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The em3 education team demonstrates how to apply an ulnar gutter slab for metacarpal fractures 4th 5th.
How to apply ulnar gutter splint. After counting out the layers measure the plaster from. The procedure of ulnar gutter splint application items required. Reassess distal pulse motor and sensation. Application process for r o scaphoid fracture.
Remove the splint from the water and squeeze out the excess water and remove wrinkles. Use plaster that is 3 4 in. The patient may be seated or reclined or supine. Assess distal pulse motor and sensation.
Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. Boxer ulnar gutter splint cpt 29125 vs 29130 4 5 splinting material 3 4 wrap. A sedated patient should not be in sitting. For an adult of average size the plaster for an ulnar gutter splint should be eight to 10 layers thick.
Place padding between 4th and 5th digits to prevent maceration. Apply splinting material e g. The following video demonstrates how to set an ulnar gutter splint. Wet the fiberglass and place it over the area u0003 to be splinted.
Often the simple splinting does not need anesthesia analgesia but with reductions involved anesthesia may.
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