How To Apply Ulnar Gutter Splint

After counting out the layers measure the plaster from. Apply splinting material e g. A sedated patient should not be in sitting.

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How to apply ulnar gutter splint.

Assess distal pulse motor and sensation. The patient may be seated or reclined or supine. 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. Submerge the premeasured fiberglass in unused warm water.

The em3 education team demonstrates how to apply an ulnar gutter slab for metacarpal fractures 4th 5th. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. The following video demonstrates how to set an ulnar gutter splint. Boxer ulnar gutter splint cpt 29125 vs 29130 4 5 splinting material 3 4 wrap.

The procedure of ulnar gutter splint application items required. Remove the splint from the water and squeeze out the excess water and remove wrinkles. Often the simple splinting does not need anesthesia analgesia but with reductions involved anesthesia may. For an adult of average size the plaster for an ulnar gutter splint should be eight to 10 layers thick.

Reassess distal pulse motor and sensation. Wet the fiberglass and place it over the area u0003 to be splinted. Fold the ends of stockinette over the the u0003 fiberglass to smooth the edges of the splint. Place padding between 4th and 5th digits to prevent maceration.

Use plaster that is 3 4 in.

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