FR2824727A1 - Thumb orthesis for correcting alignment of metacarpal bones and phalanges has strap worn round wrist and flexible member extending round thumb and palm and back of hand and welded near tip of thumb - Google Patents

Thumb orthesis for correcting alignment of metacarpal bones and phalanges has strap worn round wrist and flexible member extending round thumb and palm and back of hand and welded near tip of thumb Download PDF

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Publication number
FR2824727A1
FR2824727A1 FR0106686A FR0106686A FR2824727A1 FR 2824727 A1 FR2824727 A1 FR 2824727A1 FR 0106686 A FR0106686 A FR 0106686A FR 0106686 A FR0106686 A FR 0106686A FR 2824727 A1 FR2824727 A1 FR 2824727A1
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Prior art keywords
thumb
orthosis
wrist
dorsal
area
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FR0106686A
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French (fr)
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FR2824727B1 (en
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Thierry Marc
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Priority to FR0106686A priority Critical patent/FR2824727B1/en
Priority to EP02738259A priority patent/EP1395211A2/en
Priority to PCT/FR2002/001666 priority patent/WO2002094140A2/en
Publication of FR2824727A1 publication Critical patent/FR2824727A1/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0118—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the arms, hands or fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0181—Protectors for articulations
    • A61F2005/0186—Thumb protectors

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The wrist band (10) holds a flexible member (4) whose edges are welded together (15) near the tip of the thumb (18) and which extends round the thumb and palm and the back of the hand. The first phalange (6) and the first metacarpal (8) may be connected by a sheath or implant (5) and there are splints (12) running along the line of the bones.

Description

filtrants s'étendent essentiellement parallèlement à l'axe (19) du filtre.filters extend essentially parallel to the axis (19) of the filter.

DESCRIPTIONDESCRIPTION

L'invention concerne une orthèse pour le traitement des entorses de l'articulation métacarpo-phalangienne du pouce, plus particulièrement des ligaments latéraux cubital et radial, apte à empêcher les mouvements de latéralité de ladite articulation. Les entorses de l'articulation métacarpo-phalangienne du pouce sont des lésions fréquentes dans la pratique sportive et plus particulièrement dans la pratique  The invention relates to an orthosis for the treatment of sprains of the metacarpophalangeal joint of the thumb, more particularly of the ulnar and radial lateral ligaments, capable of preventing lateral movements of said joint. Sprains of the metacarpophalangeal joint of the thumb are frequent lesions in sports and more particularly in sports.

du ski.ski.

Globalement, le ligament latéral cubital est le plus souvent touché (86 % des cas) mais les atteintes du ligament latérai radial, bien que moins fréquentes, doivent être  Overall, the ulnar lateral ligament is most often affected (86% of cases) but damage to the lateral lateral ligament, although less frequent, must be

traitées avec la même attention et la même rigueur.  treated with the same attention and the same rigor.

S'il est vrai que ces entorses surviennent dans les 50 % des cas lors d'une activité sportive, il n'en reste pas moins que 38 % sont dues à un accident de travail et 12 %  While it is true that these sprains occur in 50% of cases during a sporting activity, the fact remains that 38% are due to a work accident and 12%

à des accidents domestiques ou de la voie publique.  domestic or public road accidents.

Pour les entorses de gravité moyenne ou grande (avec intervention chirurgicale), le traitement a recours à une immobilisation rigide pour environ 4 semaines. Celle-ci est en général réalisée au moyen de plâtre ou de résine nécessitant un acte médical et occasionnant un usage réduit de la main concernée dans les activités de la vie  For sprains of medium or large severity (with surgical intervention), the treatment uses rigid immobilization for approximately 4 weeks. This is generally carried out by means of plaster or resin requiring a medical procedure and causing a reduced use of the hand concerned in the activities of life

quotidienne et professionnelle.daily and professional.

il existe également des orthèses immobilisant complètement l'articulation métacarpo-phalangienne comportant une partie souple palmaire et dorsale et une partie renforcée (en forme de manchon) ou thermoformable (directement sur le pouce). L'immobilisation totale de l'articulation est traumatisante car elle ne permet aucune mobilité dans le pian de la flexion-extension et a pour conséquence une  there are also orthoses that completely immobilize the metacarpophalangeal joint comprising a flexible palmar and dorsal part and a reinforced part (in the form of a sleeve) or thermoformable part (directly on the thumb). Total immobilization of the joint is traumatic because it allows no mobility in the plane of flexion-extension and results in a

récupération plus lente de la fonction.  slower recovery of function.

