Splinting: Difference between revisions

Line 9: Line 9:
##LAPS and ortho for ORIF if displaced
##LAPS and ortho for ORIF if displaced
#Olecranon fracture
#Olecranon fracture
##nondisplaced S&S, displaced LAPS or emerg. ORIF
##Nondisplaced S&S, displaced LAPS or emerg. ORIF


===Forearm===
===Forearm===
Line 24: Line 24:
##Sugar tong
##Sugar tong
#Colle's Fx (distal radius with dist dorsal angulation)
#Colle's Fx (distal radius with dist dorsal angulation)
##Sugar tong and ortho f/u
##Sugar tong
#Smith Fx (reverse colles w/ volar angulation)
#Smith Fx (reverse colles w/ volar angulation)
##sugar tong and ortho f/u
##Sugar tong


===Hand===
===Hand===
Line 36: Line 36:
##finger splint to DIP (DIP in slight hyperextension)
##finger splint to DIP (DIP in slight hyperextension)
#Gamekeeper's thumb
#Gamekeeper's thumb
##thumb spica with ortho f/u
##thumb spica
#Scaphoid Fx
#Scaphoid Fx
##Thumb spica splint with ortho f/u
##Thumb spica splint
#Carpal Fx
#Carpal Fx
##volar splint with ortho f/u
##volar splint
#Bennet's Fx (intrarticular Fx at base of 1st MCP)
#Bennet's Fx (intrarticular Fx at base of 1st MCP)
##thumb spica and ortho f/u
##thumb spica
#Rolando Fx (comminuted base of 1st MCP
#Rolando Fx (comminuted base of 1st MCP
##thumb spica and ortho f/u
##thumb spica
#Boxer's Fx
#Boxer's Fx
##Ulnar gutter splint  
##Ulnar gutter splint  

Revision as of 23:17, 6 March 2012

Treatment

Upper Extremity

Humerous

  1. Humeral shaft fracture
    1. LAPS or stable-coaptation splint/unstable-elephant ear
  2. Supracondylar humeral fracture
    1. LAPS (ortho consult for type2 or 3)
  3. Humeral condyle fracture
    1. LAPS and ortho for ORIF if displaced
  4. Olecranon fracture
    1. Nondisplaced S&S, displaced LAPS or emerg. ORIF

Forearm

  1. Radial Head Fx
    1. Nondisplaced S&S
    2. Displaced-LAPS or emerg. ORIF
  2. Monteggia (ulnar shaft w/prox radioulnar disloc)
    1. Emergent ortho for ORIF
  3. Galeazzi Fx (distal radius w/distal ulnar disloc)
    1. Emerg. ortho for ORIF
  4. Elbow dislocation
    1. LAPS after reduction (if assoc. Fx-emerg. ortho)
  5. Forearm Fx
    1. Sugar tong
  6. Colle's Fx (distal radius with dist dorsal angulation)
    1. Sugar tong
  7. Smith Fx (reverse colles w/ volar angulation)
    1. Sugar tong

Hand

  1. Flexor tendon injury
    1. finger splint/hand specialist ref.
  2. Extensor tendon injury
    1. poss ED repair/finger splint to hand specialist
  3. Mallet finger
    1. finger splint to DIP (DIP in slight hyperextension)
  4. Gamekeeper's thumb
    1. thumb spica
  5. Scaphoid Fx
    1. Thumb spica splint
  6. Carpal Fx
    1. volar splint
  7. Bennet's Fx (intrarticular Fx at base of 1st MCP)
    1. thumb spica
  8. Rolando Fx (comminuted base of 1st MCP
    1. thumb spica
  9. Boxer's Fx
    1. Ulnar gutter splint
  10. MCP Fx
    1. Gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)
  11. Phalynx Fx-finger splints with buddy tape

Lower Extremity

Source