An OT practitioner is working with a 21-year-old client who has suffered a traumatic brain injury resulting from a car accident and is comatose in the intensive care unit
The OT practitioner has been asked to make hand splints in a resting position. To prevent short-ening of the metacarpophalangeal (MP) joint collateral ligaments, the splint should place the MP joints in which of the following?
A. 0 degree of MP extension
B. 60-70 degrees of MP flexion
C. 10-35 degrees of MP flexion
D. 10-35 degrees of MP extension
ANS: B
If the MP joints are immobilized in extension, the lax collateral ligaments can shorten, limiting MP flexion and functional use of the hand. This would be important to the client's recovery should the client regain consciousness and neurological functioning.
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A scaphoid waist fracture is suspected, and the patient is unable to ulnar-deviate the wrist
a. 15 degrees b. 20 degrees c. 5 to 10 degrees d. 20 to 25 degrees