L'invention vise donc à réaliser une orthèse de conception simple, libérant au maximum l'usage de la main, autorisant une légère mobilité sur le plan de la flexion-extension et immobilisant de manière stricte le pouce dans ses possibilités  The invention therefore aims to produce an orthosis of simple design, freeing the use of the hand as much as possible, allowing slight mobility in terms of flexion-extension and strictly immobilizing the thumb in its possibilities.

de déplacement latéral.lateral displacement.

En outre, ladite orthèse peut également bloquer le poignet avec pour avantage  In addition, said orthosis can also block the wrist with the advantage

l'amélioration de la stabilité de la colonne du pouce.  improving the stability of the thumb column.

L'orthèse selon l'invention comporte essentiellement: a) un élément, en matériau souple, constitué d'un fourreau entourant sensibiement la zone de la première phalange, d'une pièce s'étendant dudit fourreau au poignet et recouvrant au moins les parties dorsales et latérales de la zone du premier -2 métacargien et du trapèze, et d'une bande de fixation entourant le poignet;  The orthosis according to the invention essentially comprises: a) an element, made of flexible material, consisting of a sheath sensibly surrounding the area of the first phalanx, of a piece extending from said sheath to the wrist and covering at least the parts dorsal and lateral of the area of the first metacargus -2 and the trapezium, and of a fixation band surrounding the wrist;

b) un élément, en matériau rigide, solidarisé à l'élément souple.  b) an element, made of rigid material, secured to the flexible element.

Elle se caractérise essentiellement en ce que ledit élément rigide est constitué de deux éclisses situées le long des bords cubital et radial du pouce, en regard des S ligaments latéraux de l'articulation métacarpophalangienne, et s'étendant au moins  It is essentially characterized in that said rigid element consists of two ribs located along the ulnar and radial edges of the thumb, opposite the lateral ligaments of the metacarpophalangeal joint, and extending at least

sur la zone de ia première phalange et du premier métacarpien.  on the area of the first phalanx and the first metacarpal.

L'élément souple peut être réalisé: - soit en deux parties solidarisées entre elles au niveau du plan médian dorsal du pouce;  The flexible element can be produced: - either in two parts joined together at the dorsal median plane of the thumb;

- soit en une seule partie pliée au niveau dudit plan médian.  - or in a single part folded at the level of said median plane.

Les caractéristiques et les avantages de l'invention vont appara'^tre plus  The characteristics and advantages of the invention will become more apparent

clairement à la lecture de la description détaillée qui suit d'au moins un mode de  clearly on reading the following detailed description of at least one mode of

réalisation préféré de celie-ci donné à titre d'exemple non-limitatif et représenté aux  preferred embodiment of this given by way of non-limiting example and shown in

dessins annexés.attached drawings.

Sur ces dessins: - la figure 1 est une vue palmaire de la main et de l'orthèse; - la figure 2 est une vue dorsale partielle de ladite main et de ladite orthèse (pour des raisons de commodité l'orthèse est dessinée transparente ainsi que la partie de  In these drawings: - Figure 1 is a palm view of the hand and the orthosis; - Figure 2 is a partial dorsal view of said hand and said orthosis (for reasons of convenience the orthosis is drawn transparent as well as the part of

la main concernée par ladite orthèse).  the hand concerned by said orthosis).

L'orthèse du pouce, représentée aux figures, a été conçue pour le traitement des entorses de l'articulation métacarpo-phalangienne (1), plus particulièrement des  The thumb orthosis, shown in the figures, was designed for the treatment of sprains of the metacarpophalangeal joint (1), more particularly

ligaments latéraux cubital (2) et radial (3).  lateral ulnar (2) and radial (3) ligaments.

