Thumb spica splint - Revision history

Rossdonaldson1 at 23:42, 7 June 2023

2023-06-07T23:42:48Z

← Older revision		Revision as of 23:42, 7 June 2023
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	*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)		*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)
	*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb (e.g., [[Gamekeeper's thumb]], [[Skier's thumb]])		*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb (e.g., [[Gamekeeper's thumb]], [[Skier's thumb]])
	*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref ~~name="Splints and Casts: Indications and Methods"~~> Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>		*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref>Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>

	==Procedure==		==Procedure==

Rossdonaldson1 at 23:42, 7 June 2023

2023-06-07T23:42:18Z

← Older revision		Revision as of 23:42, 7 June 2023
Line 5:		Line 5:
	*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)		*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)
	*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb (e.g., [[Gamekeeper's thumb]], [[Skier's thumb]])		*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb (e.g., [[Gamekeeper's thumb]], [[Skier's thumb]])
	*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods		*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>
	http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>

	==Procedure==		==Procedure==

Rossdonaldson1: /* Splint-Specific Details */

2023-06-07T23:41:37Z

Splint-Specific Details

← Older revision		Revision as of 23:41, 7 June 2023
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	===Splint-Specific Details===		===Splint-Specific Details===
	*Apply padding and splint material as shown in figure		*Apply padding and splint material as shown in figure
	*Splint course:~~<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>~~		*Splint course:
	*Radial aspect of mid-forearm to mid-distal phalanx of thumb		**Radial aspect of mid-forearm to mid-distal phalanx of thumb
	*Key anatomic positions		*Key anatomic positions
	**Forearm in neutral position		**Forearm in neutral position

Rossdonaldson1: /* Splint-Specific Details */

2023-06-07T23:41:19Z

Splint-Specific Details

← Older revision		Revision as of 23:41, 7 June 2023
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	*Splint course:<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>		*Splint course:<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
	*Radial aspect of mid-forearm to mid-distal phalanx of thumb		*Radial aspect of mid-forearm to mid-distal phalanx of thumb
	**Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can")
	*Key anatomic positions		*Key anatomic positions
			**Forearm in neutral position
			**Wrist in slight extension (approximately 20°)
			**Thumb in functional "wineglass" position (ask patient to envision "holding a soda can")

	==See Also==		==See Also==

Rossdonaldson1: /* Splint-Specific Details */

2023-06-07T23:40:05Z

Splint-Specific Details

← Older revision		Revision as of 23:40, 7 June 2023
Line 15:		Line 15:
	*Apply padding and splint material as shown in figure		*Apply padding and splint material as shown in figure
	*Splint course:<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>		*Splint course:<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
	*Radial aspect of ~~the~~ forearm ~~and covering the~~ thumb		*Radial aspect of mid-forearm to mid-distal phalanx of thumb
	**Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can")		**Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can")
	*Key anatomic positions		*Key anatomic positions

Rossdonaldson1: /* Indications */

2023-06-07T23:37:03Z

Indications

← Older revision		Revision as of 23:37, 7 June 2023
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	==Indications==		==Indications==
	*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)		*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)
	*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb		*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb (e.g., [[Gamekeeper's thumb]], [[Skier's thumb]])
	*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods		*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods
	http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>		http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>

Rossdonaldson1: /* Indications */

2023-06-07T23:35:50Z

Indications

← Older revision		Revision as of 23:35, 7 June 2023
Line 3:		Line 3:

	==Indications==		==Indications==
	*[[Scaphoid fracture]] - seen or suspected (~~check~~ snuffbox tenderness)		*[[Scaphoid fracture]] - seen or suspected (i.e., snuffbox tenderness)
	*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb		*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb
	*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods		*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods

Rossdonaldson1: /* Indications */

2023-06-07T23:35:36Z

Indications

← Older revision		Revision as of 23:35, 7 June 2023
Line 3:		Line 3:

	==Indications==		==Indications==
	*Scaphoid fracture - seen or suspected (check snuffbox tenderness)		*[[Scaphoid fracture]] - seen or suspected (check snuffbox tenderness)
	*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb		*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb
	*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods		*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods

Rossdonaldson1: /* Indications */

2023-06-07T23:35:24Z

Indications

← Older revision		Revision as of 23:35, 7 June 2023
Line 4:		Line 4:
	==Indications==		==Indications==
	*Scaphoid fracture - seen or suspected (check snuffbox tenderness)		*Scaphoid fracture - seen or suspected (check snuffbox tenderness)
	*De Quervain tenosynovitis / other ligamentous or soft tissue injuries to thumb		*[[De Quervain tenosynovitis]] / other ligamentous or soft tissue injuries to thumb
	*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods		*Nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods
	http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>		http://www.aafp.org/afp/2009/0901/p491.html Accessed April 6, 2017</ref>

Rossdonaldson1: /* Procedure */

2023-06-07T23:34:05Z

Procedure

← Older revision		Revision as of 23:34, 7 June 2023
Line 10:		Line 10:
	==Procedure==		==Procedure==
	[[File:Thumb Spica.gif\|thumb]]		[[File:Thumb Spica.gif\|thumb]]
			{{Splint Application General Procedure}}

	*Assess distal pulse, motor, and sensation		===Splint-Specific Details===
	*Apply padding and splint material (e.g. ~~Ortho-glass) to the radial~~ aspect of the forearm and covering the thumb ~~as shown~~		*Apply padding and splint material as shown in figure
			*Splint course:<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
			*Radial aspect of the forearm and covering the thumb
	**Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can")		**Wrist should be in slight extension (approximately 20°) with thumb in functional position (ask patient to envision "holding a soda can")
	*~~Maintain positioning until splint material hardens and secure splint to forearm~~		*Key anatomic positions
	*Reassess distal pulse, motor, and sensation

	==See Also==		==See Also==