Definitive or alternative treatment of injuries commonly treated with ulnar gutter splint 8.
Radial vs ulnar gutter splint.
Which is what the doctor did.
Ulnar gutter radial gutter and thumb spica casts are specific types of casts used to provide long term immobilization for fractures and severe ligament injuries to the hand and fingers.
But long ago i quit making splints that encase only the radial or ulnar aspect of the wrist and hand.
Splint in flexion or extension depending on tendon repaired radial gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx.
Judy colditz ot l cht faota.
The doctor says he splinted with a ulnar gutter splint.
L if tendon repair.
The ulnar gutter splint can also be used in positioning for rheumatoid arthritis or osteoarthritis.
This type of splint is applied to the inner part thumb side of the arm and usually extends from.
The ulnar gutter splint except the plaster or fiberglassis wrapped circumferentially figure 3.
Why i dislike ulnar radial gutter splints.
The indication for such a splint orthosis is likely a metacarpal fracture.
Radial ulnar splint short arm volar splint long leg splint posterior elbow splint posterior short leg splint posterior long leg splint plaster splint ocl plaster splint ortho glass fiberglass splint double sugar tong splint long double sugar tong splint ulna gutter splint medial lateral splint dorsal volar splint coaptation splint types.
In cases where moderate to significant swelling is anticipated the padding is cut lengthwise along the lateral or radial side of the forearm before applying the wet plaster.
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This allows for the expansion of the padding due to swelling.
Perhaps it is the name gutter i dislike.
And the cpt code for ulnar gutter splint says it is 29105.
However in the cpt book 29105 says from the shoulder down to the hand.
It is from the elbow down to hand including two fingers.
This ulnar gutter cast videos shows our own technique.
Ideally the cast is applied 24 to 48 hours or more after.