Gutter Splint Phalanx 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.

Gutter splint phalanx fracture.

Immobilize wrist and finger for proximal middle phalanx fractures. A patient came in with a fracture to the middle phlanx of finger. 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.

Custom fabricated ulna gutter intrinsic position splint pip dip joints of finger included purpose. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. Apply 2 3 layers of padding over the area to be splinted and between digits being splinted. Use of a short arm radial gutter splint is recommended for initial immobilization of a displaced distal radial fracture.

Buddy taping to treat a non displaced proximal phalangeal fracture. It is from the elbow down to hand including two fingers. 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. Lightly moisten the splinting material.

Used for the following conditions. 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.

A majority of non displaced fractures of the distal phalanx can be splinted with the dip joint in extension for 3 4 weeks. Proximal phalanx fracture management rom initiated per doctors orders and or at 2 4 weeks with splint utilized up to 6 weeks. When i look up a picture of that on the web. Add an extra 2 3 layers over bony prominences.

The doctor says he splinted with a ulnar gutter splint. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip.