Orthopedics Book

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Ulnar Gutter Cast

Aka: Ulnar Gutter Cast
  1. Indications
    1. Boxer's Fracture
    2. Non-displaced, non-rotated fourth or fifth Metacarpal Fractures
    3. Non-displaced, non-rotated fourth or fifth Proximal Phalanx Fractures
    4. Non-displaced, non-rotated fourth or fifth Middle Phalanx Fractures
  2. Imaging
    1. OrthoWristUlnarGutterCast.png
  3. 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 slightly beyond the fourth and fifth finger DIP joints
      2. Leave the thumb, index and middle fingers freely mobile

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