Creating a custom fabricated neoprene orthosis for optimal thumb positioning

Neoprene orthoses are used extensively in treating conditions of the hand when flexibility and support are sought. Devices such as these may be prefabricated from Neoprene alone or may include a thermoplastic or metal stay. Neoprene devices can also be custom fabricated by a practitioner in a time effective manner and at low cost. The custom fabricated orthosis described in this article is designed to support the thumb in a position of palmar abduction and opposition while maintaining CMC extension and an adequately open web space to prevent soft tissue contracture.