Gutter Splint Phalanx Fracture

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

Gutter splint phalanx fracture.

Add an extra 2 3 layers over bony prominences. Immobilize wrist and finger for proximal middle phalanx fractures. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip. When i look up a picture of that on the web.

Lightly moisten the splinting material. The following video demonstrates how to set an ulnar gutter splint. Fracture proximal middle phalanx of finger. Proximal phalanx fractures are often unstable with apex volar angulation and shortening.

Splinter has a great summary of splinting information. Proximal phalanx fracture management rom initiated per doctors orders and or at 2 4 weeks with splint utilized up to 6 weeks. Apply 2 3 layers of padding over the area to be splinted and between digits being splinted. 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.

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. A majority of non displaced fractures of the distal phalanx can be splinted with the dip joint in extension for 3 4 weeks. A patient came in with a fracture to the middle phlanx of finger. Buddy taping to treat a non displaced proximal phalangeal fracture.

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. The doctor says he splinted with a ulnar gutter splint. Most non displaced proximal phalangeal fractures can be managed with a splint or even buddy taping figure 5. It is from the elbow down to hand including two fingers.

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.