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Positioning/Splinting for Burns
Anti-contracture positioning by location of burn
20
Medical
Graduate
01/02/2010

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Cards

Term
Anterior burn- contracture tendency
Definition
Neck flexion
Term
Anterior burn positioning/typical splint
Definition
Remove pillows/ half mattress to extend the neck: Neck extension splint/collar
Term
Axilla- contracture tendency
Definition
Adduction
Term
Axilla burn positioning/ typical splint
Definition
120 degrees abduction with slight external rotation: axilla splint or positioning wedges. Watch for brachial plexus strain.
Term
Anterior elbow burn- contracture tendency
Definition
Elbow flexion
Term
Anterior elbow burn positioning/ typical splint
Definition
Elbow extension splint 5-10 degrees flexion
Term
Dorsal wrist burn- contracture tendency
Definition
Wrist extension
Term
Dorsal wrist burn positioning/typical splint
Definition
Wrist support in neutral
Term
Volar wrist burn- contracture tendency
Definition
Wrist flexion
Term
Volar wrist burn positioning/ typical splint
Definition
Wrist cock-up in 5-10 degrees flexion
Term
Hand dorsal surface burn- contracture tendency
Definition
Claw-hand deformity
Term
Hand dorsal-surface burn- positioning/ typical splint
Definition
Functional hand splint with MP in 70-90 IP fully extended, first webspace open, thumb in opposition
Term
Hand- volar surface burn- contracture tendency
Definition
Palmar contracture/ cupping of hand
Term
Hand- volar surface burn- positioning/ typical splint
Definition
Palm extension splint, MP's in slight hyperextension
Term
Anterior hip burn- contracture tendency
Definition
Hip flexion
Term
Anterior hip burn- positioning/ typical splint
Definition
Prone positioning, weights on thigh in supine, knee immobilizers
Term
Knee burn- contracture tendency
Definition
Knee flexion
Term
Knee burn- positioning/ typical splint
Definition
Knee extension splint and/or splints o prevent external rotation which may cause peroneal nerve compression
Term
Foot burn- contracture tendency
Definition
Foot drop
Term
Foot burn- positioning/typical splint
Definition
Ankle at 90 with foot board or splint, watch for signs of heel ulcer.
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