Forearm Based Ulnar Gutter Splint

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. Patients were immobilized for 3 weeks in a conventional forearm based ulnar gutter or hand based thermoplastic splint.

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The following video demonstrates how to set an ulnar gutter splint.

Forearm based ulnar gutter splint.

Used for the following conditions. Length of splint is longer for proximal and middle phalanx fracture towards the finger tip. Gauze is one item used when applying a ulnar gutter splint. Primary outcome was difference in active range of motion between splint groups.

An ulnar gutter splint typically extends along the ulna bone the bone on the pinkie finger s side of the forearm partially covering the arm from just below the elbow to the palm or pinkie. Fracture proximal middle phalanx of finger. 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. Immobilize wrist and finger for proximal middle phalanx fractures.

Secondary outcomes included fracture union treatment adherence grip strength and patient reported pain and functional outcomes.

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