracture site. The pain intensifies with finger movements, and there may be a visible deformation (“recession” of the head of the metacarpal bone). When moving your fingers, you sometimes feel pathological mobility, a crunching sound that occurs between the fragments.

The first and most important step in treatment is immobilization. It is important that the immobilization also applies to the joints above and below the injured joint.

The best and most effective means of immobilization for such a fracture is our hand orthosis with splints AM-SP-01 specially designed for boxer fracture. The orthosis allows you to immobilize all fingers except the thumb.

Product characteristics

Hand orthosis with splints AM-SP-01 An excellent remedy for hand injuries such as boxer's fracture and other fractures and dislocations of the fingers. The orthosis immobilizes the desired finger, allows you to position the finger, control the movement of the fingers, and the level of stabilization. The rear position of the splint and the openwork design allow the orthosis to be used immediately after surgery. This is the most versatile hand orthosis for any injuries, fractures of the metacarpal bones, sprains of the collateral ligaments and injuries of the phalanx.

Orthosis AM-SP-01 is universal, can be used on any brush size, on the left and on the right hand, can immobilize every finger except the thumb.

Unlike hard plastic orthoses, our orthosis is soft, comfortable and comfortable to wear. You don't have to take it off at night. The orthosis is elastic, the Velcro fabric surface allows you to easily adjust the fixation and comfort.

The orthosis is made of material.

This is a three-layer material consisting of an outer elastic polyamide fabric with Velcro properties, an inner layer of neoprene foam, and an elastic terry lining on the inside. The material is characterized by softness and high elasticity. It does not have coarse fibers and does not rub the skin. Fabric orthoses are the most durable and effective on the market.

Orthosis AM-SP-01 It is not afraid of water, it can be worn in water, washed and washed. The orthosis has a plastic, aluminum palm splint. The orthosis has 2 independent pockets for the splint and, depending on the injury, the splint can be inserted into any pocket for immobilization of a specific finger. The tire is plastic, it can be bent to get the desired shape.

Indications

• Fracture IV-V fifth metacarpal bone (Boxer's Fracture, Brawler's Fracture)
• Fracture of the I-III fifth metacarpal bone
• Dislocation of the II-V fifth metacarpal bone
• Hand sprain

size table

Application method