Abstract
McBride et al describe an innovative method that simplifies plaster immobilisation of the thumb but could be improved by limiting the distal extent of the dressings to allow unrestrained mobilisation of the finger metacarpophalangeal (MCP) joints. Although the plaster component of the dressing appears to stop at the MCP joint crease of the index and middle fingers (Fig 3 of McBride et al's technical note), the wool and crepe dressings extend well beyond the MCP joint crease on all rays (Fig 4 of McBride et al's technical note). This is unnecessary and impedes flexion of the MCP joint, which may ultimately cause stiffness and a reduced range of motion.
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