Rolyan
Gauntlet Thumb Spica Splint:
®
A 678-81 through 83; A 678-91 through 93; 5504-21 through -23 and 5504-26 through 28; 5605-86 through 88
a
IndIcatIons
• For immobilizing the MCP joint of the thumb
• May be used for cumulative trauma injuries
(including deQuervain's syndrome), MCP
joint collateral ligament injury, gamekeeper's
thumb and acute arthritis, and following MCP
joint replacement
contraIndIcatIons
• Not in the presence of severe edema
• Not for the acute phase of most thumb
fractures
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
patient's 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.
B
d
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
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 finger (a). 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.
c
e
1. Heat splint blank as follows:
Soften in water heated to approximately
160°F (70°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 (B) or pinched together (c)—
excess material of the pinched seam can be
trimmed carefully with a scissors (d).
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 (e).
1