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Ulnar gutter splint
From WikEM
(Redirected from Ulnar Gutter Splint)
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
