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John E. Burch, M.D.
JAMA. 1937;108(24):2036-2037. doi:10.1001/jama.1937.92780240003008b.
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During the course of my intern service at Charity Hospital, New Orleans, I came in contact with numerous infections and disorders of the phalanges, both in the surgical wards and in the outpatient dispensaries. I found that, in treating these conditions, immobilization for a short period with the use of a simple finger splint in addition to the usual hypertonic wet dressings shortened the duration and intensity of symptoms and hastened the healing process.

I have done extensive reading among the numerous articles dealing with finger splints, and so far I find that the splint generally used in such conditions is the ordinary tongue depressor. After using this splint several times on miscellaneous infections about the finger tip, I noticed certain disadvantages:

1. The splint was hard and, if applied tightly, became painful to the patient after several hours.

2. It will not conform to a rounded surface, as it


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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