Splinting Guide Hand & Wrist

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HAND & WRIST BONES

DISTAL ULNAR: Sugar Tong


Buckle Fx - Sugar Tong/Volar
DISTAL RADIUS: Sugar Tong
Buckle Fx - Sugar Tong/Volar

SCAP
HOID
: Thum RADIAL STYLOID: Sugar Tong
b Spic
a

CAPITATE: Thumb Spica


LUNATE: Thumb Spica
TRIQUETRUM: Volar
TRAPEZIUM:Thumb Spica
PISIFORM: Volar
TRAPEZOID: Thumb Spica

HAMATE: Volar
THUMB METACARPAL:
Thumb Spica

THUMB PROXIMAL
PHALANX: Thumb Spica

METACARPAL 4TH & 5TH:


Ulnar Gutter - 20 deg wrist
extension, 90 deg MCP
flexion, PIP mobile

METACARPAL 2ND & 3RD:


Radial Gutter

MIDDLE & PROXIMAL PHALANX:


Nondisplaced: Buddy Tape
Displaced: Ulnar vs Radial Gutter
90 deg MCP flexion, 15 deg PIP
flexion, 5 deg DIP flexion

DISTAL PHALANX: U Shaped finger splint


Mallet Finger (extensor tendon injury in the distal phalanx) - splint only the
DIP joint in hyperextension
Jersey Finger ((flexor digitorum profundus avulsion) - DIP and PIP joints in slight flexion 15-20 deg

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