Splint volar splint indications l distal radius and ulna fractures construction l metacarpal heads on the dorsal hand l around elbow.
Volar gutter splint.
Splints extend from the middle of the forearm to the distal crease crease near the.
With weekly lateral.
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There are various types of splints for boutonniere deformity including simple volar gutter splints figure 12 4 depicts some common options for splinting the pip joint in extension while keeping the dip joint free.
If swelling and tenderness have diminished and the joint remains stable the patient should continue to wear either a volar gutter or thumb spica splint for an additional 2 4 weeks with removal of the splint several times daily for the performance of active range of motion arom exercises.
In some cases including the dip joint in the splint may be preferable because this will increase the mechanical advantage.
In reduced volar avulsion fractures the splint is applied with the pip joint at 45 degrees of flexion and secured at the proximal finger allowing flexion at the pip joint.
The ulnar gutter splint extends from the upper part of the forearm to the last joint of the fractured finger.