ORDERING INFORMATION THUMB INJURIESMANAGEMENT SOLUTIONS FOR ACUTE AND CHRONIC DISORDERSActimove® Rhizo Forte

Size REF Left REF Right Suggested HCPCS Codes

S 13/4" – 21/8" 7623801 7623800 L3923/L3924

M 21/8" – 21/2" 7623803 7623802 L3923/L3924

L 21/2" – 27/8" 7623805 7623804 L3923/L3924

BSN medical Inc. 5825 Carnegie Blvd. Charlotte, NC 28209-4633Tel. (+1) 704 554 9933 Fax (+1) 704 358 4558 www.bsnmedical.comTo order toll-free: BSN medical (+1) 800 552 1157

62416 RN © 2016 BSN medical Inc. REV 01/16

Please refer to the product label and/or package insert for full instructions on the safe use of these products.

REIMBURSEMENT DISCLAIMER

Each provider will have to verify the appropriate codes for each patient. It is the provider’s sole responsibility to determine and submit appropriate codes, charges, and modifiers for services rendered. Providers should contact insurers to verify correct coding procedures prior to submitting claims related to any product or service. BSN medical Inc. cannot guarantee coverage or reimbursement with the codes listed in this document. In all cases, providers will need to follow local payer policies for billing and reimbursement.

THERAPIES. HAND IN HAND.

Actimove® Manus Forte Plus

Size REF Left REF Right Suggested HCPCS Codes

XS ≤ 51/2" 7349633 7349603 L3809

S/M 51/2" – 71/2" 7349634 7349604 L3809

L/XL 71/2" – 9" 7349636 7349606 L3809

Actimove® Gauntlet

Size (Length) Size (Wrist) REF Left REF Right Suggested HCPCS Codes

S 71/8" < 63/8" 7285910 7285914 L3807/L3809

M 71/8" 63/8" – 73/8" 7285911 7285915 L3807/L3809

L 71/8" 73/8" – 83/8" 7285912 7285916 L3807/L3809

XL 71/8" > 83/8" 7285913 7285917 L3807/L3809

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BACK TO FULL STRENGTH

1 Bani et al. (2013); Becker et al. (2013); Boustedt et al. (2009); Gomes Carreira et al. (2010)

FUNCTIONAL THUMB, ACTIVE LIFEMANAGEMENT OF OAAs OA is a chronic disorder, the therapy goal is to manage symptoms and retain the quality of life for the patient. Acute pain management and inflammation reduction is obtained through medication, such as NSAIDs.

The therapy is often further supported by the use of adequate immobilization devices to rest the CMC joint, such as splints and braces. This way inflam-mation can be reduced and provides long-term durable pain relief and functional improvement.1

In times of reduced pain, wearing braces during daily activities, such as gardening or doing the washing up, can protect the joint from additional stress. Another option is to only wear a brace at night-time for further rest. Using braces that allow for the best combination of functionality and immobilization will improve patient compliance and acceptance.

Surgery may be required when the impact upon the patients’ daily life has become so significant, that it is intolerable and patients no longer respond to other therapies. Most surgical options remove some or all of the arthritic bone and use different techniques to stabilize the joint. Alternatively the total joint is replaced or fused. The procedures are followed by an extended immobilization period with splints, casts or braces. The treatment is rounded off with functional training.

MANAGEMENT OF ACUTE UCL INJURIESThe main goal of managing UCL injuries is to restore the full functionality of the thumb.

The options are selected based on the grade and severity of the injury, as well as other patient related factors, such as physical health and age.

Partial tears can be managed by immobilization only. There is a wide range of devices used, like splints, casts or special thumb braces. The duration of therapy depends on the severity of the injury.

Complete tears are usually treated surgically. Various techniques are used to repair the torn ligament. Post-operative immobilization for up to six weeks is required to protect the surgical site.

After the immobilization period, targeted functional hand training is indicated to regain the mobility and strength of the thumb.

PreventionRehabilitationAcute

Alleviate symptoms and induce healing by:

Regain mobility by: Avoid re-injuries and chronic instabilities by:

• Apply ice to reduce the inflammation and pain

• Immobilization with splint, cast or brace

• Surgical repair if indicated

• Stabilization with braces

• Physiotherapy to improve grip strength

• Range of motion hand exercises

• Orthopaedic Soft Goods

• Physiotherapy

• Taping

• Range of motion hand exercises

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OPTIMAL PRODUCTS FOR RELIABLE IMMOBILIZATIONBSN medical offers a comprehensive portfolio for the management of injuries of thumb. Its products can be used at various stages of therapy for both acute and chronic disorders, and for conservative or post-surgical management. The aim is always to provide the best possible combination between functionality and immobilization for effective pain relief and high patient comfort. BSN’s product range includes comfortable and easy to apply braces.

