Article

This case describes an early controlled mobilization (ECM) approach
that uses dart-throwing motion (DTM) with a twist orthoses as an alternative to
immobilization for conservative management of a minimally displaced and
intra-articular distal radius styloid fracture with an associated scapholunate
ligament injury in a 47-year-old female health care administrator (JP). Pain-free
active DTM began at day 10 (5 times/d) with a dynamic DTM with a twist orthosis
worn during the day from weeks 3 to 6. At 6 weeks, JP had pain-free functional
mobility and strength with minimal limitation in household and occupational
activities, returning to her normal sporting activities by 3 months. ECM led to
rapid return of normal functioning in the short term with no apparent impact on
intermediate outcomes at 8 months. This case allows hand therapists to consider a
similar ECM approach for the management of similar injuries in their patients.
LEVEL OF EVIDENCE: Level 5 and case report.
CI - Copyright (c) 2016 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS