How To Apply Ulnar Gutter Splint

The patient may be seated or reclined or supine.

How to apply ulnar gutter splint.

The em3 education team demonstrates how to apply an ulnar gutter slab for metacarpal fractures 4th 5th. Boxer ulnar gutter splint cpt 29125 vs 29130 4 5 splinting material 3 4 wrap. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. Fold the ends of stockinette over the the u0003 fiberglass to smooth the edges of the splint.

After counting out the layers measure the plaster from. Use plaster that is 3 4 in. For an adult of average size the plaster for an ulnar gutter splint should be eight to 10 layers thick. Submerge the premeasured fiberglass in unused warm water.

Often the simple splinting does not need anesthesia analgesia but with reductions involved anesthesia may. Reassess distal pulse motor and sensation. 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. A sedated patient should not be in sitting.

Place padding between 4th and 5th digits to prevent maceration. Remove the splint from the water and squeeze out the excess water and remove wrinkles. The procedure of ulnar gutter splint application items required. The following video demonstrates how to set an ulnar gutter splint.

Apply splinting material e g.