Elle comporte essentiellement: a) un élément (4), en matériau souple, constitué d'un fourreau (5) entourant sensiblement la zone de la première phalange (6), d'une pièce (7) s'étendant dudit fourreau (5) au poignet et recouvrant au moins les parties dorsales et latérales de la zone du premier métacarpien (8) et du trapèze (9), et d'une bande de fixation (10) entourant le poignet;  It essentially comprises: a) an element (4), made of flexible material, consisting of a sheath (5) substantially surrounding the region of the first phalanx (6), of a part (7) extending from said sheath (5 ) on the wrist and covering at least the dorsal and lateral parts of the area of the first metacarpal (8) and of the trapezius (9), and of a fixing band (10) surrounding the wrist;

b) un élément (11,12), en matériau rigide, solidarisé audit élément souple (4).  b) an element (11,12), made of rigid material, secured to said flexible element (4).

Elle se caractérise en ce que ledit élément rigide est constitué de deux éclisses (11) et (12) situées le iong des bords cubital et radial du pouce, en regard des ligaments latéraux (3) et (2) de l'articulation métacarpo-phalangienne (1), et s'étendant au  It is characterized in that said rigid element consists of two ribs (11) and (12) located on the ion of the ulnar and radial edges of the thumb, opposite the lateral ligaments (3) and (2) of the metacarpal joint. phalangeal (1), and extending to

moins sur la zone de la première phalange (6) et du premier métacarpien (8).  less on the area of the first phalanx (6) and the first metacarpal (8).

Les éclisses (11) et (12) peuvent être placées respectivement dans des  The fishplates (11) and (12) can be placed respectively in

fourreaux (13) et (14) fixés sur l'élément souple (4).  sleeves (13) and (14) fixed on the flexible element (4).

L'élément souple (4) peut être réalisé: -3 - en deux parties solidarisées entre elles au niveau dudit plan médian dorsal du pouce;  The flexible element (4) can be produced: -3 - in two parts joined together at the level of said dorsal median plane of the thumb;

- en une seule partie pliée au niveau dudit plan médian.  - in a single folded part at the level of said median plane.

Les bords libres (15), des parties palmaires et dorsales de l'élément souple (4), S dans la zone palmaire médiane du pouce, peuvent être solidarisés entre eux au moyen d'un dispositif auto-agrippant ou de tout autre type (soudure ou couture par  The free edges (15), of the palmar and dorsal parts of the flexible element (4), S in the medial palmar area of the thumb, can be joined together by means of a hook-and-loop device or of any other type ( welding or stitching by

exemple).example).

Les éclisses (11) et (12) peuvent se prolonger jusqu'à la zone du poignet de  The ribs (11) and (12) can extend to the wrist area of

manière à être serrées par la bande de fixation (10).  so as to be tightened by the fixing band (10).

l O Les deux panneaux palmaire et dorsal de l'élément souple (4) peuvent être symétriques par rapport au plan médian dorsal du pouce. L'orthèse ainsi réalisé  l O The two palmar and dorsal panels of the flexible element (4) can be symmetrical with respect to the dorsal median plane of the thumb. The orthosis thus produced

peut être utiiisée indifféremment pour la main gauche ou pour la main droite.  can be used either for the left hand or for the right hand.

Pour une meilleure immobilisation latérale du pouce, les éclisses (11,12) doivent couvrir au moins les articulations interphalangienne (16), métacarpo phalangienne (1) et trapézo-métacarpienne (17). La deuxième phalange porte le  For better lateral immobilization of the thumb, the ribs (11,12) must cover at least the interphalangeal (16), metacarpo phalangeal (1) and trapezo-metacarpal (17) joints. The second phalanx bears the

repère (18).mark (18).

Pour une plus grand stabilité, les éclisses (11,12) doivent couvrir l'articulation du  For greater stability, the ribs (11,12) must cover the articulation of the

poignet et être serrées par la bande de fixation (10).  wrist and be tightened by the fixing band (10).

Bien entendu, I'invention n'est pas limitée aux modes de réalisation décrits et représentés pour lesquels on pourra prévoir d'autres variantes, en particulier dans: - la nature, les formes et les dimensions de l'élément souple (4); - la conception des moyens de fixation des diverses parties de l'orthèse entre elles;  Of course, the invention is not limited to the embodiments described and shown for which other variants can be provided, in particular in: - the nature, the shapes and the dimensions of the flexible element (4); - the design of the means of fixing the various parts of the orthosis together;

sans pour cela sortir du cadre de l'invention.  without departing from the scope of the invention.

