支具、夹板与护具 资料

本页面由机器翻译,尚未经临床医生审核。英文版本为权威版本。

什么是支具、夹板与护具

支具、夹板与护具是在关节或肢体愈合期间将其固定不动的器具。有些是硬质的,比如石膏。另一些则可以取下,以便清洗、锻炼或睡觉。它们用于许多问题:骨折(如腕部骨折)、韧带撕裂(如膝关节的前交叉韧带 ACL)、肌腱问题(如扳机指),以及某些手术之后。

它们并非只适用于某一类患者。踝部骨折的儿童可能会使用支持性绷带、可拆卸夹板或行走石膏 [1]。某些腕部骨折的成人可能需要打石膏大约四周 [2]。一些膝关节韧带损伤可以不做手术,而采用支具治疗方案来处理 [3]。胫骨应力综合征(俗称"外胫夹")患者可以在运动疗法的同时使用支持性贴扎 [4]。

其原理很简单:受伤的组织需要一定的保护才能重新愈合,但过度制动会使关节变得僵硬、无力。在活动与休息之间取得恰当平衡,是康复的核心挑战之一,它对组织愈合的好坏以及您的恢复程度有决定性影响 [5]。这就是为什么医生会根据您的具体损伤,选择护具的类型以及佩戴时长。

研究仍在不断完善这些选择。比较肩部肌腱修复术后使用吊带与支具的试验发现,两者效果相似 [6]。关于某些腕部骨折使用可拆卸夹板的研究发现,这可以为患者节省时间并减少额外的医院就诊 [7]。3D 打印护具等较新的选择正在研究中,但尚未成为标准做法 [8]。

它有效吗?

对于许多损伤来说,是有效的;但坦白地说,答案取决于护具的用途。有些用途经过了充分检验。另一些则仅基于早期或有限的研究,遇到这种情况我们会告诉您。

有些研究结果是明确的。对于腕部骨折,可拆卸夹板的效果可以与石膏相当,尤其是对于稳定型骨折 [9]。对于扳机指,两种不同类型的手指夹板在疼痛、手部功能和佩戴舒适度方面表现相当 [10]。对于肩部疼痛,在标准肩部锻炼的基础上增加上背部锻炼或支持性贴扎,可使与活动相关的疼痛和功能障碍得到改善,且改善程度在日常生活中能够察觉 [11]。对于肩关节反复脱位的患者,贴扎结合标准康复治疗,比单纯康复治疗更能改善肩部活动和功能 [12]。

其他方面则尚无定论。对于低风险踝部骨折的儿童,绷带、可拆卸夹板和行走石膏的耐受性都很好,并发症发生率相似,研究尚未确定哪种选择最好 [1]。关于儿童防水石膏,目前的研究规模小且差异大,因此仍需要更有力的试验 [13]。一些较新的方法显示出前景,但需要更多检验。前交叉韧带完全撕裂后,配合特殊袖带和支具进行锻炼,可能缩短恢复时间,或帮助部分人避免手术 [14]。在肩部肌腱修复术后的制动期内进行肌肉电刺激,有助于防止肌肉萎缩,并加快早期力量恢复 [15]。

有几点值得用通俗的语言说明。一项针对腕部小骨的研究发现,有些骨折在一到五年内无需任何干预即可自行愈合 [16]。另外,对某些韧带修复采用带有类似支具的内部支撑的手术,显示出良好的早期重返运动结果 [17],不过仍需要更长期的研究。

在证据薄弱的地方,我们会如实说明,并解释我们确实知道的内容。

风险有哪些?

