What position should metacarpal fractures be immobilized in to ensure appropriate management and healing?
Generally, the wrist should be placed in 20-30° of extension; the metacarpophalangeal (MCP) joints should be immobilized in 70-90° of flexion, with the dorsal aspect of the splint extending to the IP joints; and the volar aspect should end at the distal palmar crease.
What is an angulated fracture?
Angulated fractures: The two ends of the broken bone are at an angle to each other. Translated fractures: The ends of the bone have shifted out of alignment. Rotated fractures: The bone spun (rotated) when it broke. Greenstick fractures: One side of the bone is broken, causing the other side to bend.
What are the steps to splinting?
How to apply a splint
- Attend to any bleeding. Attend to bleeding, if any, before you attempt to place the splint.
- Apply padding. Then, apply a bandage, a square of gauze, or a piece of cloth.
- Place the splint.
- Watch for signs of decreased blood circulation or shock.
- Seek medical help.
What do you need to know about metacarpal fracture?
Metacarpal fractures are generally described by the location of the fracture. Fractures in the center of the bone are called metacarpal shaft fractures. Fractures by the base of the finger at the knuckle are called metacarpal head fractures. Lastly, fractures at the wrist-end of the bone are called fractures of the base of the metacarpal. Nov 14 2019
How do you splint a broken wrist?
An individual who suffers an injury can temporarily treat a wrist fracture by immobilizing the joint with a splint or sling. A splint can be made by using tape to secure any rigid object that reaches from the elbow and to the hand. Slings wrap around the shoulder and hold the broken wrist in front of the body at a horizontal angle.
What is a radial gutter splint used for?
A radial gutter splint can be used for various injuries, including the following: Soft-tissue injuries to the second and third fingers. Fractures of the second and third metacarpals. Fractures of the second and third phalanges. Positioning for rheumatoid arthritis.