The ratchet handsplint
McKenzie, M.W.
American Journal of Occupational Therapy Official Publication of the American Occupational Therapy Association 27(8): 477-479
1973
ISSN/ISBN: 0272-9490 PMID: 4751192 Document Number: 5893
The number of persons who survive the initial injury of C-4 on -5 fracture has increased. As the wrist extensors are absent at this level, prehension is dependent upon an outside power source. CO2 and electric motor and battery packs have been used to power finger-driven splints and provide active prehension. There was a high rate of rejection of these by patients after discharge. Several reasons for rejection are given. A "ratchet" splint which provides an adjustable, static prehension is described and key points illustrated.
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