What type of splint is used for a metacarpal fracture?
Immobilization and Splinting A gutter splint or cast should be used to immobilize a metacarpal fracture. This is often definitive management for fractures that meet acceptable radiographic parameters. A gutter splint may be modified based on the location of the injured finger.
When should a volar splint be worn?
A volar splint can be used for various injuries, including the following: Soft-tissue injuries of the wrist and hand. Fractures of the second, third, and fourth metacarpals. Fractures of the second, third, and fourth phalanges.
What is a volar splint?
The forearm volar slab splint is a non-circumferential shell of plaster used to temporarily immobilize fractures and soft tissue injuries of the forearm and wrist. It is used to obtain pain relief until a circumferential cast is applied or until definitive surgical treatment is obtained.
What is a volar wrist splint used for?
A volar wrist splint is useful for maintaining the wrist in an extended position while allowing some finger movement. It has the benefits of being lightweight and well ventilated (Fig. 13.12). It can be bought off-the-shelf or custom fabricated with moldable thermoplastic.
What is volar splint made of?
Splinting of the volar A stockinette is applied from the palm, covering the entire palm, to the forearm just beyond the mid-forearm. A hole is made for the thumb to pass through. Soft padding is applied over the stockinette. The padding should extend 2-3 cm beyond the overlying plaster on both ends.
What are the 2 types of splints?
In emergency cases, anything can be used for splinting, yet there are two types of splints: Flexible. Rigid….You will need:
- A splint (rigid or flexible).
- A thick bandage to apply under the splint for maximum comfort. (Optional).
- Robe – or the like – to wrap the splint to the fractured limb.
What type of splint is used for metacarpal fracture?
The most common fracture patterns, wherein the 4th and/or 5th metacarpals are involved, can be splinted with an ulnar gutter splint, as demonstrated below; Less commonly, the radial metacarpals are effected. In this case, a radial gutter splint provides appropriate immobilization.
How is a radial gutter splint used to immobilize a metacarpal injury?
The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries. Cut out a 3- or 4-inch splint material to the length necessary to immobilize the wrist and MCP joint. Bisect the splint longitudinally from the fingertips to the wrist. Insert a dry gauze or cotton material between the 2nd and 3rd fingers.
How do you apply a splint to a volar avulsion fracture?
Application. In reduced, volar avulsion fractures, the splint is applied with the PIP joint at 45 degrees of flexion and secured at the proximal finger, allowing flexion at the PIP joint (Figure 6). With weekly lateral radiography, the flexion is decreased 15 degrees until reaching full extension over four weeks. Buddy taping should follow.
How do you immobilize a broken metacarpal joint?
Cut out a 3- or 4-inch splint material to the length necessary to immobilize the wrist and MCP joint. Bisect the splint longitudinally from the fingertips to the wrist. Insert a dry gauze or cotton material between the 2nd and 3rd fingers. Fold the splint “tails” so that it sandwiches the volar and dorsal aspects of the 2nd and 3rd metacarpal.