Long arm posterior splint: Difference between revisions
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===Splint Specific Details===
===Splint Specific Details===
*Apply padding and splint material as shown in figure
*Apply padding and splint material as shown in figure
**, along posterior/ulnar aspect of arm
*Splint should run along posterior/ulnar aspect of arm<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>
 
**From proximal palmar crease along ulna
**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
**Following the ulnar forearm
http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
**Posterior side of flexed elbow
**Wrist should be placed in slight extension (approximately 20°)
**Posterior proximal arm (3 inches away from axilla)
 
*Key anatomic positions
 
**Elbow at 90º
 
**Forearm neutral position with thumb up
*Assess distal pulse, motor, and sensation
**Wrist neutral or slightly extended (10–20º)
*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 <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°)
*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==
==See Also==

Revision as of 21:35, 3 May 2023

Background

Indications

Procedure

Long arm posterior splint

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 should run along posterior/ulnar aspect of arm[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 neutral position with thumb up
    • Wrist neutral or slightly extended (10–20º)

See Also

References

  1. ↑ 1.0 1.1 Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017
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