AAHS Annual Meeting
Back to main AAHS site
Annual Meeting Home
Final Program
2016 Annual Meeting Photos
Past & Future Meetings


Back to 2016 Annual Meeting Program


Functional Assessment of Thumb Spica Cast Immobilization versus Short Arm Cast Immobilization
Lyubov Tsytsikova, MD2; Raghuveer Muppavarapu, MD1, Michael Gottschalk, MD1, Charles Cassidy, MD2; John T. Capo, MD1
1NYU Hospital for Joint Diseases, New York, NY; 2Tufts Medical Center, Boston, MA

Purpose: The purpose of this study is to compare the functional outcome differences between patients with a short arm cast immobilization (SAC) versus forearm based thumb spica short arm cast immobilization (TSC).

Methods: 50 healthy volunteers completed a baseline and post casting typing assessment and a PROMIS short form upper extremity functional scoring assessment. The volunteers were randomly assigned to one of two groups. Participants in group 1 were initially assigned to a TSC of their dominant hand followed by a SAC, while participants in group 2 were initially assigned to a TSC of their non-dominant hand followed by a SAC. The casts were each maintained for 24 hours.

Results: A total of 50 participants were enrolled in the study with 25 in group 1 and 25 in group 2. Clinical characteristics and demographics for each study group were comparable. There was a significant difference between the average PROMIS score and typing speed of participants with SAC compared to participants with TSC (Tables 1 & 2). Table 3 shows that there were differences in the PROMIS scores and typing test results when comparing participants who had undergone casting of dominant hand versus non-dominant hand.

Conclusion: There is a significant difference in functionality of a thumb spica cast immobilization versus a short arm cast immobilization according to the PROMIS functional outcome score. When possible, short arm cast immobilization should be used given the functional deficits associated with thumb spica casting.


Back to 2016 Annual Meeting Program
© 2017 American Association for Hand Surgery. Privacy Policy.