Gutter Splint Phalanx Fracture

Custom fabricated ulna gutter intrinsic position splint pip dip joints of finger included purpose.

Gutter splint phalanx fracture.

Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. The following video demonstrates how to set an ulnar gutter splint. A patient came in with a fracture to the middle phlanx of finger. Fracture proximal middle phalanx of finger.

Buddy taping to treat a non displaced proximal phalangeal fracture. 1 3 the interosseous muscles pull the proximal fracture fragment into flexion while the extensor apparatus pulls the distal fragment into extension 1 5. Apply 2 3 layers of padding over the area to be splinted and between digits being splinted. Splinter has a great summary of splinting information.

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. 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. Lightly moisten the splinting material.

A majority of non displaced fractures of the distal phalanx can be splinted with the dip joint in extension for 3 4 weeks. Slightly greater than the diameter of the limb apply the stockinette to extend 2 beyond the splinting material. 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 fracture management rom initiated per doctors orders and or at 2 4 weeks with splint utilized up to 6 weeks.

Proximal phalanx fractures are often unstable with apex volar angulation and shortening. Add an extra 2 3 layers over bony prominences. Used for the following conditions. The doctor says he splinted with a ulnar gutter splint.

Use of a short arm radial gutter splint is recommended for initial immobilization of a displaced distal radial fracture. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip.