Radial gutter splint: Difference between revisions

Revision as of 20:05, 10 May 2023

Phalangeal and metacarpal fracture or and soft tissue injuries of the 2nd and 3rd digits.

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

Apply padding and splint material as shown in figure
Splint course:^[1]
- From radial forearm
- Along radial aspect of forearm
- To beyond DIP of index finger, with thumb free
Key anatomic positions
- Wrist slight extension (approximately 20°)
- MCP flexed 70-90 degrees, with the DIP and PIP in slight flexion ^[1]

↑ ^1.0 ^1.1 ^1.2 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

Authors:

@@ Line 7: / Line 7: @@
 ==Procedure==
 [[File:Radial Gutter3.gif|thumb]]
+{{Splint Application General Procedure}}
-*Assess distal pulse, motor, and sensation
+===Splint-Specific Details===
-*Apply padding and splint material (e.g. Ortho-glass) as shown to radial aspect of forearm
+*Apply padding and splint material as shown in figure
-**Splint runs from radial forearm to beyond DIP of index finger, with thumb free
+*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>
-**Wrist should be placed in slight extension (approximately 20°) and MCP should be flexed 70-90 degrees, with the DIP and PIP in slight flexion <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods
+**From radial forearm
+**Along radial aspect of forearm
+**To beyond DIP of index finger, with thumb free
+*Key anatomic positions
+**Wrist slight extension (approximately 20°)
+**MCP flexed 70-90 degrees, with the DIP and PIP in slight flexion <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 6, 2017</ref>
-*Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
-*Reassess distal pulse, motor, and sensation
 ==See Also==