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Ulnar Gutter Splint CPT 29105

Indications

Fractures of the fourth or fifth metacarpal

Advantages

Can be used in the acute setting and also serves as the definitive immobilization; for metacarpal fractures, quickly applied ulnar gutter splints dipped in cold water allow for fracture reduction in the splint

Materials

3- or 4-inch fiberglass splint roll, 3-inch elastic wrap, 1-inch cast padding

Instructions

  1    Position the hand with the fourth and fifth MCP flexed to 90 degrees (Fig. UG-1) and the wrist at 10 to 15 degrees dorsiflexion (Fig. UG-2).
  2    Place a small amount of padding between fourth and fifth finger (Fig. UG-3).
  3    Measure from the tip of the fourth finger to within 2 finger breadths of the antecubital fossa (Fig. UG-4).
  4    Apply a thin line of water to the fiberglass on the side that will be away from the patient and then pat it dry.
  5    Apply the splint with the thickest padded side toward the patient (Fig. UG-5).
  6    Wrap with elastic bandage, starting at the fingertips. It is easiest if an …

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