Ulnar Gutter Splint (Emergency Medicine)

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  • Temporary immobilization for fractures of the fourth or fifth metacarpals or phalanx
  • Infection
  • Impending compartment syndrome
  • Diabetic or other neuropathy
  • Slightly warm (not over 24°C) water and bucket
  • Stockinette (optional)
  • Soft cotton bandage/undersplint material (e.g., Webril padding), 3- or 4-inch
  • Plaster bandages, 3- or 4-inch
  • Elastic bandages (Ace)
  • Adhesive tape
  • The radius and ulna articulate distally with the carpal bones to form the wrist.
  • The metacarpal bones articulate with the distal carpal bones. The proximal phalanges articulate with the distal metacarpal bones.

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

  • Radiographically confirm that the reduction was achieved and maintained after splinting.
  • Repeat a neurovascular examination.
  • Instruct the patient to keep the splint clean and dry.
  • The extremity should remain elevated for the first 2-3 days.
  • Loosen the elastic bandage if neurovascular symptoms arise.
  • Reevaluate if increased pain or burning develops.
  • Plaster burn
  • Pressure sores
  • Nerve palsy
  • Vascular compromise
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