Thumb Spica Splint (Internal Medicine)

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SAMPLE EXCERPT
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PRE-PROCEDURE
INDICATIONS
  • Temporary immobilization for confirmed or suspected fractures of the scaphoid (navicular) bone of the wrist.
CONTRAINDICATIONS
  • Infection
  • Impending compartment syndrome
  • Diabetic or other neuropathy
EQUIPMENT
  • Slightly warm (not over 24°C) water and bucket
  • Soft cotton bandage/undersplint material (e.g., Webril padding), 3- or 4-inch width
  • Plaster bandages, 3- or 4-inch width
  • Elastic bandages (Ace)
  • Adhesive tape
ANATOMY
  • The scaphoid bone lies in the proximal row of carpal bones, and extends into the distal row.
  • The scaphoid has a distal to proximal blood supply.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Repeat neurovascular examination.
  • Instruct the patient to keep the splint clean and dry.
  • The extremity should be kept elevated for the first 2-3 days.
  • Loosen the elastic bandage if neurovascular symptoms arise.
  • Reevaluate if increased pain or burning develops.
  • Arrange for orthopedic follow-up.
COMPLICATIONS
  • Avascular necrosis and nonunion
  • Plaster burn
  • Pressure sores
  • Nerve palsy
  • Vascular compromise
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