Splinting: Difference between revisions

Revision as of 12:41, 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
Carpal Fracture	Volar Splint
Bennet's Fracture (intrarticular Fx at base of 1st MCP)	Thumb Spica Splint
Rolando Fracture (comminuted base of 1st MCP)	Thumb Spica Splint
Boxer's Fracture	Ulnar Gutter Splint
4th and 5th MCP Fracture	Ulnar Gutter Splint
2nd and 3rd MCP Fracture	Radial Gutter Splint
Finger (Phalanx) Fracture	Finger Splint or Buddy Tape

Authors:

@@ Line 110: / Line 110: @@
 |
 |-
+|Carpal Fracture
+|[[Forearm Volar Splint|Volar Splint]]
 |
+|-
+|[[Bennet's Fracture]] (intrarticular Fx at base of 1st MCP)
+|[[Thumb Spica Splint]]
 |
+|-
+|Rolando Fracture (comminuted base of 1st MCP)
+|[[Thumb Spica Splint]]
 |
 |-
+|[[Boxer's Fracture]]
+|[[Ulnar Gutter Splint]]
 |
+|-
+|4th and 5th MCP Fracture
+|[[Ulnar Gutter Splint]]
 |
+|-
+|2nd and 3rd MCP Fracture
+|[[Radial Gutter Splint]]
 |
 |-
-|
+|[[Finger (Phalanx) Fracture]]
-|
+|[[Finger Splint]] or [[Buddy Tape]]
 |
 |}
-*Carpal Fracture
-**[[Forearm Volar Splint|Volar Splint]]
-*[[Bennet's Fracture]] (intrarticular Fx at base of 1st MCP)
-**[[Thumb Spica Splint]]
-*Rolando Fracture (comminuted base of 1st MCP)
-**[[Thumb Spica Splint]]
-*[[Boxer's Fracture]]
-**[[Ulnar Gutter Splint]]
-*MCP Fracture
-**4th and 5th
-***[[Ulnar Gutter Splint]]
-**2nd and 3rd
-***[[Radial Gutter Splint]]
-*[[Finger (Phalanx) Fracture]]
-**[[Finger Splint]] or [[Buddy Tape]]
 ==Lower Extremity==