Posterior ankle splint: Difference between revisions
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==Indications== | ==Indications== | ||
*[[Distal tibia/fibula]] | *[[Ankle fracture|Distal tibia/fibula fracture]] | ||
*[[ | *[[Foot and toe fractures|Tarsal]]/[[metatarsal fracture]] | ||
*Reduced [[ankle dislocation]] | *Reduced [[ankle dislocation]] | ||
*Severe | *Severe [[ankle sprain]] | ||
*[[Achilles tendon rupture]] (equinus position) | *[[Achilles tendon rupture]] (equinus position) | ||
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[[File:Posterior Ankle Splint.gif|thumb]] | [[File:Posterior Ankle Splint.gif|thumb]] | ||
{{Splint Application General Procedure}} | |||
*Apply padding and splint material | |||
**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement | ===Splint-Specific Details=== | ||
** | *Apply padding and splint material as shown in figure | ||
** | **If patient can tolerate prone position and flexing knee to 90 degrees, it will help with placement | ||
**If combining with [[ankle stirrup splint]], place posterior ankle splint first | |||
* | *Splint course: | ||
**Start at plantar surface of the great toe or metatarsal heads | |||
**Extend along posterior lower leg | |||
**End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) <ref name="Splints and Casts: Indications and Methods"></ref> | |||
*Key anatomic positions | |||
**Flex ankle to 90 degrees (unless [[Achilles tendon rupture]]) | |||
==See Also== | ==See Also== | ||
Latest revision as of 19:21, 20 September 2023
Background
- Also know as "Short-Leg Posterior Splint"
- Adding a coaptation splint (i.e., combining with an ankle stirrup splint) eliminates inversion / eversion
- Especially useful for unstable fracture and sprains
Indications
- Distal tibia/fibula fracture
- Tarsal/metatarsal fracture
- Reduced ankle dislocation
- Severe ankle sprain
- Achilles tendon rupture (equinus position)
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
- Apply padding and splint material as shown in figure
- If patient can tolerate prone position and flexing knee to 90 degrees, it will help with placement
- If combining with ankle stirrup splint, place posterior ankle splint first
- Splint course:
- Start at plantar surface of the great toe or metatarsal heads
- Extend along posterior lower leg
- End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) [1]
- Key anatomic positions
- Flex ankle to 90 degrees (unless Achilles tendon rupture)
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