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Gutter splint mcp. The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries. The goal of splinting for boutonniere deformity is to maintain pip joint extension while keeping the mcp and dip joints free for about 6 to 8 weeks. Insert a dry gauze or cotton material between the 2nd and 3rd fingers. Splinting mcp s in flexion and ip s extended intrinsic plus positioning safe position forearm based or hand based gutter splint position of mcp joints collateral ligament stablility.
Ulnar gutter splint cast fourth and fifth proximal middle phalangeal shaft fractures and select metacarpal fractures proper positioning of mcp joints at 70 to 90 degrees of flexion pip and dip. 00 30 00 count get it as soon as tue sep 22. Cut out a 3 or 4 inch splint material to the length necessary to immobilize the wrist and mcp joint.
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