Long arm posterior splint: Difference between revisions
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==Procedure== | ==Procedure== | ||
[[File:Long Arm Posterior Splint.gif|thumb|Long arm posterior splint]] | [[File:Long Arm Posterior Splint.gif|thumb|Long arm posterior splint]] | ||
{{Splint Application General Procedure}} | |||
===Splint Specific Details=== | |||
*Apply padding and splint material as shown in figure | |||
**, along posterior/ulnar aspect of arm | |||
**Splint should run from proximal palmar crease along ulna, on posterior side of a 90 degree flexed elbow, until 3 inches away from axilla <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°) | |||
*Assess distal pulse, motor, and sensation | *Assess distal pulse, motor, and sensation | ||
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*Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps) | *Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps) | ||
*Reassess distal pulse, motor, and sensation | *Reassess distal pulse, motor, and sensation | ||
CONSTRUCTION | |||
l Start at posterior proximal arm | |||
l Down the ulnar forearm | |||
l End at the metacarpophalangeal joints | |||
APPLICATION | |||
l Cut hole in stockinette for thumb | |||
l Elbow at 90º | |||
l Forearm neutral position with thumb up | |||
l Neutral or slightly extended wrist (10–20º) | |||
==See Also== | ==See Also== | ||
Revision as of 20:57, 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
- , along posterior/ulnar aspect of arm
- Splint should run from proximal palmar crease along ulna, on posterior side of a 90 degree flexed elbow, until 3 inches away from axilla [1]
- Wrist should be placed in slight extension (approximately 20°)
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown, along posterior/ulnar aspect of arm
- Splint should run from proximal palmar crease along ulna, on posterior side of a 90 degree flexed elbow, until 3 inches away from axilla [1]
- Wrist should be placed in slight extension (approximately 20°)
- Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
- Reassess distal pulse, motor, and sensation
CONSTRUCTION
l Start at posterior proximal arm
l Down the ulnar forearm
l End at the metacarpophalangeal joints
APPLICATION
l Cut hole in stockinette for thumb
l Elbow at 90º
l Forearm neutral position with thumb up
l Neutral or slightly extended wrist (10–20º)
See Also
References
- ↑ 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
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