Radial Gutter Cast

Aka: Radial Gutter Cast, Radial Gutter Splint

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II. Indications

  1. Distal Radius Fracture
  2. Non-displaced, non-rotated second or third Metacarpal Fractures
  3. Non-displaced, non-rotated second or third Proximal Phalanx Fractures

III. Imaging

  1. OrthoWristRadialGutterCast.png

IV. Technique

  1. Position
    1. Wrist in slight extension
    2. MCP joints in 70-90 degrees flexion
    3. PIP joints in 5-10 degrees flexion
    4. DIP joints in 5-10 degrees flexion
  2. Application
    1. Cast from the proximal Forearm to the index, middle finger DIP joints
    2. Leave the thumb, ring and pinky fingers freely mobile

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