Difference between revisions of "Posterior ankle splint"
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==Background== | ==Background== | ||
| − | |||
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*Also know as "Short-Leg Posterior Splint" | *Also know as "Short-Leg Posterior Splint" | ||
| + | *Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains. | ||
==Indications== | ==Indications== | ||
| − | *Distal tibia/fibula | + | *Distal tibia/fibula fracture |
| + | *Tarsal/metatarsal fracture | ||
*Reduced dislocations | *Reduced dislocations | ||
*Severe sprains | *Severe sprains | ||
| − | * | + | *Achilles tendon rupture (equinus position) |
| − | [[File:Posterior Ankle Splint.gif]] | + | ==Procedure== |
| + | [[File:Posterior Ankle Splint.gif|thumb]] | ||
| + | |||
| + | *Assess distal pulse, motor, and sensation | ||
| + | *Apply padding and splint material (e.g. Ortho-glass) as shown | ||
| + | **If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement | ||
| + | **Flex ankle to 90 degrees unless Achilles tendon rupture | ||
| + | **Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <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> | ||
| + | *Maintain position until splint material hardens and secure to leg (e.g. ace wraps) | ||
| + | *Reassess distal pulse, motor, and sensation | ||
==See Also== | ==See Also== | ||
*[[Splinting]] | *[[Splinting]] | ||
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| − | [[Category: | + | ==References== |
| + | <references/> | ||
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| + | [[Category:Orthopedics]] | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Latest revision as of 00:16, 6 April 2017
Background
- Also know as "Short-Leg Posterior Splint"
- Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains.
Indications
- Distal tibia/fibula fracture
- Tarsal/metatarsal fracture
- Reduced dislocations
- Severe sprains
- Achilles tendon rupture (equinus position)
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown
- If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
- Flex ankle to 90 degrees unless Achilles tendon rupture
- Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve [1]
- Maintain position until splint material hardens and secure to leg (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 5, 2017