Secondary injuries caused by ill-suited rehabilitation treatments: Five case reports

Figure 1 Treatment with an improper brace led to secondary deformity and malfunction of both hands. A: Simple fixation in a functional position in the early stage; B: Reduced thumb abduction and flexion; contracture of the metacarpophalangeal joint; C: Alternating use of 2 orthotic devices in functional and straight positions; D: At 4 mo after treatment, flexion of the metacarpophalangeal joint, first web space contracture, and thumb abduction all improved significantly.