Ulnar gutter splint: Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Ortho" to "Category:Orthopedics") |
(background) |
||
(One intermediate revision by one other user not shown) | |||
Line 1: | Line 1: | ||
==Background== | |||
*Limits flexion/extension of the 4th/5th DIP, PIP, MCP, and wrist joints | |||
==Indications== | ==Indications== | ||
*[[ | *[[Hand and finger fractures]] and soft tissue injuries of 4th and 5th digit | ||
* | *[[Boxer's fracture]] | ||
==Procedure== | |||
[[File:Ulna Gutter 2.gif|thumb]] | |||
[[ | *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
- Hand and finger fractures and soft tissue injuries of 4th and 5th digit
- Boxer's fracture
Procedure
- 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
- ↑ Chudnofsky C. Splinting Techniques.In:Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 50, 999-1027.e1