Posterior ankle splint: Difference between revisions
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==Background== | ==Background== | ||
* | *Also know as "Short-Leg Posterior Splint" | ||
*Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains. | *Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains. | ||
==Indications== | ==Indications== | ||
*Distal tibia/fibula fracture | *Distal tibia/fibula fracture | ||
*Tarsal/metatarsal fracture | |||
*Reduced dislocations | *Reduced dislocations | ||
*Severe sprains | *Severe sprains | ||
* | *Achilles tendon rupture (equinus position) | ||
==Procedure== | |||
[[File:Posterior Ankle Splint.gif|thumb]] | |||
*Assess distal pulse, motor, and sensation | |||
*Apply padding and splint material (e.g. Ortho-glass) as shown | |||
**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement | |||
**Flex ankle to 90 degrees unless Achilles tendon rupture | |||
**Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <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> | |||
*Maintain position until splint material hardens and secure to leg (e.g. ace wraps) | |||
*Reassess distal pulse, motor, and sensation | |||
==See Also== | ==See Also== | ||
*[[Splinting]] | *[[Splinting]] | ||
==References== | |||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 00:16, 6 April 2017
Background
- Also know as "Short-Leg Posterior Splint"
- Adding a coaptation splint (stirrup) to the posterior splint eliminates inversion / eversion - especially useful for unstable fracture and sprains.
Indications
- Distal tibia/fibula fracture
- Tarsal/metatarsal fracture
- Reduced dislocations
- Severe sprains
- Achilles tendon rupture (equinus position)
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown
- If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
- Flex ankle to 90 degrees unless Achilles tendon rupture
- Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve [1]
- Maintain position until splint material hardens and secure to leg (e.g. ace wraps)
- Reassess distal pulse, motor, and sensation
See Also
References
- ↑ Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017