CN203458508U - Mallet finger splint for therapy - Google Patents

Mallet finger splint for therapy Download PDF

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Publication number
CN203458508U
CN203458508U CN201320542573.8U CN201320542573U CN203458508U CN 203458508 U CN203458508 U CN 203458508U CN 201320542573 U CN201320542573 U CN 201320542573U CN 203458508 U CN203458508 U CN 203458508U
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clamping plate
plate
arc
finger
refer
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CN201320542573.8U
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Chinese (zh)
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廖立祥
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Abstract

The utility model discloses a mallet finger splint for therapy. The splint is an arc plate body or a folded plate body on a fixed finger back as a whole. During fixing, the near side of the splint is matched with a middle phalanx back in shape, and a phalangette is fixedly suspended on a distal arm of the splint. The splint can effectively allow the phalangette of a patient to hyperextend, so that a good therapeutic effect can be obtained, the skin bruising and other complications can be reduced, the fixing operation is simple, the daily activities can not be affected, and the therapy compliance of the patient is good.

Description

A kind of hammer finger treatment clamping plate
Technical field
This utility model relates to a kind of hammer finger treatment field, is specifically related to a kind of hammer finger treatment clamping plate and fixed solution.
Background technology
Hammer finger, medically referring to that finger distal interphalangeal joint can not initiatively stretch, is flexion deformity, and nearside articulations digitorum manus is hyperextension slightly.It is to refer to that because opening or closed injury cause from joint far away 23 bone base portion extensor tendon stops are to due to the extensor tendon fracture between proximal phalangeal joints.Common injury cause has two classes, and one is closed injury, mostly is and stabs, and digital tip is knocked powerful flexing, and avulsion extensor tendon saves corresponding site extensor tendon in depending on a little and pointing, and part patient refers to 23 bone fracture with joint far away.Its two open injury, mostly is incision.
At present, for hammer finger, treatment be take expectant treatment as main, with Gypsum Fibrosum and traditional clamping plate, fixes 6~8 weeks outward, and traditional clamping plate comprise stack clamping plate, Mikes clamping plate, Tianjin lower plate, and these clamping plate are to be all fixed on finger face side (facies palmaris side) in finger.This traditional fixing means not only affects daily routines, and comfortableness is poor, and effect is not good enough, and patient is difficult for accepting, and causes many patient's abandoning cure or changes operation into, causes a lot of patients to leave dysfunction; And clamping plate and finger be main for " binding " contacts, local compressive stress is large, therefore patient shows local pain, comfortableness is poor, even causes local skin to weigh the consequences such as ulcer wounded.
Therefore, be necessary to provide a kind of new hammer finger clamping plate, for overcoming the above problems, make the better convenience for the treatment of, comfortable, quick of hammer finger.
Utility model content
The purpose of this utility model is to provide a kind of hammer finger treatment clamping plate, and it can effectively address the above problem, the complication such as can reduce that skin weighs wounded, and fixing operation is simple, does not affect daily routines, and patient compliance is good.
For achieving the above object, this utility model is implemented by the following technical solutions: a kind of hammer finger treatment clamping plate, is characterized in that: clamping plate 10 are totally one to be fixed on refer to the back of the bodyon arc plate body or folding shape plate body, when the shape of clamping plate 10 and digital tip refer to 23 hyperextension in, minor details refer to that 22,23 dorsal part shapes match identical.
Definite saying with middle joint refers to fix, and minor details refer to suspention, so clamping plate are greater than the radian of finger hyperextension to the radian of dorsal part, and minor details refer to that the back of the body does not stress.
Concrete can implement by following two schemes:
One is: these clamping plate are that the center of curvature of an arc plate body, arc plate body is positioned at the outside that refers to the back of the body, clamping plate comprise and middle joint refer to fit the first arc plate section of being fixed as one and for hanging the second arc plate section that fixedly minor details refer to, the interface point of first and second arc plate section is positioned at finger distal interphalangeal joint place or nearside slightly, and this interface point is greater than on clamping plate other each points apart from the spacing of line between clamping plate two-end-point apart from the spacing of line between clamping plate two-end-point.
It two is: these clamping plate are that the jaws of a folding shape plate body, folding shape plate body refers to the outside of carrying on the back, clamping plate comprise and middle joint refer to fit the first plate section of being fixed as one and for hanging the second plate section that fixedly minor details refer to, between first and second plate section, be arc-shaped transition connection, and the connecting portion that forms this arc-shaped transition connection is in finger interphalangeal joint far away place.
