Casting acute fractures. Part 5--The gutter slab.
BACKGROUND
Punching injuries commonly present with displaced fractures of the distal fifth metacarpal. These are typically difficult to maintain in a reduced position.


OBJECTIVE
The specific technique for the application of a strong slab likely to maintain reduction is demonstrated, the concept and use of moulding pads to safely undertake aggressive moulding is illustrated.


CONCLUSIONS
Maintenance of reduction of these fractures is largely for cosmetic purposes. Immobilisation in a moulded cast improves the patient's comfort.
Spain
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Gold Coast Hospital, Queensland.
D002370:Casts, Surgical; D050723:Fractures, Bone / Q000628:therapy*; D006801:Humans; D008663:Metacarpus / Q000293:injuries*