Thumb spica splint: Difference between revisions
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==Background== | ==Background== | ||
*Notching the | *Notching the splinting material (shown) prevents buckling when wrapping around thumb. | ||
==Indications== | ==Indications== | ||
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*De Quervain tenosynovitis. | *De Quervain tenosynovitis. | ||
[[File:Thumb Spica.gif]] | ==Procedure== | ||
[[File:Thumb Spica.gif|thumb]] | |||
*Assess distal pulse, motor, and sensation | |||
*Apply padding and splint material (e.g. Ortho-glass) to the radial aspect of the forearm and covering the thumb as shown | |||
**Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can") | |||
*Maintain positioning until splint material hardens and secure splint to forearm | |||
*Reassess distal pulse, motor, and sensation | |||
==See Also== | ==See Also== | ||
[[Splinting]] | *[[Splinting]] | ||
==References== | |||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 05:14, 31 December 2016
Background
- Notching the splinting material (shown) prevents buckling when wrapping around thumb.
Indications
- Scaphoid fracture - seen or suspected (check snuffbox tenderness)
- De Quervain tenosynovitis.
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) to the radial aspect of the forearm and covering the thumb as shown
- Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can")
- Maintain positioning until splint material hardens and secure splint to forearm
- Reassess distal pulse, motor, and sensation