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  1. #1
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    Re: protective wrist/forearm splint that can be used during skiing

    It's been internally fixated so the chance of him re-fracturing in the same area is very unlikely, though it'd be painful for him to land on it thats for sure. I suggest doing some fall training with him however - slowly building up height so that he becomes comfortable with it. And a very good idea to help strengthen that bone.
    Rigid splints will mean when he falls he'll take more force in the areas that aren't in the splint... so more likely to break a bone in the hand for example. a more moveable splint would be ok to limit extreme's of ROM but won't prevent him breaking it too much. The proprioreceptive benefit of wearing a simple wrist brace from the chemist may be sufficient to help him prevent a break.
    Do some fall training with him and maybe someone else who ski's (as I don't) will have a better idea on bracing for you.


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    Re: protective wrist/forearm splint that can be used during skiing

    Hi There...
    Further to this (having spent 2 seasons as a physio in the ski slopes of Canada and also breaking my own wrist in the process)... the snowboarder type wrist guards are a good start. they just protect the wrist from hyper extension when falling. it's not worth the $$ to get anything bigger or fancier because it really won't do much more. It's also important to explain to your patient that if he's falling to clench his fists and tuck elbows into his side at 90 degrees-ish which really reduces the chance of falling onto an outstretched hand and hyperextended elbow, and the bracing for the impact is also heightened with muscle activity to clench the fist. i would also strongly suggest he get a helmet (sounds accident prone) but that would also help with teaching him side impact fall/roll (downhill skis will release to enable this) and protect his head.

    hope that makes sense!

    msk101



 
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