Radial gutter splint

Background

  • Prevents flexion/extension of the 2nd/3rd DIP, PIP, MCP, and wrist joints

Indications

  • Phalangeal and metacarpal fracture or and soft tissue injuries of the 2nd and 3rd digits.

Procedure

Radial Gutter3.gif
  • Assess distal pulse, motor, and sensation
  • Apply padding and splint material (e.g. Ortho-glass) as shown to radial aspect of forearm
    • Splint runs from radial forearm to beyond DIP of index finger, with thumb free
    • Wrist should be placed in slight extension (approximately 20°) and MCP should be flexed 70-90 degrees, with the DIP and PIP in slight flexion [1]
  • Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
  • Reassess distal pulse, motor, and sensation

See Also

References

  1. Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017