Injuries commonly treated with ulnar gutter splint 8 application.
Orthoglass ulnar gutter splint.
Wrist should remain slightly extended 10 to 20 with 4th and 5th mcp at 50 to 90 flexion the latter for boxer s fracture and dip pip in slight flexion.
Starts at mid forearm runs along ulnar aspect of forearm to just beyond the dip joint.
Apply splinting material e g.
Short leg splint common uses tibia fibula fracture ankle fracture metatarsal fracture sugar tong splint common uses colles fracture forearm fracture radial ulnar ulnar gutter splint common uses 5th metacarpal fracture 4th metacarpal fracture volar splint common uses wr ssti pairns s airtns carpal tunnel lacerations night splints.
Boxer ulnar gutter splint cpt 29125 vs 29130 4 5 splinting material 3 4 wrap indications.
Fracture of the fourth or fifth metacarpal and injuries to the fourth and f.
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.
The following video demonstrates how to set an ulnar gutter splint.
L if tendon repair.
When i look up a picture of that on the web.
The doctor says he splinted with a ulnar gutter splint.
Ideally the cast is applied 24 to 48 hours or more after the initial injury to allow swelling to decrease.
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.
And the cpt code for ulnar gutter splint says it is 29105.
Ulnar gutter splint immobilizes the plain of 4th and 5th digits.
Length to extend from the nail base to the proximal forearm.
Assess distal pulse motor and sensation.
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Dimensions width to wrap to midline of the hand on dorsal volar surfaces.
Radial ulnar gutter indications metacarpal and or proximal phalangeal fractures.
Fractures and soft tissue injuries of the small finger or ring finger.
Include the ring finger and small finger.
Place padding between 4th and 5th digits to prevent maceration.
