Radial gutter splint: Difference between revisions
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==Background== | ==Background== | ||
*Prevents flexion/extension of the 2nd/3rd DIP, PIP, MCP, and wrist joints | |||
==Indications== | ==Indications== | ||
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*Assess distal pulse, motor, and sensation | *Assess distal pulse, motor, and sensation | ||
*Apply padding and splint material (e.g. Ortho-glass) as shown to radial aspect of forearm | *Apply padding and splint material (e.g. Ortho-glass) as shown to radial aspect of forearm | ||
**Wrist should be placed in slight extension (approximately 20°) and MCP should be flexed | **Splint runs from radial forearm to beyond DIP of index finger, with thumb free | ||
**Wrist should be placed in slight extension (approximately 20°) and MCP should be flexed 70-90 degrees, with the DIP and PIP in slight flexion <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods | |||
http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref> | |||
*Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps) | *Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps) | ||
*Reassess distal pulse, motor, and sensation | *Reassess distal pulse, motor, and sensation | ||
Revision as of 14:51, 6 April 2017
Background
- Prevents flexion/extension of the 2nd/3rd DIP, PIP, MCP, and wrist joints
Indications
- Phalangeal and metacarpal fracture or and soft tissue injuries of the 2nd and 3rd digits.
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown to radial aspect of forearm
- Splint runs from radial forearm to beyond DIP of index finger, with thumb free
- Wrist should be placed in slight extension (approximately 20°) and MCP should be flexed 70-90 degrees, with the DIP and PIP in slight flexion [1]
- Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
- Reassess distal pulse, motor, and sensation
See Also
References
- ↑ Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017
