Posterior ankle splint - Revision history

Rossdonaldson1: /* Indications */

2023-09-20T19:21:57Z

Indications

← Older revision		Revision as of 19:21, 20 September 2023
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	==Indications==		==Indications==
	*[[Distal tibia/fibula]] ~~fracture~~		*[[Ankle fracture\|Distal tibia/fibula fracture]]
	*[[~~Tarsal fracture~~\|Tarsal]]/[[metatarsal fracture]]		*[[Foot and toe fractures\|Tarsal]]/[[metatarsal fracture]]
	*Reduced [[ankle dislocation]]		*Reduced [[ankle dislocation]]
	*Severe [[ankle sprain]]		*Severe [[ankle sprain]]

Rossdonaldson1: /* Splint-Specific Details */

2023-09-13T22:18:42Z

Splint-Specific Details

← Older revision		Revision as of 22:18, 13 September 2023
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	===Splint-Specific Details===		===Splint-Specific Details===
	*Apply padding and splint material as shown in figure		*Apply padding and splint material as shown in figure
	**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement		**If patient can tolerate prone position and flexing knee to 90 degrees, it will help with placement
			**If combining with [[ankle stirrup splint]], place posterior ankle splint first
	*Splint course:		*Splint course:
	**Start at plantar surface of the great toe or metatarsal heads		**Start at plantar surface of the great toe or metatarsal heads
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	**End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) <ref name="Splints and Casts: Indications and Methods"></ref>		**End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) <ref name="Splints and Casts: Indications and Methods"></ref>
	*Key anatomic positions		*Key anatomic positions
	**Flex ankle to 90 degrees unless Achilles tendon rupture		**Flex ankle to 90 degrees (unless [[Achilles tendon rupture]])

	==See Also==		==See Also==

Rossdonaldson1: /* Procedure */

2023-09-13T22:17:18Z

Procedure

← Older revision		Revision as of 22:17, 13 September 2023
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	**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement		**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
	*Splint course:		*Splint course:
	**Start at plantar surface of the great toe or metatarsal heads along ~~the~~ posterior lower leg		**Start at plantar surface of the great toe or metatarsal heads
			**Extend along posterior lower leg
	**End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) <ref name="Splints and Casts: Indications and Methods"></ref>		**End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) <ref name="Splints and Casts: Indications and Methods"></ref>
	*Key anatomic positions		*Key anatomic positions

Rossdonaldson1: /* Splint-Specific Details */

2023-09-13T22:16:26Z

Splint-Specific Details

← Older revision		Revision as of 22:16, 13 September 2023
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	**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement		**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
	*Splint course:		*Splint course:
	**~~Splint should run from~~ plantar surface of the great toe or metatarsal heads along the posterior lower leg ~~and ends~~ 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <ref name="Splints and Casts: Indications and Methods"></ref>		**Start at plantar surface of the great toe or metatarsal heads along the posterior lower leg
			**End 2-inches distal to the fibular head (to avoid compression of the common peroneal nerve) <ref name="Splints and Casts: Indications and Methods"></ref>
	*Key anatomic positions		*Key anatomic positions
	**Flex ankle to 90 degrees unless Achilles tendon rupture		**Flex ankle to 90 degrees unless Achilles tendon rupture

Rossdonaldson1: /* Procedure */

2023-09-13T22:15:40Z

Procedure

← Older revision		Revision as of 22:15, 13 September 2023
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	**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement		**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
	*Splint course:		*Splint course:
	**Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <ref name="Splints and Casts: Indications and Methods"> ~~Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017~~</ref>		**Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <ref name="Splints and Casts: Indications and Methods"></ref>
	*Key anatomic positions		*Key anatomic positions
	**Flex ankle to 90 degrees unless Achilles tendon rupture		**Flex ankle to 90 degrees unless Achilles tendon rupture

Rossdonaldson1: /* Procedure */

2023-09-13T22:14:56Z

Procedure

← Older revision		Revision as of 22:14, 13 September 2023
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	[[File:Posterior Ankle Splint.gif\|thumb]]		[[File:Posterior Ankle Splint.gif\|thumb]]

	*Assess distal pulse, motor, and sensation		{{Splint Application General Procedure}}
	*Apply padding and splint material ~~(e.g. Ortho-glass)~~ as shown
			===Splint-Specific Details===
			*Apply padding and splint material as shown in figure
	**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement		**If patient can tolerate prone position and flexing knee to 90 degrees, will help with placement
			*Splint course:
			**Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
			*Key anatomic positions
	**Flex ankle to 90 degrees unless Achilles tendon rupture		**Flex ankle to 90 degrees unless Achilles tendon rupture
	**Splint should run from plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods
	~~http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>~~
	*Maintain position until splint material hardens and secure to leg (e.g. ace wraps)
	*Reassess distal pulse, motor, and sensation

	==See Also==		==See Also==

Rossdonaldson1: /* Indications */

2023-09-13T22:08:45Z

Indications

← Older revision		Revision as of 22:08, 13 September 2023
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	*[[Tarsal fracture\|Tarsal]]/[[metatarsal fracture]]		*[[Tarsal fracture\|Tarsal]]/[[metatarsal fracture]]
	*Reduced [[ankle dislocation]]		*Reduced [[ankle dislocation]]
	*Severe ~~sprains~~		*Severe [[ankle sprain]]
	*[[Achilles tendon rupture]] (equinus position)		*[[Achilles tendon rupture]] (equinus position)

Rossdonaldson1: /* Indications */

2023-09-13T22:06:04Z

Indications

← Older revision		Revision as of 22:06, 13 September 2023
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	==Indications==		==Indications==
	*Distal tibia/fibula fracture		*[[Distal tibia/fibula]] fracture
	*Tarsal/metatarsal fracture		*[[Tarsal fracture\|Tarsal]]/[[metatarsal fracture]]
	*Reduced ~~dislocations~~		*Reduced [[ankle dislocation]]
	*Severe sprains		*Severe sprains
	*Achilles tendon rupture (equinus position)		*[[Achilles tendon rupture]] (equinus position)

	==Procedure==		==Procedure==

Rossdonaldson1: /* See Also */

2023-09-13T22:03:56Z

Rossdonaldson1: /* Background */

2023-09-13T22:03:28Z

Background

← Older revision		Revision as of 22:03, 13 September 2023
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	==Background==		==Background==
	*Also know as "Short-Leg Posterior Splint"		*Also know as "Short-Leg Posterior Splint"
	*Adding a coaptation splint (stirrup) ~~to the posterior splint~~ eliminates inversion / eversion ~~- especially~~ useful for unstable fracture and sprains.		*Adding a coaptation splint (i.e., combining with an [[ankle stirrup splint]]) eliminates inversion / eversion
			**Especially useful for unstable fracture and sprains

	==Indications==		==Indications==