Volar/ulnar gutter splint

Volar/ulnar gutter splint photo

Doctor's advice

Your doctor’s advice

A doctor has examined you and has asked for a volar or ulnar gutter splint to be applied.

These splints are normally hard down one side of the limb and soft the other side. They usually extend from the forearm to the tips of the fingers.

Usually these splints are used for metercarpal (finger bones) or hand injuries

Swelling or the symptoms of swelling of the upper limbs is common post injury/surgery.

✓ Do

Keep your cast clean and dry

Getting it wet could irritate your skin. Either wrap a towel around it and keep away from water or purchase a waterproof cover (these are available online).

Do some exercises

Keep your elbow and shoulder moving whilst in this cast.

Keep the casted arm elevated

Keep cast elevated as much as possible as you are unable to make a fist, swelling will happen. You should elevate arm whilst sat or stood up, not when laying down.

Get help if you need it

Contact plaster room if your cast becomes broken.

Be vigilant of cast rubbing/burning sensation inside cast. Contact plaster room ASAP.

If you have pain that cannot be controlled with pain relief you must attend A&E immediately.

Don't ✘

Don't remove your cast

Never attempt to remove a cast yourself.

Don't put plastic bags around the cast

Do not put plastic bags around the cast, these are not waterproof and can cause skin issues under the cast.

Don't stick objects in your cast if itching

This can cause additional skin problems under the cast that may require further medical treatment.

Never attempt to trim your cast

If there are rough edges or your skin is irritated around the ends, contact plaster room.

Warning sign

Swelling

Swelling or the symptoms of swelling of the upper limbs is common post injury/surgery.

Symptoms can include

  • Throbbing, numbness, tingling sensation
  • Change of skin colour to exposed areas of skin not in cast
  • Cast feeling tight

What to do

In order to alleviate swelling/symptoms of swelling, arm must be elevated with hand above ear.

You should elevate arm whilst sat or stood up, not when laying down.

It is very important to keep the joints not in cast moving. See exercise video.

Better understand the pressure points

It is important to be vigilant of upper limb casts rubbing/causing pain. Prolonged pressure on a certain area has the potential to cause skin damage Common areas this could occur in are

  • Around knuckles
  • Around the fingers
  • Around wrist
  • Around top of cast
Around the edge
If the wrist or fingers feel like they are rubbing contact plaster room
Volar/ulnar gutter splint thumbnail

See our self-help videos

Volar slab exercise

Contact us

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We are open
Monday-Friday
8:30am-4:30pm


Before you ring us…

It is really important that you use this Plaster Room site to access all the advice and information that we think essential for your successful recovery.

Get help if you need it

Please only ring us for one of these specified reasons:

  • if your cast becomes broken
  • if you have a cast that is rubbing or burning
  • if the cast is causing red area around the edge of the cast
  • if you have pain that cannot be controlled with pain relief

Tel: 01274 364174