From the Guidelines
A palmar interosseous injury should be treated with a customized hand splint that allows for appropriate positioning and movement of the affected area, as recommended by the Canadian Stroke Best Practice Recommendations 1. The treatment approach for a palmar interosseous injury using a splint prioritizes immobilization of the affected area while allowing for gentle range of motion exercises to prevent contractures and promote healing.
- Key considerations for the splint include:
- Customization to the individual patient's needs 1
- Placement of the upper limb in a variety of appropriate and safe positions within the patient's visual field 1
- Allowing for passive and active assisted range of motion exercises 1 The goal of the splint is to provide support and stability to the injured area, allowing the interossei muscles to heal while preventing further injury or contractures.
- Additional recommendations for the treatment of a palmar interosseous injury include:
- Gentle strengthening exercises after the initial immobilization period
- Pain management with over-the-counter medications as needed
- Regular follow-up with a hand specialist to monitor progress and adjust treatment as necessary It is essential to prioritize the individual patient's needs and adjust the treatment approach accordingly, taking into account the severity of the injury and the patient's overall health status 1.
From the Research
Treatment for Palmar Interosseous Injury using a Splint
- The treatment for a palmar interosseous injury using a splint is not directly addressed in the provided studies, as they focus on different aspects of hand injuries and treatments 2, 3, 4, 5, 6.
- However, study 4 mentions the use of a rigid splint for 2 weeks as a conservative treatment for unstable palmar plate disruption in the proximal interphalangeal joint, which may be relevant to palmar interosseous injuries.
- Study 6 compares the effectiveness of custom-made and prefabricated finger splints in limiting joint motion, finding that custom-made splints can significantly reduce finger flexion compared to prefabricated splints 6.
- Study 3 discusses the use of extension splinting for palmar plate avulsion injuries of the proximal interphalangeal joint, which may be related to palmar interosseous injuries 3.
- Study 5 emphasizes the importance of conservative management for soft-tissue mallet finger injuries, including immobilization with an external splint, which may be applicable to palmar interosseous injuries 5.