Gutter Splint Phalanx Fracture
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Gutter splint phalanx fracture. Splinter has a great summary of splinting information. Custom fabricated ulna gutter intrinsic position splint pip dip joints of finger included purpose. Apply 2 3 layers of padding over the area to be splinted and between digits being splinted. Use of a short arm radial gutter splint is recommended for initial immobilization of a displaced distal radial fracture.
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. Proximal phalanx fractures are often unstable with apex volar angulation and shortening. Lightly moisten the splinting material. Athlete to wear splint that is least confining for protection per doctor and wrapped with approved closed cell foam if reduction not maintained then closed reduction with pinning.
Length of splint is longer for proximal and middle phalanx fracture towards the finger tip. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. Fracture proximal middle phalanx of finger. A patient came in with a fracture to the middle phlanx of finger.
Immobilize wrist and finger for proximal middle phalanx fractures. The doctor says he splinted with a ulnar gutter splint. Proximal phalanx fracture management rom initiated per doctors orders and or at 2 4 weeks with splint utilized up to 6 weeks. Used for the following conditions.
The following video demonstrates how to set an ulnar gutter splint. Buddy taping to treat a non displaced proximal phalangeal fracture. Add an extra 2 3 layers over bony prominences. A majority of non displaced fractures of the distal phalanx can be splinted with the dip joint in extension for 3 4 weeks.
It is from the elbow down to hand including two fingers. 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.
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