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  • Finger upper-limb, custom-made orthoses designed for external modification of the structural and/or functional characteristics of the fingers that control and restrict movement of the metacarpo-phalangeal (MCP) finger and thumb joints. Using either static or dynamic therapy, these devices keep the joint functional and allow a measure of flexion and extension while correcting residual deformities. These orthoses typically consist of a mechanism that applies force to keep the fingers in a small radial deviation while still promoting extension. They usually include slings that are placed in the proximal phalanx of each finger and they may include auxiliary slings. Therapeutic MCP joint orthoses are intended mainly for post-surgical treatment (e.g., to obtain the desired range of motion for each finger) after implant resection arthroplasty in patients suffering from rheumatoid arthritis. Also available are dedicated pain-relieving splints, and orthoses that alternately apply short periods of passive flexion and extension to the MCP joint (through slings attached to a high- or low-profile hand splint).
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