支具、夹板与护具带来的大多数问题来自器具本身,而不是来自手术。主要的挑战在于,在固定损伤部位与给予足够活动之间取得恰当平衡。过度制动会使关节僵硬、无力,而活动过多则可能妨碍组织正常愈合 [5]。医生在选择您佩戴什么以及佩戴多久时,会权衡这一平衡。

有些影响与舒适度和贴合度有关。压迫皮肤的护具可能引起刺激,而硬质石膏无法取下来清洗。夹板和矫形器等可拆卸的选择可以让您取下,许多人觉得这样在生活中更方便 [9]。对于低风险踝部骨折的儿童,绷带、可拆卸夹板和行走石膏的耐受性都很好,三者的并发症发生率相似 [1]。儿童防水石膏的研究还不够充分,因此这方面的证据仍然薄弱 [13]。

有几个具体要点值得了解。肩部肌腱修复术后,在手臂被固定期间,负责抬起手臂的肌肉可能会萎缩。在这段制动期内进行肌肉电刺激,有助于防止这种肌肉萎缩,并加快早期力量恢复 [15]。对于腕部损伤,一项研究发现,有些腕部小骨骨折在一到五年内无需任何治疗即可自行愈合 [16],这就是为什么医生可能会先观察愈合情况,而不是立即手术。

较新的护具也有其自身的不确定性。3D 打印的护具仍在研究中,研究人员指出了其耐用性以及评估方式方面的问题 [8]。对于扳机指,一种夹板加锻炼的方法显示出短期改善,但该研究没有对照组,因此无法表明它是否比其他治疗更有效 [18]。

如果您发现皮肤变化、麻木、疼痛加重或护具贴合方面的问题,请告诉您的医疗团队。他们可以进行调整或更换。

这适合您吗?

如果您的损伤可以在关节固定的情况下愈合,或者您正在从一项术后需要保护的手术中恢复,那么支具、夹板或护具可能适合您。在可以完全避免手术的情况下,它也可以作为一种选择。例如,一些膝关节韧带损伤可以采用支具治疗方案代替手术 [3]。对于某些腕部小骨骨折,医生可能只是在一到五年内观察骨骼的愈合情况,而不是立即手术 [16]。

如果您的损伤需要手术才能正常愈合,或者护具会让关节固定过久以致出现僵硬和无力,那么它可能不适合您。医生在选择您佩戴什么以及佩戴多久时,会权衡这一平衡。

通常需要做出一些选择。肩部肌腱修复术后,试验中吊带和支具的效果相似 [6]。对于某些腕部骨折,可拆卸夹板的效果可以与石膏相当 [9]。对于低风险踝部骨折的儿童,绷带、可拆卸夹板和行走石膏的耐受性都很好 [1]。合适的选择取决于您的损伤、日常生活以及您在家中能够应付的情况。

这应当是您与医生共同做出的决定。请询问护具的用途、需要佩戴多久,以及它与其他选择相比如何。上面的风险部分说明了需要注意的事项;如果护具不合适,您的医疗团队可以进行调整或更换。

核心要点

对于许多损伤,支具、夹板与护具都值得考虑;对于有些损伤,它们甚至可以完全代替手术。其背后的证据参差不齐:有些用途经过了充分检验,另一些则基于小型或早期研究。最需要了解的是,固定损伤部位与给予足够活动之间的平衡,决定了您的愈合情况;因此请遵循医生为您制定的方案,如果贴合度或舒适度不合适,请及时说出来。

参考文献

[1] Supportive bandage, removable splint, or walking casts for low-risk ankle fractures in children: a feasibility randomized controlled trial. The Bone & Joint Journal. 2025. DOI: 10.1302/0301-620x.107b1.bjj-2024-0354.r1

[2] Adequately Reduced Distal Radial Fractures in Elderly Patients: How Long Should We Immobilize?. Journal of Bone and Joint Surgery. 2025. DOI: 10.2106/jbjs.25.00333

[3] Short-term Outcomes of the Cross Brace Protocol for ACL Rupture Management: A Prospective Cohort Study. Orthopaedic Journal of Sports Medicine. 2025. DOI: 10.1177/2325967126s00013

[4] PS2 The effect of kinesiotaping with exercise therapy for the treatment of shin splints: a case report. Injury. 2013. DOI: 10.1016/s0020-1383(13)70151-7

[5] Achieving a balance between mobilization and immobilization after surgical or conservative treatment of the hand. Journal of Hand Surgery (European Volume). 2026. DOI: 10.1177/17531934251413908

[6] Regarding “Sling Is Not Inferior to Brace Immobilization After Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial”. Arthroscopy. 2026. DOI: 10.1002/arj.70326

[7] Do patients with minimally displaced distal radial fractures need a plaster cast?. The Bone & Joint Journal. 2025. DOI: 10.1302/0301-620x.107b1.bjj-2024-0634.r1

[8] The current state of 3D-printed orthoses clinical outcomes: a systematic review. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-09070-4

[9] Outcome analysis of conservative treatment of a distal radius fracture with OPTIVOhand orthosis versus plaster cast: a randomized controlled trial. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09585-4

[10] A randomized comparative trial: Relative motion vs metacarpophalangeal joint blocking orthoses for trigger finger management. Journal of Hand Therapy. 2026. DOI: 10.1016/j.jht.2025.05.018

[11] Effects of adding thoracic extension exercises or thoracic kinesio taping to shoulder exercises on pain and function in adults with subacromial pain syndrome: a randomized controlled trial. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2026.02.001

[12] A retrospective analysis of the promoting effect of kinesio taping on the rehabilitation of military personnel with recurrent shoulder dislocation caused by training injury. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09753-6

[13] Waterproof casts for the management of upper limb fractures in children. The Bone & Joint Journal. 2025. DOI: 10.1302/0301-620x.107b6.bjj-2025-0011

[14] Conservative treatment using blood flow restriction and brace in individuals with complete anterior cruciate ligament rupture: protocol for a randomised clinical trial. Journal of Orthopaedic Surgery and Research. 2025. DOI: 10.1186/s13018-025-06285-y

[15] Mid‐frequency electrical muscle stimulation during immobilization may prevent early deltoid muscle atrophy and promote early strength recovery after arthroscopic rotator cuff repair. Knee Surgery, Sports Traumatology, Arthroscopy. 2026. DOI: 10.1002/ksa.70303

[16] Radiological outcome of early surgical fixation versus cast immobilization for adults with a scaphoid waist fracture: five-year follow-up of the Scaphoid Waist Internal Fixation for Fractures Trial. The Bone & Joint Journal. 2026. DOI: 10.1302/0301-620x.108b1.bjj-2025-0125.r1

[17] Outcomes of Revision UCL Repair With Internal Brace for Failure of Primary UCL Reconstruction in Professional and Collegiate Baseball Pitchers: A First Look. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/23259671261422231

[18] Effectiveness of Proximal Interphalangeal Joint Orthosis and Therapeutic Exercise in the Management of Trigger Finger: A Prospective Case Series. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.101038


Evidence & references

This is the clinical evidence summary written for health professionals. It is technical, and it lists the research this page was built from. You do not need to read it to understand your treatment or to make a decision about it.

Overview

  • Sling immobilization is not inferior to brace immobilization after arthroscopic rotator cuff repair [1].
  • The conclusion that sling immobilization is not inferior to brace immobilization cannot be attributed solely to the type of immobilization [1].
  • Removable splints for minimally displaced distal radial fractures save patients time and inconvenience regarding additional hospital visits [2].
  • Removable splints for minimally displaced distal radial fractures save the healthcare system money [2].
  • The Cross Brace Protocol provides an additional non-operative option for ACL injuries [3].
  • The Cross Brace Protocol may be associated with satisfactory anatomical and functional healing for certain patient groups with ACL injuries [3].
  • Proximal interphalangeal joint orthosis and therapeutic exercise demonstrate feasibility and short-term clinical improvement in the management of trigger finger [4].
  • Findings on proximal interphalangeal joint orthosis and therapeutic exercise for trigger finger cannot establish superiority over other conservative treatments due to the absence of a control group [4].
  • Four weeks of cast immobilization is sufficient for most distal radial fractures in elderly patients [5].
  • Splinting is an effective short-term conservative treatment for trigger finger [6].
  • Splinting offers symptom relief and functional improvement comparable to corticosteroid injections for trigger finger [6].
  • Maintaining an appropriate balance between mobilization and immobilization is a central challenge in hand rehabilitation [7].
  • The balance between mobilization and immobilization has a decisive impact on tissue healing, functional recovery, and patient outcomes in hand rehabilitation [7].
  • Orthoses offer a good alternative to plaster casts for stable fracture types [8].
  • Limitations of 3D-printed orthoses include small sample sizes, lack of standardized assessment methods, and durability concerns [9].
  • Kinesiotaping can be considered an alternative supplementary treatment together with exercise therapy for shin splints [10].
  • Pain and functional outcomes are comparable between no immobilization and a 3-week immobilization period in primary reverse total shoulder arthroplasty [11].
  • Union consolidated in patients with greater than 20% bridging without intervention between one and five years after randomization for scaphoid waist fractures [12].
  • Symptom severity, pain, hand function, and orthosis wearability outcomes support interchangeable use of relative motion and metacarpophalangeal joint blocking orthoses for managing trigger finger [13].
  • Supportive bandage, removable splint, and walking casts are all well tolerated with similar complication rates for low-risk ankle fractures in children [14].
  • Equipoise remains regarding the best treatment for low-risk ankle fractures in children among supportive bandage, removable splint, and walking casts [14].
  • Pooling of studies on waterproof casts for upper limb fractures in children was limited by heterogeneity and small study sizes [15].
  • Definitive randomized controlled trials are required to confirm efficacy and investigate cost-effectiveness of waterproof casts for upper limb fractures in children [15].
  • Adult patients with a scaphoid waist fracture displaced by 2 mm or less should be treated initially with immobilization in a cast, followed by early fixation of a nonunion [16].
  • Use of a codesigned patient decision aid in practice for total knee arthroplasty was feasible [17].
  • Initial cast immobilization with fixation for nonunion is the optimal form of treatment for adults with a scaphoid waist fracture [18].
  • Small quality-adjusted life year gains for those who underwent initial surgery for scaphoid waist fractures were not sufficient to justify the higher costs compared to initial cast immobilization [18].
  • Athletes who underwent ulnar collateral ligament repair with internal brace reported excellent midterm patient-reported outcomes statistically similar to those after ulnar collateral ligament reconstruction [19].
  • The proportion of athletes successfully returning to preinjury sport was statistically similar between ulnar collateral ligament repair with internal brace and ulnar collateral ligament reconstruction [19].

How It Works

  • Sling immobilization is not inferior to brace immobilization after arthroscopic rotator cuff repair, though this conclusion cannot be attributed solely to the type of immobilization [1].
  • Removable splints for minimally displaced distal radial fractures save patients time and inconvenience regarding additional hospital visits and save the healthcare system money [2].
  • The Cross Brace Protocol provides an additional non-operative option for ACL injuries and may be associated with satisfactory anatomical and functional healing for certain patient groups [3].
  • Proximal interphalangeal joint orthosis and therapeutic exercise demonstrate feasibility and short-term clinical improvement in trigger finger management, but cannot establish superiority over other conservative treatments due to the absence of a control group [4].
  • Splinting is an effective short-term conservative treatment for trigger finger, offering symptom relief and functional improvement comparable to corticosteroid injections [6].
  • Maintaining an appropriate balance between mobilization and immobilization is a central challenge in hand rehabilitation with a decisive impact on tissue healing, functional recovery, and patient outcomes [7].
  • Orthoses offer a good alternative to plaster casts, especially for stable fracture types [8].
  • 3D-printed orthoses face limitations including small sample sizes, lack of standardized assessment methods, and durability concerns that must be addressed through further research [9].
  • Pain and functional outcomes after primary reverse total shoulder arthroplasty are comparable to those obtained with a 3-week immobilization period when no immobilization is used [11].
  • Union consolidated in patients with scaphoid waist fractures who had > 20% bridging without intervention between one and five years after randomization [12].
  • Pooling of studies on waterproof casts for upper limb fractures in children was limited by heterogeneity and small study sizes, requiring definitive RCTs to confirm efficacy and investigate cost-effectiveness [15].
  • Adult patients with a scaphoid waist fracture displaced by ≤ 2 mm should be treated initially with immobilization in a cast, followed by early fixation of a nonunion [16].
  • Initial cast immobilization with fixation for nonunion is the optimal form of treatment for adults with a scaphoid waist fracture, as small quality-adjusted life year gains from initial surgery were not sufficient to justify higher costs [18].
  • Athletes who underwent ulnar collateral ligament repair with internal brace reported excellent midterm patient-reported outcomes statistically similar to those after ulnar collateral ligament reconstruction, including the proportion successfully returning to preinjury sport [19].
  • Mid-frequency electrical muscle stimulation during the immobilization period after arthroscopic rotator cuff repair effectively prevented early post-operative deltoid muscle atrophy and accelerated early recovery of shoulder muscle strength [20].
  • Shoelace repair with internal brace may be a viable surgical option for ulnar collateral ligament injuries with chronic avulsion bone fragments in carefully selected young athletes with minimal ligament degeneration and good tissue quality, particularly when early return to play is prioritized [21].
  • The embrace technique yielded equivalent outcomes compared with suture button fixation for managing syndesmotic injuries [22].
  • The level of supporting force did not significantly influence architectural or activation outcomes during partial bodyweight-supported squats [25].
  • Anthropometric studies can aid in discerning fundamental ratios for orthoses design, allowing for custom-fitted designs and manufacturing with ease and efficiency [26].
  • Two claws form a useful addition to Charnley's clamp and have proved effective and easy to use [27].

What the Evidence Shows

Upper Extremity

  • Maintaining an appropriate balance between mobilization and immobilization is a central challenge in hand rehabilitation and has a decisive impact on tissue healing, functional recovery, and patient outcomes [7].
  • Relative motion and metacarpophalangeal joint blocking orthoses can be used interchangeably for managing trigger finger, as symptom severity, pain, hand function, and orthosis wearability outcomes support this equivalence [13].
  • Proximal interphalangeal joint orthosis and therapeutic exercise demonstrate feasibility and short-term clinical improvement for trigger finger but cannot establish superiority over other conservative treatments due to the absence of a control group [4].
  • Pain and functional outcomes are comparable between no immobilization and a 3-week immobilization period after primary reverse total shoulder arthroplasty [11].
  • Mid-frequency electrical muscle stimulation during the immobilization period after arthroscopic rotator cuff repair effectively prevents early post-operative deltoid muscle atrophy and accelerates early recovery of shoulder muscle strength [20].
  • The recommendation that adult patients with a scaphoid waist fracture displaced by ≤ 2 mm should be treated initially with immobilization in a cast, followed by early fixation of a nonunion, is corroborated by five-year follow-up findings [16].
  • Union consolidated in patients with > 20% bridging without intervention between one and five years after randomization for scaphoid waist fractures [12].
  • Waterproof casts for upper limb fractures in children require definitive RCTs to confirm efficacy and investigate cost-effectiveness, as pooling of studies was limited by heterogeneity and small study sizes [15].

Lower Extremity

  • Exercise under blood flow restriction in combination with a brace could serve as an alternative treatment for participants with acute or subacute complete ACL tears, potentially reducing recovery time or avoiding surgery [31].
  • Supportive bandage, removable splint, and walking casts are all well tolerated with similar complication rates for low-risk ankle fractures in children, with equipoise remaining regarding the best treatment [14].
  • The combined intervention of kinesio taping and conventional rehabilitation led to more significant improvements in shoulder range of motion and functional scores compared to conventional rehabilitation alone for military personnel with recurrent shoulder dislocation [30].
  • Adding thoracic extension exercises or thoracic kinesio taping to shoulder exercises resulted in significant improvements in activity-related pain and self-reported disability exceeding previously reported MCID values for adults with subacromial pain syndrome [29].