- 4- 4

Claims (6)

REVENDICATIONS 1- Orthèse du pouce pour le traitement des entorses de l'articulation métacarpo-phalangienne (1), plus particulièrement des ligaments latéraux cubital (2) et radial (3), comportant: a) un élément (4), en matériau souple, constitué d'un fourreau (5) entourant sensiblement la zone de la première phalange (6), d'une pièce (7) s'étendant dudit fourreau (5) au poignet et recouvrant au moins les parties dorsales et latérales de la zone du premier métacarpien (8) et du trapèze (9), et d'une bande de fixation (10) entourant le poignet; b) un élément (11,12), en matériau rigide, solidarisé à l'élément souple (4); caractérisée en ce que ladit élément rigide est constitué de deux éclisses (11) et (12) situées le long des bords cubital et radial du pouce, en regard des ligaments latéraux (3) et (2) de l'articulation métacarpo-phalangienne (1), et s'étendant au  1- Thumb orthosis for the treatment of sprains of the metacarpophalangeal joint (1), more particularly of the ulnar (2) and radial (3) lateral ligaments, comprising: a) an element (4), made of flexible material, consisting of a sheath (5) substantially surrounding the area of the first phalanx (6), of a piece (7) extending from said sheath (5) to the wrist and covering at least the dorsal and lateral parts of the area of the first metacarpal (8) and trapezium (9), and a fixation band (10) surrounding the wrist; b) an element (11,12), made of rigid material, secured to the flexible element (4); characterized in that said rigid element consists of two ribs (11) and (12) located along the ulnar and radial edges of the thumb, facing the lateral ligaments (3) and (2) of the metacarpophalangeal joint ( 1), and extending to moins sur la zone de la première phalange (6) et du premier métacarpien (8).  less on the area of the first phalanx (6) and the first metacarpal (8). 2- Orthèse, selon la revendication 1, caractérisée en ce que les éclisses (11) et (12) sont placées respectivement dans des fourreaux (13) et (14) fixés sur  2- Orthosis, according to claim 1, characterized in that the fishplates (11) and (12) are placed respectively in sheaths (13) and (14) fixed on l'élément souple (4).the flexible element (4). 3- Orthèse, selon la revendication 1, caractérisée en ce que l'élément souple (4) est réalisé en deux parties solidarisées entre elles au niveau du plan  3- Orthosis, according to claim 1, characterized in that the flexible element (4) is made in two parts secured to each other at the plane médian dorsal du pouce.dorsal median of the thumb. 4- Orthèse, selon la revendication 1, caractérisée en ce que l'élément souple (4) est rénlisé en une seule partie pliée au niveau du plan médian dorsal du pouce. - Orthèse, selon la revendication 3 ou la revendication 4, caractérisée en ce que les bords libres (15), des parties palmaires et dorsales de l'élément souple (4), dans la zone palmaire médiane du pouce, sont solidarisés entre eux au moyen d'un  4- Orthosis, according to claim 1, characterized in that the flexible element (4) is renlisé in a single folded part at the dorsal median plane of the thumb. - Orthosis, according to claim 3 or claim 4, characterized in that the free edges (15), palmar and dorsal parts of the flexible element (4), in the medial palmar area of the thumb, are secured to each other at way of a dispositif auto-agrippant.hook-and-loop device. 6- Orthèse, selon la revendication 1, caractérisée en ce que les éclisses (11) et (12) se prolongent jusqu'à la zone du poignet de manière à être serrées par la  6- Orthosis, according to claim 1, characterized in that the ribs (11) and (12) extend to the wrist area so as to be clamped by the bande de fixation (10).fixing strip (10). 7- Orthèse, selon la revendication 3 ou la revendication 4, caractérisée en ce q ue les deux pa n n ea ux pa l m a ire et dorsal de l'élément soup le (4) so nt symétriq u es  7- Orthosis, according to claim 3 or claim 4, characterized in that q ue the two pa n n ea ux pa l m a ire and dorsal of the soup element (4) are symmetrical
FR0106686A 2001-05-18 2001-05-18 ORTHESIS OF THE INCH FOR THE TREATMENT OF METACARPO-PHALANGIAN SPRAYS Expired - Fee Related FR2824727B1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
FR0106686A FR2824727B1 (en) 2001-05-18 2001-05-18 ORTHESIS OF THE INCH FOR THE TREATMENT OF METACARPO-PHALANGIAN SPRAYS
EP02738259A EP1395211A2 (en) 2001-05-18 2002-05-17 Metacarpal-phalangeal orthosis
PCT/FR2002/001666 WO2002094140A2 (en) 2001-05-18 2002-05-17 Metacarpal-phalangeal orthosis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0106686A FR2824727B1 (en) 2001-05-18 2001-05-18 ORTHESIS OF THE INCH FOR THE TREATMENT OF METACARPO-PHALANGIAN SPRAYS

