GEZU (pink jacket)
Gezu has type III, hoof hand. This is rare and the most serious type of deformation in Apert Syndrome. Gezu’s x-ray shows that the thumb is turned inwards and all of the digits have a solid osseous or cartilaginous fusion. Her fingers have one conjoined broad nail. Imaging of type III hands are very difficult due to overlap of bones. Gezu was not a candidate for surgical correction.
Fabrication of a Syndacyly splint with a web spacer
Draw a pattern to form a forearm based intrinsic plus splint (position of safety) ( MCPs 70 – 90 degrees of flexion with IPs straight)
Mold thermoplastic to patient, forearm based is better for small hands for a more secure fit. Place MCPs in flexion to keep collateral ligaments from becoming tight. Select a thermoplastic material with good “sticky” properties. This will be important when you need to add the syndactyly web spacer.
Secure forearm straps before adding the syndactyly spacer.
Finished product: Syndactyly splint with web spacer for 3rd web space