Radial gutter splint

Background

• Prevents flexion/extension of the 2nd/3rd DIP, PIP, MCP, and wrist joints

Indications

• Phalangeal and metacarpal fracture or and soft tissue injuries of the 2nd and 3rd digits.

Procedure

• Assess distal pulse, motor, and sensation
• Apply padding and splint material (e.g. Ortho-glass) as shown to radial aspect of forearm
  • Splint runs from radial forearm to beyond DIP of index finger, with thumb free
  • Wrist should be placed in slight extension (approximately 20°) and MCP should be flexed 70-90 degrees, with the DIP and PIP in slight flexion
• Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
• Reassess distal pulse, motor, and sensation

See Also

• Splinting

References

Authors

Michael Holtz, Ted Fan, Ross Donaldson, Daniel Ostermayer, Charley Randazzo