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Volar gutter splint.
Splint volar splint indications l distal radius and ulna fractures construction l metacarpal heads on the dorsal hand l around elbow.
This type of splint is useful for fractures and sprains to the bones of the middle and pointer fingers.
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.
With weekly lateral.
In some cases including the dip joint in the splint may be preferable because this will increase the mechanical advantage.
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.
The ulnar gutter splint extends from the upper part of the forearm to the last joint of the fractured finger.
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.