Surgical Augmentation and Internal Braces

  • Athletes who underwent UCL repair with internal brace reported excellent midterm patient-reported outcomes statistically similar to those after UCL reconstruction, including the proportion successfully returning to preinjury sport [19].
  • Shoelace repair with internal brace may be a viable surgical option for UCL injuries with chronic avulsion bone fragments in carefully selected young athletes with minimal ligament degeneration and good tissue quality, particularly when early return to play is prioritized [21].
  • UCL repair with internal brace for high-level pitchers with recurrent UCL injury after UCL reconstruction shows promising short-term results with excellent return-to-sport and patient-reported outcomes [33].
  • Meniscotibial repair with suture anchors with internal brace augmentation for the MCL repair can provide a strong final construct and a safe and fast recovery [34].
  • Modified anatomical reconstruction of the medial collateral ligament with tibial sling bone tunnels and double-bundle semitendinosus tendon aims to restore knee stability more isometrically to improve long-term efficacy and help prevent complications such as osteoarthritis and functional limitations [32].

Technology and General

  • 3D-printed orthoses face limitations such as small sample sizes, lack of standardized assessment methods, and durability concerns that must be addressed through further research [9].

Practical Considerations

Upper Extremity and Shoulder

  • The conclusion that sling immobilization is not inferior to brace immobilization after arthroscopic rotator cuff repair cannot be attributed solely to the type of immobilization [1].
  • Pain and functional outcomes after primary reverse total shoulder arthroplasty are comparable between no immobilization and a 3-week immobilization period [11].
  • Mid-frequency electrical muscle stimulation applied during the immobilization period after arthroscopic rotator cuff repair effectively prevents early post-operative deltoid muscle atrophy and accelerates early recovery of shoulder muscle strength [20].

Wrist and Hand

  • For adult patients with a scaphoid waist fracture displaced by ≤ 2 mm, initial treatment with immobilization in a cast followed by early fixation of a nonunion is corroborated by five-year follow-up findings [16].
  • In patients with a scaphoid waist fracture and > 20% bridging, union consolidated without intervention between one and five years after randomization [12].
  • Orthoses offer a good alternative to plaster casts for the conservative treatment of distal radius fractures, especially for stable fracture types [8].
  • If patients with minimally displaced distal radial fractures can be treated safely using a removable splint, this saves them time and inconvenience regarding additional hospital visits and saves the healthcare system money [2].
  • Findings from a prospective case series on proximal interphalangeal joint orthosis and therapeutic exercise for trigger finger demonstrate feasibility and short-term clinical improvement but cannot establish superiority over other conservative treatments due to the absence of a control group [4].
  • Maintaining an appropriate balance between mobilization and immobilization is a central challenge in hand rehabilitation that has a decisive impact on tissue healing, functional recovery, and patient outcomes [7].

Lower Extremity and General

  • For low-risk ankle fractures in children, supportive bandage, removable splint, and walking casts all appear well tolerated with similar complication rates, leaving equipoise regarding the best treatment [14].
  • Kinesiotaping can be considered an alternative choice of supplementary treatment together with exercise therapy for shin splints [10].
  • Limitations of 3D-printed orthoses, including small sample sizes, lack of standardized assessment methods, and durability concerns, must be addressed through further research [9].
  • Pooling of studies on waterproof casts for upper limb fractures in children was limited by heterogeneity and small study sizes, and definitive RCTs are required to confirm efficacy and investigate cost-effectiveness [15].

