Hand Based Radial Gutter Splint Pattern

Place hand pronated on flat surface.

Hand based radial gutter splint pattern.

This molded orthosis is designed to provide fit and support. This splint gets its name. This splint is the equivalent of the ulnar gutter splint except that is placed along the radial aspect of the wrist and sandwiches the 2nd and 3rd fingers. Application of a radial gutter splint can result in compression of the median nerve which provides sensory function to the palmar side of the thumb and second and third digits and the lateral half.

The splint may be hand based or wrist based depending on the person s diagnosis the anatomic structures involved and the associated pain at the wrist. Radial gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx l include the 4th and 5th digits application l hand in position of function l forearm in neutral position. Wrist joints ab. The radial gutter portion of the hand based radial gutter brace allows the caregiver to achieve greater than 70 of flexion at the mcp joints of the 2nd and 3rd digits.

Splint hand or forearm based splints 4 6 wks edema control rom started at 2 4 wks strengthening 4 6 wks or as ordered return to play upon doctors orders or when evidence of healing is shown. Mps digits 2 5 cd. Same position of hand for thumb spica. Splint orthotics hand therapy specialists hand based radial gutter activities of daily living activities for adults therapy activities nanny activities nbcot exam prep occupational therapy schools orthotics and prosthetics hand surgery pediatric ot.

Trick of the trade. Jim wagner otd otr l cht cpam cscs cktp. Radial gutter splints are used for fractures and severe sprains to the second and third metacarpals and phalanges pointer and middle fingers. The hand based radial gutter brace is used to stabilize fractures to the 2nd and or 3rd metacarpals or phalanges.

Extend out 1 4 and down 1 4 for thumb mp g. 11 wrist cock up splint. Radial gutter thumb spica. It can be a volar dorsal or radial gutter.

The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries. Radial side of thumb ip e. Forearm length h.