The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries.
Radial gutter plaster splint.
For an average sized adult a radial gutter splint should be eight to 10 layers thick.
While still wet use palms to mold.
This splint is used to immobilize fractures of the 2nd.
This trick of the trade in splint application demonstrates application of the radial gutter splint.
After counting the layers measure the plaster from the second.
Add an extra 2 3 layers over bony prominences.
Position of function.
Wrap the bandage without placing too much tension around the extremity.
Radial gutter splinting is usually tolerated without anesthesia.
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Use plaster that is 3 4 in.
It sandwiches the second and third fingers providing the optimal function of the second and third fingers allowing maximum mobility of other digits.
Soft tissue injuries to the second and third fingers fractures of the second and third metacarpals.
Insert a dry gauze or cotton material between the 2nd and 3rd fingers.
Apply 2 3 layers of padding over the area to be splinted and between digits being splinted.
Lightly moisten the splinting material.
The splint runs along the radial aspect of the forearm to just beyond the dip joint of the index figure 1.
Place it and fold the ends of stockinette over the splinting material.
Apply the elastic bandaging.
A radial gutter splint can be used for various injuries including the following.
The splint covers the radial aspect of the forearm from the proximal one third of the forearm to just distal to the interphalangeal joint of the thumb encircling the thumb.
A radial gutter splint is placed along the radial aspect radial bone of the wrist.
Ulnar gutter splint with underlying stockinette and circumferential padding.