Long arm posterior splint: Difference between revisions
Line 14: | Line 14: | ||
{{Splint Application General Procedure}} | {{Splint Application General Procedure}} | ||
===Splint Specific Details=== | ===Splint-Specific Details=== | ||
*Apply padding and splint material as shown in figure | *Apply padding and splint material as shown in figure | ||
*Splint should run along posterior/ulnar aspect of arm<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref> | *Splint should run along posterior/ulnar aspect of arm<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref> |
Revision as of 21:42, 3 May 2023
Background
- Doesn’t completely eliminate supination / pronation
- Either add an anterior splint or use a double sugar tong splint if complex or unstable distal forearm fracture
Indications
- Elbow and forearm injuries
- Olecranon fracture
- Distal humerus fracture
- Both-bone forearm fracture
- Unstable proximal radius or ulna fracture (sugar-tong better)
Procedure
Splint Application General Procedure
- Assess pre-procedure neurovascular status (i.e., distal pulse, motor, and sensation) [1]
- Measure and prepare the splinting material
- May use contralateral extremity if easier
- Most splints use a width slightly greater than the diameter of the limb
- Apply stockinette (if applicable)
- Extend 2" beyond estimated the splinting material length
- Apply padding (if applicable)
- Use 2–3 layers over the area to be splinted / between digits (when applicable)
- Add an extra 2–3 layers over bony prominences
- Apply splinting material
- Lightly moisten the splinting material.
- Place as appropriate to specific splint type
- Once finished, if applicable fold the ends of stockinette back over the splinting material if there is excess
- Apply elastic bandaging (e.g., ace wrap)
- While still wet
- May further mold the splint to the desired shape
- Maintain position until splint material has hardened
- Re-check and document repeat neurovascular status
Splint-Specific Details
- Apply padding and splint material as shown in figure
- Splint should run along posterior/ulnar aspect of arm[1]
- From proximal palmar crease along ulna
- Following the ulnar forearm
- Posterior side of flexed elbow
- Posterior proximal arm (3 inches away from axilla)
- Key anatomic positions
- Elbow at 90º
- Forearm neutral position with thumb up
- Wrist neutral or slightly extended (10–20º)
See Also
References
- ↑ 1.0 1.1 Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017