Forearm Based Ulnar Gutter Splint
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The doctor says he splinted with a ulnar gutter splint.
Forearm based ulnar gutter splint. Splinting common static splints tip protector splint used for distal finger injuries for protection and support. After sculpting to a desired position and shape polytrexx rapidly reverts to a. However in the cpt book 29105 says from the shoulder down to the hand. Gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx l include the 4th and 5th digits application l hand in position of function l forearm in.
When i look up a picture of that on the web. Fracture of the fourth or fifth metacarpal and injuries to the fourth and f. A blinded randomized trial. Mold around thumb wrist forearm.
Use of a hand based thermoplastic splint for treatment of isolated fifth metacarpal neck fractures in pediatric patients has not previously been studied in a randomized blinded trial the authors conducted a blinded 1 1 allocation two arm parallel group. According to the advice of a cms mac representative a therapist can bill the l 3933 code for silver ring splints. The therapist pays for the finished silver ring splint and provides the orthosis to the patient. It is from the elbow down to hand including two fingers.
Treatments can be preventative centered on the management of acute or chronic pain or involve sensory re education after nerve. Primary outcome was difference in active range of motion between splint groups. Making an ulnar gutter splint for a boxer s fracture petrizzi michael j petrizzi mark. The therapist measures the patient for the orthosis and the silver ring splint company manufactures the orthosis.
Forearm based ulnar gutter versus hand based thermoplastic splint for pediatric metacarpal neck fractures. Dip extension splint used for distal finger injuries for protection and support percutaneous pinning at distal finger dip hyperextension splint mallet fingers ulnar radial gutter splint used for fractures of the hand. Which is what the doctor did. Patients were immobilized for 3 weeks in a conventional forearm based ulnar gutter or hand based thermoplastic splint.
The following video demonstrates how to set an ulnar gutter splint. And the cpt code for ulnar gutter splint says it is 29105. Hand therapy this is a type of rehabilitation performed by occupational and physical therapists on patients with conditions affecting their hands and upper extremities. Secondary outcomes included fracture union treatment adherence grip strength and patient reported pain and functional outcomes.
It requires a high degree of specialization obtained through continuing education and experience.
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