Publications (2)

Publication Number Publication Date
FR2824727A1 true FR2824727A1 (en) 2002-11-22
FR2824727B1 FR2824727B1 (en) 2004-01-16

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Country Link
EP (1) EP1395211A2 (en)
FR (1) FR2824727B1 (en)
WO (1) WO2002094140A2 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8657771B2 (en) 2002-04-08 2014-02-25 3M Innovative Properties Company Orthopedic device for stabilizing the thumb

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0143348A1 (en) * 1983-10-31 1985-06-05 Reinhold Hauber Strickwarenfabrik Gmbh & Co. KG Metacarpal thumb splint
DE8515915U1 (en) * 1985-05-31 1985-08-14 John & Bamberg, Orthopädie-Technik im Rehabilitationszentrum Annastift, 3000 Hannover Splint to immobilize the thumb-saddle joint and the thumb-base joint
DE8624582U1 (en) * 1986-09-13 1986-11-13 Reinhold Hauber Strickwarenfabrik GmbH & Co KG, 7440 Nürtingen Wrist support
DE3519493A1 (en) * 1985-05-31 1986-12-04 John & Bamberg, Orthopädie-Technik im Rehabilitationszentrum Annastift, 3000 Hannover Splint for the immobilisation of the saddle joint and of the metacarpophalangeal joint of the thumb
US4658441A (en) * 1985-12-13 1987-04-21 Smith Steven A One piece thumb support and protector
DE3631253A1 (en) * 1986-09-13 1988-03-24 Hauber Reinhold Strickwaren Wrist bandage
FR2662075A1 (en) * 1990-05-21 1991-11-22 Thuasne & Cie Orthesis for treating the root of the thumb, in particular arthrosis of the root
US5682611A (en) * 1996-09-13 1997-11-04 Kline; Samuel C. Thumbguard
DE19625420A1 (en) * 1996-06-25 1998-01-02 Bauerfeind Gmbh Orthosis to immobilize the base of the thumb
US5899870A (en) * 1996-09-09 1999-05-04 Deirmendjian; Gary Kara Thumb splint

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0143348A1 (en) * 1983-10-31 1985-06-05 Reinhold Hauber Strickwarenfabrik Gmbh & Co. KG Metacarpal thumb splint
DE8515915U1 (en) * 1985-05-31 1985-08-14 John & Bamberg, Orthopädie-Technik im Rehabilitationszentrum Annastift, 3000 Hannover Splint to immobilize the thumb-saddle joint and the thumb-base joint
DE3519493A1 (en) * 1985-05-31 1986-12-04 John & Bamberg, Orthopädie-Technik im Rehabilitationszentrum Annastift, 3000 Hannover Splint for the immobilisation of the saddle joint and of the metacarpophalangeal joint of the thumb
US4658441A (en) * 1985-12-13 1987-04-21 Smith Steven A One piece thumb support and protector
DE8624582U1 (en) * 1986-09-13 1986-11-13 Reinhold Hauber Strickwarenfabrik GmbH & Co KG, 7440 Nürtingen Wrist support
DE3631253A1 (en) * 1986-09-13 1988-03-24 Hauber Reinhold Strickwaren Wrist bandage
FR2662075A1 (en) * 1990-05-21 1991-11-22 Thuasne & Cie Orthesis for treating the root of the thumb, in particular arthrosis of the root
DE19625420A1 (en) * 1996-06-25 1998-01-02 Bauerfeind Gmbh Orthosis to immobilize the base of the thumb
US5899870A (en) * 1996-09-09 1999-05-04 Deirmendjian; Gary Kara Thumb splint
US5682611A (en) * 1996-09-13 1997-11-04 Kline; Samuel C. Thumbguard

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EP1395211A2 (en) 2004-03-10
WO2002094140A2 (en) 2002-11-28
FR2824727B1 (en) 2004-01-16
WO2002094140A3 (en) 2003-12-24

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