How To Apply Ulnar Gutter Splint

For an adult of average size the plaster for an ulnar gutter splint should be eight to 10 layers thick. A sedated patient should not be in sitting. The following video demonstrates how to set an ulnar gutter splint.

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The em3 education team demonstrates how to apply an ulnar gutter slab for metacarpal fractures 4th 5th.

How to apply ulnar gutter splint.

Boxer ulnar gutter splint cpt 29125 vs 29130 4 5 splinting material 3 4 wrap. Remove the splint from the water and squeeze out the excess water and remove wrinkles. Wrist should remain slightly extended 10 to 20 with 4th and 5th mcp at 50 to 90 flexion the latter for boxer s fracture and dip pip in slight flexion. Wet the fiberglass and place it over the area u0003 to be splinted.

Assess distal pulse motor and sensation. Fold the ends of stockinette over the the u0003 fiberglass to smooth the edges of the splint. Application process for r o scaphoid fracture. Reassess distal pulse motor and sensation.

Use plaster that is 3 4 in. After counting out the layers measure the plaster from. Apply splinting material e g. The procedure of ulnar gutter splint application items required.

Often the simple splinting does not need anesthesia analgesia but with reductions involved anesthesia may. Place padding between 4th and 5th digits to prevent maceration. The patient may be seated or reclined or supine. Submerge the premeasured fiberglass in unused warm water.

Fracture of the fourth or fifth metacarpal and injuries to the fourth and f.

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