Jan 2, 2025 · Metacarpal Fractures are the most common hand injury and are divided into fractures of the head, neck, or shaft. Diagnosis is made by orthogonal radiographs the hand. Treatment is based on which metacarpal is involved, location of the fracture, and the rotation/angulation of the injury.

Measure and prepare the splinting material. Apply the stockinette to extend 2" beyond the splinting material. Apply 2–3 layers of padding over the area to be splinted and between digits being splinted. Add an extra 2–3 layers over bony prominences. Lightly moisten the …

Mar 21, 2018 · Base fractures require dorsal and volar wrist splinting, with MCPs remaining free. Less commonly, the radial metacarpals are effected. In this case, a radial gutter splint provides appropriate immobilization. Range of motion therapy under the guidance of hand specialist. Blomberg, Joshua. (2017, August) Metacarpal Fractures.

Sep 1, 2009 · Radial gutter splint/cast: Second and third proximal/middle phalangeal shaft fractures and select metacarpal fractures

In this series of patients, the splint was used on fractures involving fractures of the second, third, fourth, and fifth metacarpals involving the base, midshaft, and neck. Fractures included transverse, oblique, and spiral patterns.

The metacarpal mitt is a novel splint that can be used to treat 2nd-5th metacarpal fractures. All patients were treated non-operatively successfully without loss of reduction and improved pain and functional scores at follow-up.

Aug 12, 2024 · A radial gutter splint should be used for second or third metacarpal fractures, with a hole for the thumb while leaving the ring and little finger free. Initial treatment involves using a metacarpal fracture splint on the hand. In doing so, the hard splint does not circumferentially surround the hand and forearm, rather some of the ...

The metacarpal mitt is a novel splint that can be used to treat non-thumb metacarpal fractures with good functional outcome scoresupon 2 month follow-up. We prefer metacarpal immobilization with this “metacarpal mitt” splint, as it allows rapid finger mobilization with non-inferior fractureimmobilization. Results

From these three studies, the following splint can be used with confidence for individuals who sustained second to fifth metacarpal shaft fractures: • Thermoplastic splint with the wrist in 20-30° with the fingers free. Evidence on neck and shaft of fifth metacarpal fractures