Radial gutter splint: Difference between revisions
| Line 15: | Line 15: | ||
**Along radial aspect of forearm | **Along radial aspect of forearm | ||
**To beyond DIP of index finger, with thumb free | **To beyond DIP of index finger, with thumb free | ||
*Key anatomic positions | *Key anatomic positions<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 5, 2017</ref> | ||
**Forearm in neutral position | **Forearm in neutral position | ||
**Wrist slight extension (approximately 20°) | **Wrist slight extension (approximately 20°) | ||
**MCP flexed 50-70 degrees | **MCP flexed 50-70 degrees | ||
**DIP and PIP in slight flexion (5°–10°) | **DIP and PIP in slight flexion (5°–10°) | ||
Latest revision as of 22:47, 10 May 2023
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
Splint Application General Procedure
- Assess pre-procedure neurovascular status (i.e., distal pulse, motor, and sensation) [1]
- Measure and prepare the splinting material
- May use contralateral extremity if easier
- Most splints use a width slightly greater than the diameter of the limb
- Apply stockinette (if applicable)
- Extend 2" beyond estimated the splinting material length
- Apply padding (if applicable)
- Use 2–3 layers over the area to be splinted / between digits (when applicable)
- Add an extra 2–3 layers over bony prominences
- Apply splinting material
- Lightly moisten the splinting material.
- Place as appropriate to specific splint type
- Once finished, if applicable fold the ends of stockinette back over the splinting material if there is excess
- Apply elastic bandaging (e.g., ace wrap)
- While still wet
- May further mold the splint to the desired shape
- Maintain position until splint material has hardened
- Re-check and document repeat neurovascular status
Splint-Specific Details
- Apply padding and splint material as shown in figure
- Splint course:[1]
- From mid radial forearm
- Along radial aspect of forearm
- To beyond DIP of index finger, with thumb free
- Key anatomic positions[1]
- Forearm in neutral position
- Wrist slight extension (approximately 20°)
- MCP flexed 50-70 degrees
- DIP and PIP in slight flexion (5°–10°)
See Also
References
- ↑ 1.0 1.1 1.2 Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017