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What should I do if my child is able to pull his/her thumb from underneath the thumbguard?

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What should I do if my child is able to pull his/her thumb from underneath the thumbguard?

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A. If your child can remove the appliance, an additional step can be taken. If there is a reasonable amount of space/clearance between the thumb and tube, you can use a piece of ¾” wide non-stretchable (vinyl or silk backing) medical tape to roll several layers around the thumb knuckle to impede the child’s ability to bend the thumb and remove the device. If the child is able to pull his / her thumb from underneath the appliance, then most likely the appliance has not been adjusted properly. This usually occurs regardless of the tightness in the bracelet, but rather, when the bracelet is inserted through the wrong openings in the extensions. – Begin by locating the shortest extension (one of 3 branching out from the tube). It lies parallel to the thumb, which points down toward the wrist. On this extension, locate the openings through which the bracelet is inserted. You must use the next higher opening, the one closer to the ThumbGuard tube. When doing this, make sure the bracelet is s

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