Splinting: Difference between revisions

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== Treatment  ==
== Treatment  ==
===Proximal humerus Fx===
==Upper Extremity==
#Humeral shaft Fx<br>
===Hand===
##LAPS or stable-coaptation splint/unstable-elephant ear <br>
 
#Supracondylar humeral Fx<br>
===Forearm===
##LAPS (ortho consult for type2 or 3)<br>
 
#Humeral condyle Fx<br>
 
##LAPS and ortho for ORIF if displaced <br>
===Humerous===
#Olecranon Fx<br>
#Humeral shaft Fx
##nondisplaced S&amp;S, displaced LAPS or emerg. ORIF <br>
##LAPS or stable-coaptation splint/unstable-elephant ear
#Radial Head Fx<br>
#Supracondylar humeral Fx
##nondisplaced S&amp;S,displaced-LAPS or emerg. ORIF <br>
##LAPS (ortho consult for type2 or 3)
#Monteggia (ulnar shaft w/prox radioulnar disloc)-<br>
#Humeral condyle Fx
##Emergent ortho for ORIF <br>
##LAPS and ortho for ORIF if displaced
#Galeazzi Fx (distal radius w/distal ulnar disloc)<br>
#Olecranon Fx
##Emerg. ortho for ORIF <br>
##nondisplaced S&amp;S, displaced LAPS or emerg. ORIF
#Elbow dislocation<br>
#Radial Head Fx
##LAPS after reduction (if assoc. Fx-emerg. ortho) <br>
##nondisplaced S&amp;S,displaced-LAPS or emerg. ORIF
#Forearm Fx<br>
#Monteggia (ulnar shaft w/prox radioulnar disloc)
##sugar tong <br>
##Emergent ortho for ORIF
#Flexor tendon injury<br>
#Galeazzi Fx (distal radius w/distal ulnar disloc)
##finger splint/hand specialist ref. <br>
##Emerg. ortho for ORIF
#Extensor tendon injury<br>
#Elbow dislocation
##poss ED repair/finger splint to hand specialist. <br>
##LAPS after reduction (if assoc. Fx-emerg. ortho)
#Mallet finger<br>
#Forearm Fx
##finger splint to DIP (DIP in slight hyperextension) <br>
##sugar tong
#Gamekeeper's thumb<br>
#Flexor tendon injury
##thumb spica with ortho f/u <br>
##finger splint/hand specialist ref.
#Scaphoid Fx<br>
#Extensor tendon injury
##Thumb spica splint with ortho f/u <br>
##poss ED repair/finger splint to hand specialist
#Carpal Fx<br>
#Mallet finger
##volar splint with ortho f/u <br>
##finger splint to DIP (DIP in slight hyperextension)
#Colle's Fx (distal radius with dist dorsal angulation)<br>
#Gamekeeper's thumb
##sugar tong and ortho f/u <br>
##thumb spica with ortho f/u
#Smith Fx (reverse colles w/ volar angulation)<br>
#Scaphoid Fx
##sugar tong and ortho f/u <br>
##Thumb spica splint with ortho f/u
#Bennet's Fx (intrarticular Fx at base of 1st MCP)<br>
#Carpal Fx
##thumb spica and ortho f/u <br>
##volar splint with ortho f/u
#Rolando Fx (comminuted base of 1st MCP<br>
#Colle's Fx (distal radius with dist dorsal angulation)
##thumb spica and ortho f/u <br>
##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  
#Boxer's Fx-ulnar gutter splint  
##MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)  
##MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)  
#Phalynx Fx-finger splints with buddy tape.
#Phalynx Fx-finger splints with buddy tape
 
==Lower Extremity==


== Source ==
== Source ==


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

Revision as of 23:07, 6 March 2012

Treatment

Upper Extremity

Hand

Forearm

Humerous

  1. Humeral shaft Fx
    1. LAPS or stable-coaptation splint/unstable-elephant ear
  2. Supracondylar humeral Fx
    1. LAPS (ortho consult for type2 or 3)
  3. Humeral condyle Fx
    1. LAPS and ortho for ORIF if displaced
  4. Olecranon Fx
    1. nondisplaced S&S, displaced LAPS or emerg. ORIF
  5. Radial Head Fx
    1. nondisplaced S&S,displaced-LAPS or emerg. ORIF
  6. Monteggia (ulnar shaft w/prox radioulnar disloc)
    1. Emergent ortho for ORIF
  7. Galeazzi Fx (distal radius w/distal ulnar disloc)
    1. Emerg. ortho for ORIF
  8. Elbow dislocation
    1. LAPS after reduction (if assoc. Fx-emerg. ortho)
  9. Forearm Fx
    1. sugar tong
  10. Flexor tendon injury
    1. finger splint/hand specialist ref.
  11. Extensor tendon injury
    1. poss ED repair/finger splint to hand specialist
  12. Mallet finger
    1. finger splint to DIP (DIP in slight hyperextension)
  13. Gamekeeper's thumb
    1. thumb spica with ortho f/u
  14. Scaphoid Fx
    1. Thumb spica splint with ortho f/u
  15. Carpal Fx
    1. volar splint with ortho f/u
  16. Colle's Fx (distal radius with dist dorsal angulation)
    1. sugar tong and ortho f/u
  17. Smith Fx (reverse colles w/ volar angulation)
    1. sugar tong and ortho f/u
  18. Bennet's Fx (intrarticular Fx at base of 1st MCP)
    1. thumb spica and ortho f/u
  19. Rolando Fx (comminuted base of 1st MCP
    1. thumb spica and ortho f/u
  20. Boxer's Fx-ulnar gutter splint
    1. MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)
  21. Phalynx Fx-finger splints with buddy tape

Lower Extremity

Source