Pediatric Thumb Splint by McKie Splints
Shown with added supinator
Shown in Pink
Shown in Tan
When figuring sizes, it is important to use a centimeter tape measure.
How to determine thumb splint size:
1. Measurement A
Measure the circumference of the far or distal thumb joint.
2. Measurement B
Measure the distance on the palm from the distal thumb joint to the base of the center of longitudinal palm crease.
3. Refer to Chart
On the sizing chart (see below), find the the square where Measurement A and Measurement B meet. The square should fall within a bold area corresponding to the correct size. (Example: If Measurement A = 5.5 centimeters and Measurement B = 6.0 centimeters, then splint size = P5)
Instructions:
Applying Thumb Splint:
1. Put thumb through opening. Orient splint so stitching follows the crest of web between thumb and index finger. The hand splint strap lies just below palm of hand. Adjust splint to fit snugly in web space. (figure 1). | ![]() |
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2. Pull splint strap so it continues around back of hand and attach velcro to thumb of splint. Velcro should lie parallel to thumb and attach on thumb piece. (figure 2) |
3. Attach the strap in one of two ways: A. To provide the sensation of balanced muscle pull around the thumb, attach the velcro on the back of the thumb so that it is directed toward the thumbnail (figure 3). | ![]() |
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4. To provide extra support to the metacarpal-phalangeal joint of the thumb, wrap the strap around to the palm side of the thumb and attach directly over the joint (figure 4). |
Applying Supinator Strap:
Self-Attachment Above Elbow:
5. To attach supinator strap, undo strap from thumb splint. Reattach thumb splint over supinator strap. (figure 3). | ![]() |
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6. Wind one turn around forearm, then one turn behind elbow. Attach wider, squared velcro end of strap to itself above elbow (figure 4). The splint is designed to assist forearm extension, so supinator strap must cut across the back of elbow. |
7. Once splint is in place, passively turn forearm palm up (supination) and slightly extend wrist (figure 5). Make any necessary adjustments to supinator strap to ensure a snug fit. The attachment above the elbow, while snug, should be comfortable, balancing good coloration of the hand with some pull from the strap. | ![]() |
8. Finally, check the hand splint and, if necessary, rotate it to ensure the thumb is positioned to oppose fingers. Always follow precautions on label regarding splint application and wear. |
Fitting Thumb Splint and Adjustable Supinator Strap: |
Thumb Splint Supinator Strap
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