Long arm posterior splint: Difference between revisions
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==Indications== | ==Indications== | ||
*Elbow and forearm injuries | *Elbow and forearm injuries | ||
**Distal humerus fracture | **[[Olecranon fracture]] | ||
**Both-bone forearm fracture | **[[Distal humerus fracture]] | ||
**Unstable proximal radius or ulna fracture (sugar-tong better) | **[[Both-bone forearm fracture]] | ||
**Unstable proximal radius or [[ulna fracture]] ([[sugar-tong]] better) | |||
==Procedure== | ==Procedure== | ||
[[File:Long Arm Posterior Splint.gif|thumb]] | [[File:Long Arm Posterior Splint.gif|thumb|Long arm posterior splint]] | ||
{{Splint Application General Procedure}} | |||
===Splint-Specific Details=== | |||
*Apply padding and splint material | *Apply padding and splint material as shown in figure | ||
*Splint course:<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> | **From proximal palmar crease along ulna | ||
** | **Following the ulnar forearm | ||
* | **Posterior side of flexed elbow | ||
**Posterior proximal arm (3 inches away from axilla) | |||
*Key anatomic positions | |||
**Elbow at 90º | |||
**Forearm in neutral position with thumb up | |||
**Wrist neutral or slightly extended (10–20º) | |||
==See Also== | ==See Also== | ||
Latest revision as of 22:21, 3 May 2023
Background
- Doesn’t completely eliminate supination / pronation
- Either add an anterior splint or use a double sugar tong splint if complex or unstable distal forearm fracture
Indications
- Elbow and forearm injuries
- Olecranon fracture
- Distal humerus fracture
- Both-bone forearm fracture
- Unstable proximal radius or ulna fracture (sugar-tong better)
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
- Splint course:[1]
- From proximal palmar crease along ulna
- Following the ulnar forearm
- Posterior side of flexed elbow
- Posterior proximal arm (3 inches away from axilla)
- Key anatomic positions
- Elbow at 90º
- Forearm in neutral position with thumb up
- Wrist neutral or slightly extended (10–20º)
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