Rolyan Thumb Hole Wrist Cock-Up Splint

More About Rolyan Thumb Hole Wrist Cock-Up Splint

• Contraindications:
  Not for the acute phase of most wrist fractures
  - Not in the presence of active MCP synovitis
  - Not in the presence of severe edema
• Precautions:
  - This splint is to be fitted initially by a healthcare professional who is familiar with the purpose for which it is prescribed
  - The healthcare professional is responsible for providing wearing instructions and precautions to other healthcare practitioners, care providers involved in the patients care, and the patient
  - If unusual swelling, skin discoloration or discomfort occurs, use should be discontinued and a healthcare professional consulted
  - Be careful that the straps are not so tight that they interfere with circulation
  - After heating the splinting material, always check its temperature before applying it to the patient
  - Splints made from Rolyan AirThru material
  - When opening bag after heating material, avoid contact with hot vapors from bag
• Care and Cleaning:
  - The splint will lose its shape in temperatures over 135°F (57°C)
  - It should be kept away from sources of heat such as ovens, hot water, open flames, and sunny car windows
  - The splint can be cleaned with soap and lukewarm water and allowed to dry thoroughly before reapplication
• Procedure:
  Splints made from AirThru material:
  - These splint blanks fit the right or left hand
  Other splints:
  The splint blank can be applied to either hand simply invert the splint blank
  - The splint blank can also be formed into a radial gutter splint
  A. Heat splint blank as follows:
  Splint blanks made from AirThru material
  - Soften these splints, which are packaged in a heat-sealed plastic bag, in heat pan of water at a temperature of 160° to 170°F (70°-75°C) for approximately 2 to 3 minutes
  - Cut open bag between heat seal and pressure-sensitive strip. If reheating is necessary, return splint blank to bag, close pressure-sensitive seal completely, and heat
  All other splints:
  - Soften in water heated to approximately 160°F (70°C) until pliable
  - Remove from heat pan and place on a towel on a flat surface
  - Blot excess water
  - Roll back the edge of the thumb hole until it accommodates the patients thumb
  - If possible, place patients hand in supination to achieve a gravity-assisted position
  - Standing in front of the patient, insert the thumb through the thumb opening and roll the edge of the thumb hole back to clear the thenar eminence
  - Mold the splint blank on the forearm
  - Fold back the distal edge to clear the distal palmar crease
  - The splint can be trimmed and the edges flared if necessary
  - Apply appropriate straps.
  Fabricating a radial gutter splint
  - Follow steps A through C
  - Mold the splint around the radial border of the hand and forearm
  - Roll the edge of the thumb hole back to clear the thenar eminence
  - Fold back the distal edge to clear the distal palmar crease on the volar side and the MCP joints on the dorsum
  - The splint can be trimmed and the edges flared if necessary
  - Apply appropriate straps

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