Splinting: Difference between revisions
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| align="center" style="background:#f0f0f0;"|'''Disposition''' | | align="center" style="background:#f0f0f0;"|'''Disposition''' | ||
|- | |- | ||
|Flexor tendon injury | |[[Flexor tendon injury]] | ||
|[[Finger Splint]] | |[[Finger Splint]] | ||
|hand specialist referral | |hand specialist referral | ||
|- | |- | ||
|Extensor tendon injury | |[[Extensor tendon injury]] | ||
|Poss ED repair + [[Finger Splint]] | |Poss ED repair + [[Finger Splint]] | ||
|hand specialist referral | |hand specialist referral | ||
|- | |- | ||
|[[Mallet | |[[Mallet finger]] | ||
|[[Finger Splint]] to DIP (DIP in slight hyperextension) | |[[Finger Splint]] to DIP (DIP in slight hyperextension) | ||
| | | | ||
|- | |- | ||
|[[Gamekeeper's | |[[Gamekeeper's thumb]] | ||
|[[Thumb Spica Splint]] | |[[Thumb Spica Splint]] | ||
| | | | ||
|- | |- | ||
|[[Scaphoid | |[[Scaphoid fracture]] | ||
|[[Thumb Spica Splint]] | |[[Thumb Spica Splint]] | ||
| | | | ||
|- | |- | ||
|Carpal | |[[Carpal fracture]] | ||
|[[Forearm Volar Splint|Volar Splint]] | |[[Forearm Volar Splint|Volar Splint]] | ||
| | | | ||
|- | |- | ||
|[[Bennet's | |[[Bennet's fracture]] (intrarticular fracture at base of 1st MCP) | ||
|[[Thumb Spica Splint]] | |[[Thumb Spica Splint]] | ||
| | | | ||
|- | |- | ||
|Rolando | |[[Rolando fracture]] (comminuted base of 1st MCP) | ||
|[[Thumb Spica Splint]] | |[[Thumb Spica Splint]] | ||
| | | | ||
|- | |- | ||
|[[Boxer's | |[[Boxer's fracture]] | ||
|[[Ulnar Gutter Splint]] | |[[Ulnar Gutter Splint]] | ||
| | | | ||
|- | |- | ||
|4th and 5th MCP | |4th and 5th [[MCP fracture]] | ||
|[[Ulnar Gutter Splint]] | |[[Ulnar Gutter Splint]] | ||
| | | | ||
|- | |- | ||
|2nd and 3rd MCP | |2nd and 3rd [[MCP fracture]] | ||
|[[Radial Gutter Splint]] | |[[Radial Gutter Splint]] | ||
| | | | ||
Revision as of 12:42, 8 November 2015
Types
- Hand
- Arm
- Leg
Upper Extremity
Humerus
| Fracture | Splint | Disposition |
| Humeral shaft fracture |
|
|
| Supracondylar fracture | Long Arm Posterior Splint | Ortho consult for Type 2 or 3 |
| Humeral condyle fracture | Long Arm Posterior Splint | ortho for ORIF if displaced |
| Olecranon fracture |
Nondisplaced Displaced
|
Forearm
| Fracture | Splint | Disposition |
| Radial head fracture |
Nondisplaced Displaced
|
|
| Monteggia fracture-dislocation (ulnar shaft w/prox radioulnar disloc) | Emergent ortho for ORIF | |
| Galeazzi fracture (distal radius w/distal ulnar disloc) | Emerg. ortho for ORIF | |
| Elbow dislocation | Long arm posterior splint after reduction | If associated fracture emergent ortho consult |
| Forearm fracture | Sugar Tong Splint | |
| Colle's fracture (distal radius with dist dorsal angulation) | Sugar Tong Splint | |
| Smith fracture (reverse colles w/ volar angulation) | Sugar Tong Splint |
Hand
| Fracture | Splint | Disposition |
| Flexor tendon injury | Finger Splint | hand specialist referral |
| Extensor tendon injury | Poss ED repair + Finger Splint | hand specialist referral |
| Mallet finger | Finger Splint to DIP (DIP in slight hyperextension) | |
| Gamekeeper's thumb | Thumb Spica Splint | |
| Scaphoid fracture | Thumb Spica Splint | |
| Carpal fracture | Volar Splint | |
| Bennet's fracture (intrarticular fracture at base of 1st MCP) | Thumb Spica Splint | |
| Rolando fracture (comminuted base of 1st MCP) | Thumb Spica Splint | |
| Boxer's fracture | Ulnar Gutter Splint | |
| 4th and 5th MCP fracture | Ulnar Gutter Splint | |
| 2nd and 3rd MCP fracture | Radial Gutter Splint | |
| Finger (Phalanx) Fracture | Finger Splint or Buddy Tape |