Ulnar gutter splint: Difference between revisions

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==Background==
*Limits flexion/extension of the 4th/5th DIP, PIP, MCP, and wrist joints
==Indications==
==Indications==
*[[Metacarpal fractures]] and soft tissue injuries of 4th and 5th digit
*[[Hand and finger fractures]] and soft tissue injuries of 4th and 5th digit
*Wrist remains slightly extended  (10° to 20°), 4th and 5th MCP at  50° to 90° flexion (the latter for boxer's fracture), DIP/PIP in slight flexion  <ref>Chudnofsky C. Splinting Techniques.In:Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 50, 999-1027.e1</ref>
*[[Boxer's fracture]]
 
==Procedure==
[[File:Ulna Gutter 2.gif|thumb]]


[[File:Ulna Gutter 2.gif]]
*Assess distal pulse, motor, and sensation
*Apply splinting material (e.g. Ortho-glass) as displayed
*Wrist should remain slightly extended  (10° to 20°) with 4th and 5th MCP at  50° to 90° flexion (the latter for [[Boxer's fracture]]) and DIP/PIP in slight flexion<ref>Chudnofsky C. Splinting Techniques.In:Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 50, 999-1027.e1</ref>
*Place padding between 4th and 5th digits to prevent maceration
*Reassess distal pulse, motor, and sensation


==See Also==
==See Also==
[[Splinting]]
*[[Splinting]]


==References==
==References==

Revision as of 14:44, 6 April 2017

Background

  • Limits flexion/extension of the 4th/5th DIP, PIP, MCP, and wrist joints

Indications

Procedure

Ulna Gutter 2.gif
  • Assess distal pulse, motor, and sensation
  • Apply splinting material (e.g. Ortho-glass) as displayed
  • Wrist should remain slightly extended (10° to 20°) with 4th and 5th MCP at 50° to 90° flexion (the latter for Boxer's fracture) and DIP/PIP in slight flexion[1]
  • Place padding between 4th and 5th digits to prevent maceration
  • Reassess distal pulse, motor, and sensation

See Also

References

  1. Chudnofsky C. Splinting Techniques.In:Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 50, 999-1027.e1