Hand Based Radial Gutter Splint Pattern

Radial gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx l include the 4th and 5th digits application l hand in position of function l forearm in neutral position.

Hand based radial gutter splint pattern.

Radial gutter thumb spica. Same position of hand for thumb spica. Forearm length h. This molded orthosis is designed to provide fit and support.

Place hand pronated on flat surface. Elbow crease f. Extend out 1 4 and down 1 4 for thumb mp g. Trick of the trade.

Radial side of thumb ip e. Mps digits 2 5 cd. Jim wagner otd otr l cht cpam cscs cktp. This splint is the equivalent of the ulnar gutter splint except that is placed along the radial aspect of the wrist and sandwiches the 2nd and 3rd fingers.

The hand based radial gutter brace is used to stabilize fractures to the 2nd and or 3rd metacarpals or phalanges. Splint orthotics hand therapy specialists hand based radial gutter activities of daily living activities for adults therapy activities nanny activities nbcot exam prep occupational therapy schools orthotics and prosthetics hand surgery pediatric ot. Application of a radial gutter splint can result in compression of the median nerve which provides sensory function to the palmar side of the thumb and second and third digits and the lateral half. The radial gutter portion of the hand based radial gutter brace allows the caregiver to achieve greater than 70 of flexion at the mcp joints of the 2nd and 3rd digits.

The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries. This splint gets its name. Wrist joints ab. The splint may be hand based or wrist based depending on the person s diagnosis the anatomic structures involved and the associated pain at the wrist.

Extend 1 2 down and out from 5th mp i. Radial gutter splints are used for fractures and severe sprains to the second and third metacarpals and phalanges pointer and middle fingers. It can be a volar dorsal or radial gutter.