Key Evidence

  • [L5] They argue that the conclusion that sling immobilization is 'not inferior' to brace immobilization cannot be attributed solely to the type of immobilization. [1] (10.1002/arj.70326)
  • [L2] If patients can be treated safely using a removable splint, this will save them time and inconvenience in terms of additional visits to the hospital, and save the healthcare system money. [2] (10.1302/0301-620x.107b1.bjj-2024-0634.r1)
  • [L2] The Cross Brace Protocol provides an additional non-operative option for ACL injuries and may be associated with satisfactory anatomical and functional healing for certain patient groups. [3] (10.1177/2325967126s00013)
  • [L4] Because of the absence of a control group, these findings demonstrate feasibility and short-term clinical improvement but cannot establish superiority over other conservative treatments. [4] (10.1016/j.jhsg.2026.101038)
  • [L5] The authors should be commended for a well-designed, well-executed randomized controlled trial that makes a compelling case that 4 weeks of cast immobilization is sufficient for most distal radial fractures in elderly patients. [5] (10.2106/jbjs.25.00333)
  • [L2] Splinting is an effective short-term conservative treatment for trigger finger, offering symptom relief and functional improvement comparable to corticosteroid injections. [6] (10.1016/j.jhsg.2025.100881)
  • [L5] The review highlights that maintaining an appropriate balance between mobilization and immobilization is a central challenge in hand rehabilitation and has a decisive impact on tissue healing, functional recovery and patient outcomes. [7] (10.1177/17531934251413908)
  • [L1] Hence, orthoses offer a good alternative to plaster casts, especially for stable fracture types. [8] (10.1186/s12891-026-09585-4)
  • [L1] However, limitations such as small sample sizes, lack of standardized assessment methods, and durability concerns must be addressed through further research. [9] (10.1186/s12891-025-09070-4)
  • [L5] Shin Splints is a rare antity and when diagnosed; kinesiotaping can be thought as an alternative choice of supplementary treatment together with exercise therapy. [10] (10.1016/s0020-1383(13)70151-7)
  • [L1] The pain and functional outcomes are comparable to those obtained with a 3-week immobilization period. [11] (10.1016/j.jse.2025.02.015)
  • [L1] Between one and five years after randomization, union consolidated in those with > 20% bridging without intervention. [12] (10.1302/0301-620x.108b1.bjj-2025-0125.r1)
  • [L1] Symptom severity, pain, hand function, and orthosis wearability outcomes support interchangeable use of relative motion and metacarpophalangeal joint blocking orthoses for managing trigger finger. [13] (10.1016/j.jht.2025.05.018)
  • [L2] There remains equipoise regarding the best treatment of these injuries, with all three treatments appearing well tolerated with similar complication rates. [14] (10.1302/0301-620x.107b1.bjj-2024-0354.r1)
  • [L1] However, pooling of studies was limited by heterogeneity and small study sizes, and definitive RCTs are required to confirm efficacy and investigate cost-effectiveness. [15] (10.1302/0301-620x.107b6.bjj-2025-0011)
  • [L1] The recommendation that adult patients with a fracture of the waist of the scaphoid which is displaced by ≤ 2 mm should be treated initially with immobilization in a cast, followed by early fixation of a nonunion, is further corroborated by these findings. [16] (10.1302/0301-620x.108b1.bjj-2025-0122.r1)
  • [L1] Use of the aid in practice was feasible. [17] (10.1016/j.arth.2025.05.104)
  • [L1] Initial cast immobilization with fixation for nonunion is the optimal form of treatment for adults with a scaphoid waist fracture, as the small quality-adjusted life year gains for those who underwent surgery initially were not sufficient to justify the higher costs. [18] (10.1302/0301-620x.108b1.bjj-2025-0116.r1)
  • [L3] Athletes who underwent UCL repair with internal brace reported excellent midterm PROs statistically similar to those after UCL reconstruction, including proportion successfully returning to preinjury sport. [19] (10.1177/03635465251314054)
  • [L3] The application of the MFEMS during immobilization period after ARCR effectively prevented early post-operative deltoid muscle atrophy and accelerated early recovery of shoulder muscle strength. [20] (10.1002/ksa.70303)
  • [L4] Shoelace repair with internal brace may be a viable surgical option for UCL injuries with chronic avulsion bone fragments in carefully selected young athletes with minimal ligament degeneration and good tissue quality, particularly when early return to play is prioritized. [21] (10.1016/j.jseint.2026.101649)
  • [L3] The embrace technique yielded equivalent outcomes compared with suture button fixation for managing syndesmotic injuries. [22] (10.1186/s13018-025-06620-3)
  • [L4] Importantly, the level of supporting force did not significantly influence these architectural or activation outcomes. [25] (10.1186/s12891-026-09917-4)
  • [L4] Anthropometric studies can aid in discerning fundamental ratios for orthoses design, allowing for custom-fitted designs and manufacturing with ease and efficiency. [26] (10.1016/j.jht.2026.01.004)
  • [Paper] The two claws shown in Fig. 1 form a useful addition to Charnley's clamp and have proved effective and easy to use. [27] (10.1016/s0020-1383(70)80248-0)
  • [L1] All interventions resulted in significant improvements across several outcomes, with improvements in activity-related pain and self-reported disability exceeding previously reported MCID values. [29] (10.1016/j.jse.2026.02.001)
  • [L4] The combined intervention of kinesio taping and conventional rehabilitation led to more significant improvements in shoulder range of motion and functional scores compared to conventional rehabilitation alone. [30] (10.1186/s12891-026-09753-6)
  • [L2] Positive results of exercise under BFR, in combination with a brace, could serve as an alternative treatment for participants with acute or subacute complete ACL tears, potentially reducing recovery time or even avoiding surgery. [31] (10.1186/s13018-025-06285-y)
  • [L5] The technique aims to restore knee stability more isometrically, which can improve the long-term efficacy of the reconstruction and help prevent complications such as osteoarthritis and functional limitations. [32] (10.1016/j.eats.2025.103625)
  • [L4] This pilot case series shows promising short-term results of using UCL repair with internal brace for high-level pitchers with recurrent UCL injury after UCL reconstruction, with excellent return-to-sport and patient-reported outcomes. [33] (10.1177/23259671261422231)
  • [L5] Utilizing an open approach, meniscotibial repair with suture anchors with internal brace augmentation for the MCL repair can provide a strong final construct, and a safe and fast recovery. [34] (10.1016/j.eats.2023.09.013)

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[17] A Codesigned Patient Decision Aid Supports the Decision Quality of Patients Considering Total Knee Arthroplasty: A Randomized Controlled Trial. The Journal of Arthroplasty. 2025. DOI: 10.1016/j.arth.2025.05.104

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[19] Clinical Outcomes of Ulnar Collateral Ligament Repair With Internal Brace Versus Ulnar Collateral Ligament Reconstruction in Competitive Athletes. The American Journal of Sports Medicine. 2025. DOI: 10.1177/03635465251314054

[20] Mid‐frequency electrical muscle stimulation during immobilization may prevent early deltoid muscle atrophy and promote early strength recovery after arthroscopic rotator cuff repair. Knee Surgery, Sports Traumatology, Arthroscopy. 2026. DOI: 10.1002/ksa.70303

[21] Preliminary clinical outcomes of shoelace repair with internal brace for ulnar collateral ligament injuries with chronic avulsion bone fragments in student baseball players. JSES International. 2026. DOI: 10.1016/j.jseint.2026.101649

[22] Outcomes of suture button fixation versus embrace fixation for syndesmotic injury. Journal of Orthopaedic Surgery and Research. 2026. DOI: 10.1186/s13018-025-06620-3

[25] Partial bodyweight-supported squats elicit eccentric contraction of the thigh muscles. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09917-4

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[30] A retrospective analysis of the promoting effect of kinesio taping on the rehabilitation of military personnel with recurrent shoulder dislocation caused by training injury. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09753-6

[31] Conservative treatment using blood flow restriction and brace in individuals with complete anterior cruciate ligament rupture: protocol for a randomised clinical trial. Journal of Orthopaedic Surgery and Research. 2025. DOI: 10.1186/s13018-025-06285-y

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[33] Outcomes of Revision UCL Repair With Internal Brace for Failure of Primary UCL Reconstruction in Professional and Collegiate Baseball Pitchers: A First Look. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/23259671261422231

[34] Open Medial Meniscotibial Ligament Repair With Concomitant Open Superficial Medial Collateral Ligament Repair With Internal Brace Augmentation. Arthroscopy Techniques. 2023. DOI: 10.1016/j.eats.2023.09.013