Gutter Splint Phalanx Fracture
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The following video demonstrates how to set an ulnar gutter splint.
Gutter splint phalanx fracture. A majority of non displaced fractures of the distal phalanx can be splinted with the dip joint in extension for 3 4 weeks. Add an extra 2 3 layers over bony prominences. Apply 2 3 layers of padding over the area to be splinted and between digits being splinted. Proximal phalanx fractures are often unstable with apex volar angulation and shortening.
Use of a short arm radial gutter splint is recommended for initial immobilization of a displaced distal radial fracture. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. Ulnar gutter or buddy taping acceptable if the injury is a non displaced fracture through the phalangeal shaft distal phalanx fracture aluminum u shaped splint. Most non displaced proximal phalangeal fractures can be managed with a splint or even buddy taping figure 5.
Proximal phalanx fracture management rom initiated per doctors orders and or at 2 4 weeks with splint utilized up to 6 weeks. It is from the elbow down to hand including two fingers. 1 3 the interosseous muscles pull the proximal fracture fragment into flexion while the extensor apparatus pulls the distal fragment into extension 1 5. Lightly moisten the splinting material.
Slightly greater than the diameter of the limb apply the stockinette to extend 2 beyond the splinting material. The doctor says he splinted with a ulnar gutter splint. Buddy taping to treat a non displaced proximal phalangeal fracture. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip.
Immobilize wrist and finger for proximal middle phalanx fractures. Fracture proximal middle phalanx of finger. A patient came in with a fracture to the middle phlanx of finger. Splinter has a great summary of splinting information.
Used for the following conditions. Fractures of the distal phalanx tuft fractures are treated by caring for the accompanying soft tissue injury and splinting of the finger to prevent further discomfort or injury.
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