Splinting: Difference between revisions

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==Upper Extremity==
==Upper Extremity==
===Humerous===
===Humerous===
#Humeral shaft fracture
#[[Humeral Shaft Fracture]]
##[[Long Arm Posterior Splint]] or stable-coaptation splint/unstable-elephant ear
##[[Long Arm Posterior Splint]] or stable-coaptation splint/unstable-elephant ear
#Supracondylar humeral fracture
#[[Supracondylar Humeral Fracture]]
##[[Long Arm Posterior Splint]] (ortho consult for Type 2 or 3)
##[[Long Arm Posterior Splint]] (ortho consult for Type 2 or 3)
#Humeral condyle fracture
#Humeral condyle fracture
##[[Long Arm Posterior Splint]] and ortho for ORIF if displaced
##[[Long Arm Posterior Splint]] and ortho for ORIF if displaced
#Olecranon fracture
#Olecranon Fracture
##Nondisplaced
##Nondisplaced
###[[Sling and Swathe Splint]]
###[[Sling and Swathe Splint]]
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#Galeazzi Fracture (distal radius w/distal ulnar disloc)
#Galeazzi Fracture (distal radius w/distal ulnar disloc)
##Emerg. ortho for ORIF
##Emerg. ortho for ORIF
#Elbow dislocation
#[[Elbow Dislocation]]
##[[Long Arm Posterior Splint]] after reduction (if assoc. Fx-emerg. ortho)
##[[Long Arm Posterior Splint]] after reduction (if assoc. Fx-emerg. ortho)
#Forearm Fracture
#[[Forearm Fracture]]
##[[Sugar Tong Splint]]
##[[Sugar Tong Splint]]
#Colle's Fracture (distal radius with dist dorsal angulation)
#[[Colle's Fracture]] (distal radius with dist dorsal angulation)
##[[Sugar Tong Splint]]
##[[Sugar Tong Splint]]
#Smith Fracture (reverse colles w/ volar angulation)
#Smith Fracture (reverse colles w/ volar angulation)
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#Extensor tendon injury
#Extensor tendon injury
##Poss ED repair + [[Finger Splint]] to hand specialist
##Poss ED repair + [[Finger Splint]] to hand specialist
#Mallet finger
#[[Mallet Finger]]
##[[Finger Splint]] to DIP (DIP in slight hyperextension)
##[[Finger Splint]] to DIP (DIP in slight hyperextension)
#Gamekeeper's thumb
#[[Gamekeeper's Thumb]]
##[[Thumb Spica Splint]]
##[[Thumb Spica Splint]]
#Scaphoid Fracture
#[[Scaphoid Fracture]]
##[[Thumb Spica Splint]]
##[[Thumb Spica Splint]]
#Carpal Fracture
#Carpal Fracture
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##2nd and 3rd
##2nd and 3rd
###[[Radial Gutter Splint]]
###[[Radial Gutter Splint]]
#Phalynx Fracture
#[[Phalynx Fracture]]
##[[Finger Splint]] or [[Buddy Tape]]
##[[Finger Splint]] or [[Buddy Tape]]



Revision as of 01:57, 13 January 2014

Types

Treatment

Upper Extremity

Humerous

  1. Humeral Shaft Fracture
    1. Long Arm Posterior Splint or stable-coaptation splint/unstable-elephant ear
  2. Supracondylar Humeral Fracture
    1. Long Arm Posterior Splint (ortho consult for Type 2 or 3)
  3. Humeral condyle fracture
    1. Long Arm Posterior Splint and ortho for ORIF if displaced
  4. Olecranon Fracture
    1. Nondisplaced
      1. Sling and Swathe Splint
    2. Displaced
      1. Long Arm Posterior Splint or emerg. ORIF

Forearm

  1. Radial Head Fracture
    1. Nondisplaced
      1. Sling and Swathe Splint
    2. Displaced
      1. Long Arm Posterior Splint or emerg. ORIF
  2. Monteggia (ulnar shaft w/prox radioulnar disloc)
    1. Emergent ortho for ORIF
  3. Galeazzi Fracture (distal radius w/distal ulnar disloc)
    1. Emerg. ortho for ORIF
  4. Elbow Dislocation
    1. Long Arm Posterior Splint after reduction (if assoc. Fx-emerg. ortho)
  5. Forearm Fracture
    1. Sugar Tong Splint
  6. Colle's Fracture (distal radius with dist dorsal angulation)
    1. Sugar Tong Splint
  7. Smith Fracture (reverse colles w/ volar angulation)
    1. Sugar Tong Splint

Hand

  1. Flexor tendon injury
    1. Finger Splint + hand specialist ref.
  2. Extensor tendon injury
    1. Poss ED repair + Finger Splint to hand specialist
  3. Mallet Finger
    1. Finger Splint to DIP (DIP in slight hyperextension)
  4. Gamekeeper's Thumb
    1. Thumb Spica Splint
  5. Scaphoid Fracture
    1. Thumb Spica Splint
  6. Carpal Fracture
    1. Volar Splint
  7. Bennet's Fracture (intrarticular Fx at base of 1st MCP)
    1. Thumb Spica Splint
  8. Rolando Fracture (comminuted base of 1st MCP)
    1. Thumb Spica Splint
  9. Boxer's Fracture
    1. Ulnar Gutter Splint
  10. MCP Fracture
    1. 4th and 5th
      1. Ulnar Gutter Splint
    2. 2nd and 3rd
      1. Radial Gutter Splint
  11. Phalynx Fracture
    1. Finger Splint or Buddy Tape

Lower Extremity

Source