Further scheme is:
These clamping plate are near the setting of plate face and the groove that refers to that back of the body surface configuration matches that refer to the back of the body one side.
The width of these clamping plate is consistent with the width of finger.
The first plate section arranges respectively band away from end and the second plate section middle part of the second plate section.
The outer surface of clamping plate is that cloth material forms, and clamping plate are established soft liner with referring to back of the body opposite face.
The first arc plate section on clamping plate refers near the setting of plate face and the middle joint that refer to the back of the body one side the groove that back of the body surface configuration matches.
The first plate segment length of these clamping plate 10 is 1.5~3.0cm, and the second plate segment length and the first plate section are same or slightly shorter; Wide approximately 1.0~1.5cm; The angle of the second plate section 12 and the first plate section 11 is 25~50 ° of angles.The large ting model of clamping plate mainly matches from the finger of Different Individual, different sizes.
The clamping plate that arrange in this utility model, fixedly time, are positioned over middle joint by clamping plate one end and refer to dorsal part, at clamping plate and between referring to carry on the back, place soft liner; And make the angle of clamping plate for interphalangeal joint dorsal part far away place, to do not affect the suspention that joint far away refers to.First with the middle joint finger of cloth adhesive plaster or band strap, divide, just fixing, needn't apply extra pressure; It is degree that fixation adhesive tape does not affect proximal phalangeal joints movable; Then with adhesive tape or band, will far save the other end suspension arm that refers to be suspended to obliquely clamping plate, strength is moderate; In the time of fixedly, can, by proximal phalangeal joints flexing, more be conducive to minor details and loosen; In initial 4 weeks, enjoin patient to reduce as far as possible and stretch and suffer from the action referring to; Total 6~8 weeks set times; Old hammer finger set time proper extension.
Adopt above-mentioned clamping plate and fixing means; changed traditional fixing fixing theory of " binding " formula, clamping plate are fixing to joint fingering row suspention far away, can maintain joint far away and refer to hyperextension state; the groove of simultaneously offering on clamping plate disperses clamping plate and middle joint abutment face strength; compressive stress is little, has greatly reduced the complication such as skin weighs wounded, and fixing operation is simple; do not affect daily routines; patient compliance is good, effective through clinical verification, applicable to the hammer finger patient of all applicable expectant treatments.
Accompanying drawing explanation
Fig. 1 is the structural representation of finger;
Fig. 2 is structural representation of the present utility model;
Fig. 3 is the A-A cutaway view of Fig. 2.
The specific embodiment
As shown in Figure 1, 2, 3, a kind of hammer finger treatment clamping plate, clamping plate 10 are totally one to be fixed on arc plate body or the folding shape plate body that refers to back, when the shape of clamping plate 10 and digital tip refer to 23 hyperextension in, minor details refer to that 22,23 dorsal part shapes match identical.In the time of fixedly, it is fixing that clamping plate nearside and middle joint refer to that the shape kissing of the back of the body merges, and minor details refer to suspend in midair the distal arm that is fixed on clamping plate, use clamping plate to make minor details refer to that hyperextension angle is at 5~15 °.
Concrete can implement by following two schemes:
One is: the center of curvature that these clamping plate 10 are an arc plate body, arc plate body is positioned at the outside that refers to the back of the body, clamping plate 10 comprise with middle joint and refer to 22 fit the first arc plate sections of being fixed as one and for hanging the second arc plate section that fixedly minor details refer to, the interface point of first and second arc plate section is positioned at finger distal interphalangeal joint place, and this interface point is greater than on clamping plate 10 other each points apart from the spacing of line between clamping plate 10 two-end-points apart from the spacing of line between clamping plate 10 two-end-points.The first arc plate section arranges respectively band away from the end of the second arc plate section and the second arc plate section near the end of the first arc plate section.
It two is: these clamping plate 10 are that the jaws of a folding shape plate body, folding shape plate body refers to the outside of carrying on the back, clamping plate 10 comprise with middle joint and refer to 22 fit the first plate sections 11 of being fixed as one and for hanging the second plate section 12 that fixedly minor details refer to, between first and second plate section 11,12, be arc-shaped transition connection, and the connecting portion that forms this arc-shaped transition connection is in finger interphalangeal joint far away place.The first plate section 11 arranges respectively band away from end and the second plate section middle part of the second plate section 12.Distal interphalangeal joint place refers to: the handing-over joint between last dactylus 23 and middle finger joint 22, proximal phalangeal joints place refers to: the handing-over joint between nearly dactylus 21 and middle finger joint 11.
