Splinting: Difference between revisions

Revision as of 12:37, 8 November 2015

Fracture	Splint	Disposition
Humeral shaft fracture	U-shaped coaptation splint (upper arm sugar-tong splint) + sling and swathe
Supracondylar fracture	Long Arm Posterior Splint	Ortho consult for Type 2 or 3
Humeral condyle fracture	Long Arm Posterior Splint	ortho for ORIF if displaced
Olecranon fracture	Nondisplaced Sling and Swathe Splint Displaced Long Arm Posterior Splint or emerg. ORIF

Fracture	Splint	Disposition
Radial head fracture	Nondisplaced Sling and Swathe Splint Displaced Long Arm Posterior Splint or emerg. ORIF
Monteggia fracture-dislocation (ulnar shaft w/prox radioulnar disloc)		Emergent ortho for ORIF
Galeazzi fracture (distal radius w/distal ulnar disloc)		Emerg. ortho for ORIF
Elbow dislocation	Long arm posterior splint after reduction	If associated fracture emergent ortho consult
Forearm fracture	Sugar Tong Splint
Colle's fracture (distal radius with dist dorsal angulation)	Sugar Tong Splint
Smith fracture (reverse colles w/ volar angulation)	Sugar Tong Splint

Fracture	Splint	Disposition
Flexor tendon injury	Finger Splint	hand specialist referral
Extensor tendon injury	Poss ED repair + Finger Splint	hand specialist referral
Mallet Finger	Finger Splint to DIP (DIP in slight hyperextension)
Gamekeeper's Thumb	Thumb Spica Splint
Scaphoid Fracture	Thumb Spica Splint

Authors:

@@ Line 85: / Line 85: @@
 ===Hand===
-*Flexor tendon injury
+{| {{table}}
-**[[Finger Splint]] + hand specialist ref.
+| align="center" style="background:#f0f0f0;"|'''Fracture'''
-*Extensor tendon injury
+| align="center" style="background:#f0f0f0;"|'''Splint'''
-**Poss ED repair + [[Finger Splint]] to hand specialist
+| align="center" style="background:#f0f0f0;"|'''Disposition'''
-*[[Mallet Finger]]
+|-
-**[[Finger Splint]] to DIP (DIP in slight hyperextension)
+|Flexor tendon injury
-*[[Gamekeeper's Thumb]]
+|[[Finger Splint]]
-**[[Thumb Spica Splint]]
+|hand specialist referral
-*[[Scaphoid Fracture]]
+|-
-**[[Thumb Spica Splint]]
+|Extensor tendon injury
+|Poss ED repair + [[Finger Splint]]
+|hand specialist referral
+|-
+|[[Mallet Finger]]
+|[[Finger Splint]] to DIP (DIP in slight hyperextension)
+|
+|-
+|[[Gamekeeper's Thumb]]
+|[[Thumb Spica Splint]]
+|
+|-
+|[[Scaphoid Fracture]]
+|[[Thumb Spica Splint]]
+|
+|-
+|
+|
+|
+|-
+|
+|
+|
+|-
+|
+|
+|
+|}
 *Carpal Fracture
 **[[Forearm Volar Splint|Volar Splint]]