Scribd Logo
Upload

Welcome to Scribd!

  • 29 views

    Case Based Learning Ulo

    Uploaded by

    dindamanowitri
    A 18-year-old male student presented with a distal radial fracture from a sports injury and was referred for an orthosis; the orthotist prescribed a custom-made unilateral right cock-up wrist hand orthosis made of 4mm polypropylene with straps to immobilize the wrist and allow finger movement for 6-8 weeks to promote healing of the Colles' fracture from falling on an outstretched wrist.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Case Based Learning Ulo

    Uploaded by

    dindamanowitri
    29 views2 pages
    A 18-year-old male student presented with a distal radial fracture from a sports injury and was referred for an orthosis; the orthotist prescribed a custom-made unilateral right cock-up wrist hand orthosis made of 4mm polypropylene with straps to immobilize the wrist and allow finger movement for 6-8 weeks to promote healing of the Colles' fracture from falling on an outstretched wrist.

    Original Title

    CASE BASED LEARNING ULO

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A 18-year-old male student presented with a distal radial fracture from a sports injury and was referred for an orthosis; the orthotist prescribed a custom-made unilateral right cock-up wrist hand orthosis made of 4mm polypropylene with straps to immobilize the wrist and allow finger movement for 6-8 weeks to promote healing of the Colles' fracture from falling on an outstretched wrist.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views2 pages

    Case Based Learning Ulo

    Uploaded by

    dindamanowitri
    A 18-year-old male student presented with a distal radial fracture from a sports injury and was referred for an orthosis; the orthotist prescribed a custom-made unilateral right cock-up wrist hand orthosis made of 4mm polypropylene with straps to immobilize the wrist and allow finger movement for 6-8 weeks to promote healing of the Colles' fracture from falling on an outstretched wrist.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    CASE BASED LEARNING

    18 Years old male came to the PO clinic referred by orthopedic doctor to get the orthosis
    immediately due to fracture at the distal radial bone causing by sport injury just now. He is a student
    who really loves to do sport activities. His activity is goes to his school by motorbike.

     Please explain what pathology that patient might has?


    Colles Fracture is the fracture that happen on the distal of radial bone and may involves the
    distal ulnar bone too. Typically this fracture happen dorsally displaced and angulated. The
    causes is from fall on an outstretched wrist joint. For treatment can use a plaster cast &
    followed with an orthosis ULO cock-up design to immobilize the fracture area.

     What orthotic treatment that will you prescribe?


    - Immobilize the wrist joint and control the flexion of the wrist.
    - Improve activity daily life of the patient.
    - Protect the structure of the bone.
    - Reduce the pain due to the fracture bone.
    - Precription : Custom made unilateral right side with Cock-Up Vollar Design with
    4mm propylene with straps reverse pull
    Name Design/type/material Reason
    Design Wrist Hand Orthosis : Cock-  Immobilize the wrist joint in
    Up extension position to avoiding
    flexion to not make the median
    nerve get more compressed.
     The trimline of the Cock-Up
    design is still allowing moving
    of the finger to make easier her
    activity.
     The cosmesis of this design still
    acceptable to wear since the
    patient working is as a secretary
    so she need a cosmesis device.
    Design (Opening Volar design  Increased surface area at palmar
    side) area.
     Reduce pressure of the counter
    force
     Stop motion of the wrist flexion
    Materials PolyPropylene 4mm  Light weight material because
    patient need a light weight
    device to working with.
     Provide cosmesis because it is
    comes with white colour.
     Material availability is easy to
    discover and easy to mold.
    Straps - Wrist strap  As a main force at the dorsal
    - Proximal forearm strap area of the wrist to make the
    - Below MCP Joint strap wrist in extension so following
    the functional hand position to
    give the powerful grip.
     As a support force for stability
    force at the proximal forearm
    and Distal of hand.

     How long patient will wear the device (each day n stop)
    - For wearing time is during primary immobilization is done to maintain reduction and
    control joint movement.
    - Usually wearing ULO until initial healing has occured and fracture is stable enough or
    sticky, need time 6-8 weeks.
     What education will you provide to patient
    - Educate how to donning and doffing the device.
    - Educate how long to wear the device to achieve the immobilize treatment.
    - Educate how to take care the device, to not doing adjustment by their self and when to
    come back to clinic if the device need repairment.
    - Educate how to maintain the hygene of their device by swipe the inner surface and
    outer surface with a wet towel and let it dry.

    You might also like