1 Product usage depending on type and severity of the injury.

UCL injury therapy options

DELTA-CAST® & DELTA-LITE® CAST TAPESComprehensive polyester and fibercast cast tapes for custom fit applications.

ORTHO-GLASS®

Fast, easy and secure splinting system for busy clinics.

ACUTE REHABILITATION PREVENTION

ACTIMOVE® MANUS FORTE PLUSFunctional wrist brace for secure stabilization.

ACTIMOVE® MANUS FORTE PLUSFunctional wrist brace for secure stabilization.

ACTIMOVE® RHIZO FORTE THUMB BRACEUnique, stabilizing thumb brace that maintains daily functionality of the hand.

ACTIMOVE® RHIZO FORTE THUMB BRACEUnique, stabilizing thumb brace that maintains daily functionality of the hand.

LEUKOTAPE® PElastic tape with high adhesive strength for prevention of reinjury.

OA therapy options: Products for best possible daily usability during immobilization1

CHRONIC

ACTIMOVE® GAUNTLETAdjustable wrist brace for stabilization and comfort.

ACTIMOVE® GAUNTLETAdjustable wrist brace for stabilization and comfort.

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THE UNIQUE THUMB BRACEACTIMOVE® RHIZO FORTE

Washable at 30° C for easy hygiene

Preformed aluminium splints, adjustable for perfect fit and wearing comfort

Tubular construction with hook and loop fasteners for easy application with one hand

THE FUNCTIONAL WRIST BRACEACTIMOVE® MANUS FORTE PLUS

Actimove® Rhizo Forte offers the optimal combination of stability and functionality

Biomechanical Study – Stabilization effectiveness and functionality of different thumb CMC OA braces1

Method• 18 females with diagnosed OA of the thumb

• 4 orthoses with different design included

• Stabilization examined by measurement of range of motion at CMC and MCP joints

• Hand functionality was examined by Sollerman test

Results• All orthoses significantly restricted the range of

motion of the thumb compared to the range of motion without external support

• Braces with high rates in functionality offer lower stability

• Braces with high stability impact strongly the functionality

• Actimove® Rhizo Forte offers the best compromise between stability and functionality

Competitor 3

Competitor 2Competitor 1

10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90

Func

tiona

lity

(Fun

ctio

nal s

core

1=

best

)

Stabilization(Reduction range of motion (ROM), CMC and MCP in %)

high

low

0.9

0.8

0.7

0.6

0.5

0.4

0.3

0.2

0.1

highlow

1 Hamann, N., et al., Stabilization effectiveness and functionality of different thumb orthoses in female patients with first carpometacarpal joint osteoarthritis, Clin. Biomech. (2014), http://dx.doi.org/10.1016/j.clinbiomech.2014.09.007 Graphic: Adapted from T. Schmeltzpfenning et al. (2015): A COMPARATIVE BIOMECHANICAL STUDY ON THE FUNCTIONALITY OF DIFFERENT ORTHOTIC CONCEPTS IN PATIENTS WITH CARPOMETACARPAL OSTEOARTHRITIS. XXV Congress of the International Society of Biomechanics; Glasgow.

Actimove® Manus Forte Plus offers optimized stability of the wrist and thumb supporting targeted pain relief and healing. It is anatomically shaped, leaving the fingers unrestrained for optimal usability. Made from highly breathable material, the patient’s skin remains cool for high wearing comfort.

Actimove® Rhizo Forte

OptimalCombination

Indications

• Painful conditions and irritations of the thumb joints (e. g., thumb osteoarthritis)

• Rheumatoid arthritis

• Ulnar collateral ligament injuries of the MCP 1 joint (e. g., skier’s thumb)

• Soft tissue injuries (sprains)

• Ligament instability

• Post-operative immobilization

Actimove® Rhizo Forte is the one of a kind brace restricting thumb movement while maintaining the daily functionality of the hand. The Red Dot Award winning design ensures the immobilization of the CMC and MCP joint without restricting the movement of the wrist and the other four fingers.

Low profile design with smooth edges for high wearing comfort

Made from materials that are dirt and water repellent for easy hygiene

Moldable aluminium core is easily adjustable for a perfect fit

Indications

• Painful arthrosis and rheumatoid arthritis of the wrist

• Osteoarthritis of the thumb

• Tendovaginitis (inflammation of the tendon sheath)

• After tendon, ligament and soft tissue injuries (sprains)

• Carpal tunnel syndrome

• Post-operative use

Optimal combination of reliable stability, functionality and patient comfort