Gutter Splint Phalanx Fracture

A majority of non displaced fractures of the distal phalanx can be splinted with the dip joint in extension for 3 4 weeks.

Gutter splint phalanx fracture.

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. 1 3 the interosseous muscles pull the proximal fracture fragment into flexion while the extensor apparatus pulls the distal fragment into extension 1 5. Splinter has a great summary of splinting information.

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

Use of a short arm radial gutter splint is recommended for initial immobilization of a displaced distal radial fracture. Proximal phalanx fractures are often unstable with apex volar angulation and shortening. 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. Buddy taping to treat a non displaced proximal phalangeal fracture.

It is from the elbow down to hand including two fingers. 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. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f.

Custom fabricated ulna gutter intrinsic position splint pip dip joints of finger included purpose. Add an extra 2 3 layers over bony prominences. Most non displaced proximal phalangeal fractures can be managed with a splint or even buddy taping figure 5. Slightly greater than the diameter of the limb apply the stockinette to extend 2 beyond the splinting material.

The following video demonstrates how to set an ulnar gutter splint. Immobilize wrist and finger for proximal middle phalanx fractures.