Forearm volar splint: Difference between revisions
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==Procedure== | ==Procedure== | ||
[[File:Forearm Volar Splint.gif|thumb]] | [[File:Forearm Volar Splint.gif|thumb]] | ||
{{Splint Application General Procedure}} | |||
===Splint-Specific Details=== | |||
*Splint should run from dorsal or volar mid-forearm to the distal palmar crease <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods | |||
http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref> | http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref> | ||
**Wrist should be placed in slight extension (approximately 20°) | **Wrist should be placed in slight extension (approximately 20°) | ||
==See Also== | ==See Also== | ||
Revision as of 21:59, 3 May 2023
Background
- May add a dorsal splint for increased stability (‘sandwich splint’)
- Not used for distal radius or ulnar fracture because this splint allows for supination and pronation
Indications
- Soft tissue hand / wrist injuries - sprain, carpal tunnel night splints, etc
- Most wrist fractures, 2nd -5th metacarpal fracture
Procedure
Splint Application General Procedure
- Assess pre-procedure neurovascular status (i.e., distal pulse, motor, and sensation) [1]
- Measure and prepare the splinting material
- May use contralateral extremity if easier
- Most splints use a width slightly greater than the diameter of the limb
- Apply stockinette (if applicable)
- Extend 2" beyond estimated the splinting material length
- Apply padding (if applicable)
- Use 2–3 layers over the area to be splinted / between digits (when applicable)
- Add an extra 2–3 layers over bony prominences
- Apply splinting material
- Lightly moisten the splinting material.
- Place as appropriate to specific splint type
- Once finished, if applicable fold the ends of stockinette back over the splinting material if there is excess
- Apply elastic bandaging (e.g., ace wrap)
- While still wet
- May further mold the splint to the desired shape
- Maintain position until splint material has hardened
- Re-check and document repeat neurovascular status
Splint-Specific Details
- Splint should run from dorsal or volar mid-forearm to the distal palmar crease [1]
- Wrist should be placed in slight extension (approximately 20°)
See Also
References
- ↑ 1.0 1.1 Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017 Cite error: Invalid
<ref>tag; name "Splints and Casts: Indications and Methods" defined multiple times with different content