Preferably, according to following scheme implementation, the first plate segment length of these clamping plate 10 is 1.5~3.0cm, and the second plate segment length and the first plate section are same or slightly shorter; Wide approximately 1.0~1.5cm; The angle of the second plate section 12 and the first plate section 11 is 25~50 ° of angles.The large ting model of clamping plate mainly matches from the finger of Different Individual, different sizes.The angle of the second plate section 12 and the first plate section 11 is 25~50 ° of angles, i.e. the angle of θ in Fig. 2.
The clamping plate 10 that arrange in this specific embodiment, fixedly time, are positioned over middle joint by clamping plate 10 one end and refer to 22 dorsal parts, and make the angle of clamping plate 10 for interphalangeal joint dorsal part far away place, to do not affect joint far away, do not refer to 23 suspention.First with the middle joint of cloth adhesive plaster or band strap 10, refer to 22 parts, just fixing, needn't apply extra pressure; It is degree that fixation adhesive tape does not affect proximal phalangeal joints movable; Then with adhesive tape or band by joint far away refer to 23 obliquely proximad be suspended to the other end suspension arm of clamping plate 10, strength is moderate; In the time of fixedly, can, by proximal phalangeal joints flexing, more be conducive to minor details and loosen; In initial 4 weeks, enjoin patient to reduce as far as possible and stretch and suffer from the action referring to; Total 6~8 weeks set times; Old hammer finger set time proper extension.Liner can further reduce stress concentration, and more comfortable, minimizing weighs wounded, has better compliance.
Adopt above-mentioned clamping plate 10 and fixing means; changed traditional fixing fixing theory of " binding " formula, 10 pairs of joints far away of clamping plate refer to that 23 suspend in midair and fix, and can maintain joint far away and refer to 23 hyperextension states; the groove 11a simultaneously offering on clamping plate 10 makes clamping plate 10 and middle joint refer to 22 contact surface strength dispersions; compressive stress is little, has greatly reduced the complication such as skin weighs wounded, and fixing operation is simple; do not affect daily routines; patient compliance is good, effective through clinical verification, practical for most of hammer finger patients.
Be below between year January in February, 2009 to 2013, treat the routine case of fresh hammer finger 30.In this 30 routine case, having 15 examples is to use traditional clamping plate to treat, and wherein 7 examples adopt Tianjin lower plate, 8 examples to adopt Mikes clamping plate; Other 15 examples adopt the clamping plate in these specific embodiment to treat, and other medications in 30 routine cases, nursing are all identical.To pain calibration in therapeutic process, treat 3 weeks, 6 weeks and follow up a case by regular visits to 3-6 effect after the month, occur that skin weighs ulcer number of cases wounded, ankylosis is carried out record, concrete outcome is as following table:
The result of table 1 for utilizing traditional clamping plate and this utility model clamping plate respectively hammer finger to be treated
Figure BSA0000094651370000051
Figure BSA0000094651370000061
The explanation of related data in table 1
1, minor details refer to degree of stretching oneself and yawn, initiatively stretch while referring to, and from the difference of stretching 0 ° of position, if stretch completely, and degree of stretching oneself and yawn is 0 °.This index has been reacted the effect that treatment reaches.
2, the difference of interphalangeal joint total range of motion near, far away and strong side, reaction be reducing for the treatment of posterior joint mobility, the i.e. degree of the ankylosis of generation.After the clamping plate dorsal part suspension treating that this utility model provides, difference is little, i.e. explanation contrasts without the stiff generation of obvious interphalangeal joint with strong side.
3, pain calibration and patient satisfaction, by patient assessment, react the compliance for the treatment of.Conclusion is that the compliance of new departure treatment is good.
4, select the difference of the time that hammer finger is corrected after the treatment of 3 weeks and 6 weeks contrast dominant response, the latter more can correction deformity, follows up a case by regular visits to contrast and be mainly used in showing final therapeutic effect after 3-6 month, and having or not resets loses.
Attached: pain is pressed Budzynsk standard grading: I level is without pain; II level has pain, but can be ignored easily; III level has pain, cannot ignore, and does not disturb daily life; IV level has pain, cannot ignore disturbance of concentration; V level has pain, cannot ignore, and all daily routines are all influenced, but can complete basic physical needs, as feed and defecation etc.; VI level exists and has an intense pain, and cannot ignore, and needs have a rest or lie up.

