A -inch, perforated splint material is a good choice because it allows the skin to breathe and typically is dense enough to protect the healing fracture. When the DIP is extended, the dorsal finger skin may become pinched beneath the extension block pin. This distance has been shown not to exceed 10 mm in normal horses and ponies.5 The degree of rotation of the distal phalanx is assessed by subtracting the angle between the dorsal hoof wall and the sole from the angle between the dorsal margin of the distal phalanx and the sole. The shape of the hoof capsule in the “ideal” foot is shown in Figure 10-9. The therapist surrounds the head of the fibula while using the other hand to produce a flat contact on the rear side of the lower leg. Avulsion of the FDP occurs when a flexed digit is forcibly extended and is nicknamed “jersey finger.” This fracture is often seen when a football player holds onto a jersey while trying to make a tackle and his digit is forcibly extended. While the therapist's knee is pressed against the sole of the patient's foot, the second phalanges of the index and middle fingers of both hands are used to contact below the client's knee, specifically medially at the level of the patellar tendon and laterally on the level of the cranial portion of the tibialis anterior. Assessment of the articular component, if any, and any associated osseous or joint reaction is important in determining the clinical relevance of this finding. Discontinuities of the extensor insertion are often referred to as “mallet injury” or “baseball finger”. The solar margin of the distal phalanx should be more or less straight without pronounced concavity in its profile. Fractures of the distal phalanx occur most commonly in the LF lateral and RF medial palmar processes and are usually articular (Figure 108-4).7 Clockwise training and racing may account for asymmetrical location of fractures. In Hand and Upper Extremity Splinting (Third Edition), 2005. Avulsion of the FDP occurs when a flexed digit is forcibly extended and is nicknamed “jersey finger.” This fracture is often seen when a football player holds onto a jersey while trying to make a tackle and his digit is forcibly extended. This should be done with a fine, absorbable suture. Renato Fricker, Matej Kastelec, Fiesky Nuñez, Terry Axelrod. While the patient repeats this sequence of movements several times, the therapist begins slowly to intersect the fascial fibers below the knee at both contact points: horizontally on the lateral side and in a crescent-shaped line against the diagonal path of the fascia on the medial side (see Figure 4.104). If the nail is lost, there will be nail regeneration, possibly with an abnormal shape. The distance measured between these two lines is corrected for magnification by multiplying the measured distance by the ratio between the true length and the radiographic length of the dorsal wire.
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