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Updated: Sep 28, 2025

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An Improvised Approach to Relative Motion Extension Splinting in the Emergency Room.

Jonathan E Miller1, Brian Q Le1

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Summary
This summary is machine-generated.

Emergency room hand extensor tendon repair is enhanced by an improvised relative motion extension splint. This lightweight, accessible orthosis aids early hand therapy and daily living post-surgery.

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Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Emergency medicine

Background:

  • Dorsum of hand lacerations often involve extensor tendons, necessitating timely treatment.
  • Bedside repair in the emergency room reduces treatment delays, costs, and anesthetic risks.
  • Optimal recovery involves prompt follow-up and hand therapy to prevent scar tissue complications.

Purpose of the Study:

  • To present an improvised relative motion extension splint for zone five and six extensor tendon lacerations.
  • To describe a fabrication method using readily available emergency room supplies.
  • To highlight the benefits of this orthosis for bedside repair in compliant patients.

Main Methods:

  • Fabrication of a relative motion extension splint using common emergency room materials.
  • Application of the splint for zone five and six extensor tendon injuries amenable to primary bedside repair.
  • Utilizing the splint to facilitate early hand therapy and patient mobilization.

Main Results:

  • The improvised splint is lightweight and constructed from accessible materials.
  • Patients can engage in daily activities by day four post-repair.
  • The design allows flexibility, including the addition of a wrist extension component if needed.

Conclusions:

  • An improvised relative motion extension splint offers a viable, cost-effective alternative for extensor tendon repair.
  • This method simplifies splint fabrication in the emergency setting.
  • Further research is needed to compare its efficacy against traditional thermoplastic splints.