Efficacy of Half-length vs. Standard-sized Short Arm splint in Soft Tissue Injuries of the Hand and Wrist: a Randomized Controlled Trial
Abstract
Introduction: Hand and wrist soft tissue injuries are common orthopedic problems that are traditionally treated with short arm splint, which covers the forearm to 1 cm distal to the elbow crease. Objective: The present study was conducted to compare the treatment efficacy of traditional standard-size splint with half-length short arm splint. Method: In this randomized, controlled, clinical trial, patients with hand and wrist soft tissue injuries were randomly assigned to two groups. Group one received standard-sized short arm splints and the other group received half-length short arm splints. The swelling and pain scores were compared between the groups by the end of weeks one, two and three. Results: A total of 256 patients with a mean age of 36.96 ± 12.27 years were enrolled in this study, and 71.9% of them were male. No statistically significant differences were observed in terms of swelling between the two groups after one and two weeks (P=0.41, P=0.18). None of the patients had swelling after three weeks. No statistically significant differences were observed between the two groups in terms of the pain score after one, two and three weeks (P=0.47, P=0.29, P=0.92). Conclusion: In this study, half-length short arm splints were found to be as effective as standard short arm splints.
2. Land TL, Lynch JM, Stanley-Green S. Soft Tissue Injuries. Common Musculoskeletal Problems: Springer; 2015. p. 157-69.
3. Kannus P. Immobilization or early mobilization after an acute soft-tissue injury? Phys Sportsmed. 2000; 28(3):55-63.
4. Roberts, James R., Catherine B. Custalow, Todd W. Thomsen, and Jerris R. Hedges. 2014. Roberts and Hedges' clinical procedures in emergency medicine, vol.1, 1009
5. Tintinalli EJ, Stapczynski JS, Ma O J, Yealy D, Meckler DG, Cline MD. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8th edition. New York: McGraw-Hill; 2015
6. Kim JY, Sohn DW, Park HY, Yoo JH, Kim JH, Jung MG, et al. The Effect of Distal Location of the Volar Short Arm Splint on the Metacarpophalangeal Joint Motion. Clin Orthop Surg. 2016;8(2):181-6.
7. Lee JH, Hong SH, Kim YJ, Back JH, Lee JS. Effect of Different Splints on Displacement after Closed Reduction of the Distal Radius Fractures: A Comparison of Short Arm Double Splint and Sugar-Tong Splint. J Korean Soc Surg Hand. 2015;20(3):104-9.
8. Acree JS, Schlechter J, Buzin S. Cost analysis and performance in distal pediatric forearm fractures: is a short-arm cast superior to a sugar-tong splint? J Pediatr Orthop B. 2017;26(5):424-8.
9. Kim JK, Park ES. The effect of short arm cast length on forearm rotation. J Hand Surg Am. 2014;39(4):629-33.
10. Bong MR, Egol KA, Leibman M, Koval KJ. A comparison of immediate postreduction splinting constructs for controlling initial displacement of fractures of the distal radius: a prospective randomized study of long-arm versus short-arm splinting. J Hand Surg Am. 2006;31(5):766-70.
11. Denes JA, Goding R, Tamborlane J, Schwartz E. Maintenance of reduction of pediatric distal radius fractures with a sugar-tong splint. Am J Orthop (Belle Mead NJ). 2007;36(2):68-70.
12. Boutis K, Willan A, Babyn P, Goeree R, Howard A. Cast versus splint in children with minimally angulated fractures of the distal radius: a randomized controlled trial. CMAJ. 2010;182(14):1507-12.
13. Williams KG, Smith G, Luhmann SJ, Mao J, Gunn JD, Luhmann JD. A randomized controlled trial of cast versus splint for distal radial buckle fracture: an evaluation of satisfaction, convenience, and preference. Pediatr Emerg Care. 2013; 29(5):555-9.
14. Jordan KT, Howell JM, Lauerman WC, Butzin CA. A radiographic comparison of short-arm cast and plaster and fiberglass wrist splints. Am J Emerg Med. 1993;11(6):590-1.
15. Mobarakeh MK, Nemati A, Noktesanj R, Fallahi A, Safari S. Application of removable wrist splint in the management of distal forearm torus fractures. Trauma Mon. 2013; 17(4):370-2.
16. Farrar JT, Young JP, LaMoreaux L,Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001; 94(2):149–58.
17. Park M, Kim J, Lee H, Lim T, Jung H, Lee J. Is a short arm cast appropriate for stable distal radius fractures in patients older than 55 years? A randomized prospective multicenter study. J Hand Surg Eur Vol. 2017; 42(5):487-92.
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Issue | Vol 3 No 2 (2019): Spring (April) | |
Section | Original article | |
PMCID | PMC6548117 | |
PMID | 31172127 | |
Keywords | ||
Immobilization Hand Soft Tissue Injuries Splints Wrist |
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