Splinting: Difference between revisions

(Created page with "==Treatment== roximal humerus Fx-S&S Humeral shaft Fx-LAPS or stable-coaptation splint/unstable-elephant ear Supracondylar humeral Fx-LAPS (ortho consult for type2 or 3...")
 
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==Treatment==
== Treatment ==


{| cellspacing="1" cellpadding="1" border="1" width="200"
|-
| Proximal humerus Fx<br>
| S&amp;S<br>
|-
| Humeral shaft Fx<br>
| LAPS or stable-coaptation splint/unstable-elephant ear <br>
|-
| Supracondylar humeral Fx<br>
| LAPS (ortho consult for type2 or 3)<br>
|-
| Humeral condyle Fx<br>
| LAPS and ortho for ORIF if displaced <br>
|-
| Olecranon Fx<br>
| nondisplaced S&amp;S, displaced LAPS or emerg. ORIF <br>
|-
| Radial Head Fx<br>
| nondisplaced S&amp;S,displaced-LAPS or emerg. ORIF <br>
|-
| Monteggia (ulnar shaft w/prox radioulnar disloc)-<br>
| Emergent ortho for ORIF <br>
|-
| Galeazzi Fx (distal radius w/distal ulnar disloc)<br>
| Emerg. ortho for ORIF <br>
|-
| Elbow dislocation<br>
| LAPS after reduction (if assoc. Fx-emerg. ortho) <br>
|-
| Forearm Fx<br>
| sugar tong <br>
|-
| Flexor tendon injury<br>
| finger splint/hand specialist ref. <br>
|-
| Extensor tendon injury<br>
| poss ED repair/finger splint to hand specialist. <br>
|-
| Mallet finger<br>
| finger splint to DIP (DIP in slight hyperextension) <br>
|-
| Gamekeeper's thumb<br>
| thumb spica with ortho f/u <br>
|-
| Scaphoid Fx<br>
| Thumb spica splint with ortho f/u <br>
|-
| Carpal Fx<br>
| volar splint with ortho f/u <br>
|-
| Colle's Fx (distal radius with dist dorsal angulation)<br>
| sugar tong and ortho f/u <br>
|-
| Smith Fx (reverse colles w/ volar angulation)<br>
| sugar tong and ortho f/u <br>
|-
| Bennet's Fx (intrarticular Fx at base of 1st MCP)<br>
| thumb spica and ortho f/u <br>
|-
| Rolando Fx (comminuted base of 1st MCP<br>
| thumb spica and ortho f/u <br>
|}


roximal humerus Fx-S&S


<br>
Boxer's Fx-ulnar gutter splint


Humeral shaft Fx-LAPS or stable-coaptation splint/unstable-elephant ear
<br>


MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)


Supracondylar humeral Fx-LAPS (ortho consult for type2 or 3)
<br>


Phalynx Fx-finger splints with buddy tape.


Humeral condyle Fx-LAPS and ortho for ORIF if displaced
<br>


*S&amp;S= sling and swathe
 
Olecranon Fx-nondisplaced S&S, displaced LAPS or emerg. ORIF
 
 
Radial Head Fx-nondisplaced S&S,displaced-LAPS or emerg. ORIF
 
 
Monteggia (ulnar shaft w/prox radioulnar disloc)-Emergent ortho for ORIF
 
 
Galeazzi Fx (distal radius w/distal ulnar disloc)-Emerg. ortho for ORIF
 
 
Elbow dislocation-LAPS after reduction (if assoc. Fx-emerg. ortho)
 
 
Forearm Fx-sugar tong
 
 
Flexor tendon injury-finger splint/hand specialist ref.
 
 
Extensor tendon injury-poss ED repair/finger splint to hand specialist.
 
 
Mallet finger-finger splint to DIP (DIP in slight hyperextension)
 
 
Gamekeeper's thumb-thumb spica with ortho f/u
 
 
Scaphoid Fx-Thumb spica splint with ortho f/u
 
 
Carpal Fx-volar splint with ortho f/u
 
 
Colle's Fx (distal radius with dist dorsal angulation)-sugar tong and ortho f/u
 
 
Smith Fx (reverse colles w/ volar angulation)-sugar tong and ortho f/u
 
 
Bennet's Fx (intrarticular Fx at base of 1st MCP)-thumb spica and ortho f/u
 
 
Rolando Fx (comminuted base of 1st MCP-thumb spica and ortho f/u
 
 
Boxer's Fx-ulnar gutter splint
 
 
MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)
 
 
Phalynx Fx-finger splints with buddy tape.
 
 
*S&S= sling and swathe
 
 
==Source==
 
 
(Ayana Herbert 10/03)


<br>


== Source ==


(Ayana Herbert 10/03)


[[Category:Ortho]]
[[Category:Ortho]]

Revision as of 18:58, 14 July 2011

Treatment

Proximal humerus Fx
S&S
Humeral shaft Fx
LAPS or stable-coaptation splint/unstable-elephant ear
Supracondylar humeral Fx
LAPS (ortho consult for type2 or 3)
Humeral condyle Fx
LAPS and ortho for ORIF if displaced
Olecranon Fx
nondisplaced S&S, displaced LAPS or emerg. ORIF
Radial Head Fx
nondisplaced S&S,displaced-LAPS or emerg. ORIF
Monteggia (ulnar shaft w/prox radioulnar disloc)-
Emergent ortho for ORIF
Galeazzi Fx (distal radius w/distal ulnar disloc)
Emerg. ortho for ORIF
Elbow dislocation
LAPS after reduction (if assoc. Fx-emerg. ortho)
Forearm Fx
sugar tong
Flexor tendon injury
finger splint/hand specialist ref.
Extensor tendon injury
poss ED repair/finger splint to hand specialist.
Mallet finger
finger splint to DIP (DIP in slight hyperextension)
Gamekeeper's thumb
thumb spica with ortho f/u
Scaphoid Fx
Thumb spica splint with ortho f/u
Carpal Fx
volar splint with ortho f/u
Colle's Fx (distal radius with dist dorsal angulation)
sugar tong and ortho f/u
Smith Fx (reverse colles w/ volar angulation)
sugar tong and ortho f/u
Bennet's Fx (intrarticular Fx at base of 1st MCP)
thumb spica and ortho f/u
Rolando Fx (comminuted base of 1st MCP
thumb spica and ortho f/u



Boxer's Fx-ulnar gutter splint


MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)


Phalynx Fx-finger splints with buddy tape.


  • S&S= sling and swathe


Source

(Ayana Herbert 10/03)