Ulnar Gutter Splint Steps

Forearm neutral position with thumb up.

Ulnar gutter splint steps. Apply 2 3 layers of padding over the area to be splinted and between digits being splinted. For an adult of average size the plaster for an ulnar gutter splint should be eight to 10 layers thick. Step by step instruction of how to place an ulnar gutter splint. The thumb is left free and the second and third digits are splinted as with an ulnar gutter splint.

It is also called boxer splint. Slightly greater than the diameter of the limb apply the stockinette to extend 2 beyond the splinting material. Use plaster that is 3 4 in. An ulnar gutter splint extends from the proximal forearm to distal interphalangeal joints of fingers on the ulnar aspect of fingers wrist and forearm and is applied for various injuries of the ulnar aspect of the wrist and hand.

Neutral or slightly extended wrist 10 20 degrees. Starts on the posterior aspect of the proximal arm down the ulnar aspect of arm and ends at the mcp joints. Lightly moisten the splinting material. Add an extra 2 3 layers over bony prominences.

In this video brooke demonstrates the step by step process of applying an ulnar gutter cast on our patient joie with a boxer s fracture 5th metacarpal fra. Padded thumb spica splint. Ulnar gutter splint with underlying stockinette and circumferential padding. The radial gutter splint is similar in function to the ulnar gutter splint except that it is used for injuries to the second or third rays.

After counting out the layers measure the plaster from. Elbow at 90 degrees.