Pip Joint Gutter Splint
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Pip joint gutter splint. For the young man in the case example an ulnar gutter would suffice. The mcp joint should be in 70 90 degrees of flexion in the properly applied splint. This article discusses the mechanics of several splints. In reduced volar avulsion fractures the splint is applied with the pip joint at 45 degrees of flexion and secured at the proximal finger allowing flexion at the pip joint.
There are various types of splints for boutonniere deformity including simple volar gutter splints figure 12 4 depicts some common options for splinting the pip joint in extension while keeping the dip joint free. After reduction patients should be splinted with radial or ulnar gutter splints depending on the injured finger. Usually ships within 2 to 3 weeks. In some cases including the dip joint in the splint may be preferable because this will increase the mechanical advantage.
The pip joint should be extended. The belly gutter splint an alternative design that can be used for this contracture is introduced. Oxidised sterling silver swan splint ring for dip or pip joint.
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