Claims (6)

1. hammer finger treatment clamping plate, it is characterized in that: clamping plate (10) are totally one to be fixed on arc plate body or the folding shape plate body that refers to back, when shape and the digital tip of clamping plate (10) refers to (23) hyperextension in, minor details refer to that (22,23) dorsal part shape matches identical.
2. hammer finger treatment clamping plate as claimed in claim 1, it is characterized in that: these clamping plate (10) are that the center of curvature of an arc plate body, arc plate body is positioned at the outside that refers to the back of the body, clamping plate (10) comprise with middle joint and refer to (22) fit first arc plate section of being fixed as one and for hanging the second arc plate section that fixedly minor details refer to, the interface point of first and second arc plate section is positioned at finger distal interphalangeal joint place, and this interface point is greater than upper other each points of clamping plate (10) apart from the spacing of line between clamping plate (10) two-end-point apart from the spacing of line between clamping plate (10) two-end-point.
3. hammer finger treatment clamping plate as claimed in claim 1, it is characterized in that: these clamping plate (10) are that the jaws of a folding shape plate body, folding shape plate body refers to the outside of the back of the body, clamping plate (10) comprise with middle joint and refer to fit the first plate section (11) of being fixed as one and for hanging the second plate section (12) that fixedly minor details refer to of the back of the body (22), between first and second plate section (11,12), be arc-shaped transition connection, and the connecting portion that forms this arc-shaped transition connection is in finger interphalangeal joint far away place.
4. hammer finger treatment clamping plate as claimed in claim 1, is characterized in that: these clamping plate (10) are near the setting of plate face and the groove (11a) that refers to that back of the body surface configuration matches that refer to the back of the body one side.
5. hammer finger treatment clamping plate as claimed in claim 1, is characterized in that: the width of these clamping plate (10) is consistent with the width of finger.
6. hammer finger treatment clamping plate as claimed in claim 2, is characterized in that: the first plate section (11) arranges respectively band away from end and the second plate section (12) middle part of the second plate section (12).
CN201320542573.8U 2013-09-03 2013-09-03 Mallet finger splint for therapy Expired - Fee Related CN203458508U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201320542573.8U CN203458508U (en) 2013-09-03 2013-09-03 Mallet finger splint for therapy

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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Publications (1)

Publication Number Publication Date
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Granted publication date: 20140305

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