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Module 4: An OT working in an outpatient clinic must fabricate a splint for a patient who sustained a second degree deep partial thickness burn to the radial side of the palm of his right hand. The burn covers the thenar eminence and extends up to the PIP joints of the index and middle fingers. The wound is closed and healing with scar tissue developing. How should the OT splint this patient?

A. Splint on dorsal surface with MCP joints in 50 to 70 degrees of flexion, IP joints in extension, thumb in abduction and extension.

B. Splint on volar surface with wrist in 30 degrees of extension.

C. Splint on the volar surface with MCP joints in full extension, IP joints in full extension, thumb in horizontal abduction.

D. Provide a C-bar splint that positions the thumb in abduction and extension.

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Posted by (Questions: 108, Answers: 97)
Asked on July 9, 2018 10:25 am
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Splint on the volar surface with MCP joints in full extension, IP joints in full extension, thumb in horizontal abduction. Since the burn crosses joints and is forming scar tissue, the hand, thumb and fingers will need to be positioned in full extension to prevent the formation of contractures due to scarring. The wound is closed, so it is safe to splint over the volar surface with an appropriate wearing and cleaning schedule.

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Posted by (Questions: 108, Answers: 97)
Answered on July 9, 2018 10:25 am
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