Splinting: Difference between revisions
| Line 1: | Line 1: | ||
== Treatment == | == Treatment == | ||
==Upper Extremity== | ==Upper Extremity== | ||
===Humerous=== | ===Humerous=== | ||
#Humeral shaft Fx | #Humeral shaft Fx | ||
| Line 15: | Line 10: | ||
#Olecranon Fx | #Olecranon Fx | ||
##nondisplaced S&S, displaced LAPS or emerg. ORIF | ##nondisplaced S&S, displaced LAPS or emerg. ORIF | ||
===Forearm=== | |||
#Radial Head Fx | #Radial Head Fx | ||
##nondisplaced S&S,displaced-LAPS or emerg. ORIF | ##nondisplaced S&S,displaced-LAPS or emerg. ORIF | ||
| Line 25: | Line 22: | ||
#Forearm Fx | #Forearm Fx | ||
##sugar tong | ##sugar tong | ||
#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 | |||
===Hand=== | |||
#Flexor tendon injury | #Flexor tendon injury | ||
##finger splint/hand specialist ref. | ##finger splint/hand specialist ref. | ||
| Line 37: | Line 40: | ||
#Carpal Fx | #Carpal Fx | ||
##volar splint with ortho f/u | ##volar splint with ortho f/u | ||
#Bennet's Fx (intrarticular Fx at base of 1st MCP) | #Bennet's Fx (intrarticular Fx at base of 1st MCP) | ||
##thumb spica and ortho f/u | ##thumb spica and ortho f/u | ||
Revision as of 23:09, 6 March 2012
Treatment
Upper Extremity
Humerous
- 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
Forearm
- 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
- 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
Hand
- 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
- 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