Rolyan Gauntlet Thumb Spica Splint Features
- Rolyan Splint comes in 3 sizes
- Invert the pre-cut form for right or left hand application
- To determine size, measure across the dorsal surface of the MCP joints including the soft tissue
- For immobilizing the MCP joint of the thumb
- May be used for cumulative trauma injuries (including deQuervains syndrome), MCP joint collateral ligament injury, gamekeepers thumb and acute arthritis, and following MCP joint replacement
Procedure:The splint blank can be applied to either hand- simply invert the splint blank. Correct placement of the splint blank is between the thumb and index finger, with the slot toward the index. When applied, the splint divides at the slot, with the two parts covering the dorsal and volar surfaces of the hand and the proximal edge surrounding the thumb.
1. Heat splint blank as follows: Soften in water heated to approximately 160Â°F (70Â°C) until pliable. (Refer to the instructions for Rolyan splinting materials for information about working with specific splinting materials.) Remove from heat pan and place on a towel on a flat surface. Blot excess water.
2. Mold the splint blank around the thumb
3. The splinting material at the thumb can be overlapped or pinched together
Â¬Â excess material of the pinched seam can be trimmed carefully with a scissors.
4. The splint can be trimmed and the edges flared if necessary.
5. Apply a strap to the ulnar aspect of the splint, connecting the volar and dorsal sides of the splint
Care and Cleaning:
- The splint will lose its shape in temperatures over 135Â°F (57Â°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.
- 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 splinting material, always check its temperature before applying it to the patient
- Not in the presence of severe edema
- Not for the acute phase of most thumb fractures