A low-profile dorsal dynamic splint.

James Sellers, OTR, i.s Director ol O ccupational T herapy, Braintree Hospital, Braintree, Massachusetts. flexion is actively present. The elastic should support the MCP joints at 20 degrees of flexion, but allow full, active rangJe of motion in flexion. Thus the patient will be able to pick up and release objects during the performance of functional tasks. Made of Orthoplast@ (Johnson & Johnson), Velcro@, and half-inch (1.25 cm) drill rod wire, the basic pattern is similar to that for a dorsal wrist cock-up splint'(Figure l). Care should be taken to dome over the ulnar styloid to avoid skin breakdown in that area. The drill rod wire is cut, bent, and attached over the dorsal distal end of the splint with a piece of Orthoplast@ (Figure 2). The elastic