Splinting Flashcards
1
Q
Distal interphalangeal splint
A
- rigid splint on volar or dorsal aspect of finger
- from tip of finger to proximal phalanx
2
Q
Conditions for using distal interphalangeal splint
A
- mallet finger
- distal phalanx fx
- DIP joint arthritis
3
Q
Ulnar gutter splint
A
- covers ulnar aspect of hand and 4th/5th digits
- immobilizes metacarpals and phalanges
- commonly used following fx
4
Q
Ulnar gutter splint hand position
A
- 60-90˚ MCP flexion
- IP joints in full extension
- wrist in slight extension
5
Q
Radial gutter splint
A
- rigid splint covering radial side of forearm and hand + 2nd and 3rd digits
- includes a thenar hole for thumb movement
- often used following fx
6
Q
Radial gutter splint hand positioning
A
- 60-90˚ MCP flexion
- DIP in full extension
- wrist in slight extension
7
Q
Thumb spica splint
A
- rigid splint covering radial side of forearm and hand/thumb
8
Q
Thumb spica splint: common uses
A
- Gamekeeper’s thumb
- scaphoid fx
- 1st MCP fx
- de Quervain’s syndrome
- other thumb injuries
9
Q
Thumb spica hand positioning
A
- wrist in 20˚ extension
- MCP joint in slight flexion
10
Q
Volar/dorsal forearm splint
A
- extends from proximal forearm to metacarpal heads, allowing for full elbow and MCP motion
- includes thenar hole
11
Q
Volar/dorsal forearm splint uses
A
- carpal fx
- distal radial or ulnar fx
- soft tissue conditions
12
Q
Why might the wrist be placed in slight extension during splinting? (Muscle advantage)
A
Shortens finger flexors for improved mechanical advantage
13
Q
Sugar tong splint
A
Covers wrist and elbow
14
Q
Used for sugar tong splint
A
- carpal fx
- distal radius or ulna fx
15
Q
Long arm splint
A
- Typically on posterior aspect, covers elbow
- prevents elbow flexion/extension and pronation/supination
