Wet the fiberglass and place it over the area u0003 to be splinted.
Gutter splint leg.
The mcp joint should be flexed 50 to 90 degrees and the pip and dip joints are extended.
Tightly rolled newspapers or magazines can be used to splint the arm or lower leg.
Add an extra 2 3 layers over bony prominences.
Kori hudson and dr.
Boxer ulnar gutter splint cpt 29125 vs 29130 4 5 splinting material 3 4 wrap indications.
Position of safety hand sling and swathe splint velpeau bandage proximal sugar tong splint distal sugar tong splint long arm splints colles splint volar forearm splint gutter splints thumb spica splint 2 figure of eight splint knee splint posterior leg splint stirrup splint.
Fold the ends of stockinette over the the u0003 fiberglass to smooth the edges of the splint.
Submerge the premeasured fiberglass in unused warm water.
Gutter splints are used for the treatment of phalanx and metacarpal fractures.
Peer reviewed by sports medicine experts dr.
For example a sling on the upper extremity should be position so that the hand is above the level of the elbow.
In this post we summarize some of the most commonly deployed splints in the ed.
While still wet use palms to mold.
4th and 5th metacarpal fractures tips.
Remember to place a piece of padding between the fourth and fifth digits.
A board used as a splint should be at least as wide as the injured part.
Short leg splint common uses tibia fibula fracture ankle fracture metatarsal fracture sugar tong splint common uses colles fracture forearm fracture radial ulnar ulnar gutter splint common uses 5th metacarpal fracture 4th metacarpal fracture volar splint common uses wrist sprains strains carpal tunnel lacerations night splints thumb spica splint.
Apply the elastic bandaging.
It should be long enough to extend beyond the joint above the injury and below the fracture site.
Fractures of the ring and little finger are immobilized in an ulnar gutter splint.
An acceptable alternative is to create a splint without the use of stockinette or circumferential padding.
Ice can be applied to the outside of the splint for pain but no longer than 15 20 minutes.
For lower extremity splints the foot should be elevated on a chair if sitting or a pillow if lying.
Ice cream sticks have been used as splints for broken fingers.
Apply 2 3 layers of padding over the area to be splinted and between digits being splinted.
Remove the splint from the water and squeeze out the excess water and remove wrinkles.
Place it and fold the ends of stockinette over the splinting material.