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Driving with upper extremity immobilization: a comprehensive review.

Brinkley K Sandvall¹, Jeffrey B Friedrich¹

¹Division of Plastic Surgery, University of Washington, Seattle, WA.

The Journal of Hand Surgery

|June 10, 2014

Summary

This summary is machine-generated.

Driving with upper extremity immobilization can impair driving ability, especially with above-elbow splints. Current medical literature and state laws offer limited guidance for physicians and patients regarding safe driving practices.

Keywords:

Car cast driving law splint

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Area of Science:

Medical Science
Public Health
Legal Studies

Background:

Driving with upper extremity immobilization poses potential safety risks.
Existing medical literature and legal frameworks offer insufficient guidance.

Purpose of the Study:

To review and appraise current medical literature, state laws, and guidelines on driving with upper extremity immobilization.
To identify gaps in evidence and inform practice guidelines.

Main Methods:

Conducted a comprehensive literature search for studies on driving with upper extremity immobilization.
Reviewed state Department of Motor Vehicle handbooks and organizational policies.
Analyzed 14 studies, with 5 providing subjective/objective assessments.

Main Results:

Below-elbow immobilization (e.g., wrist splint) may not significantly affect driving ability.
Above-elbow immobilization, particularly on the left arm, is associated with impaired driving performance.
Significant variations exist in physician practices, with a lack of formal guidelines.

Conclusions:

Driving ability can be hindered by certain upper extremity splints.
There is a need for evidence-based recommendations and practice guidelines for physicians and patients.
Further research is required to establish clear standards for driving fitness with immobilization.