The overall safe position of immobilization for the hand is called the intrinsic plus or clam digger position. In the intrinsic plus position the mcp joints are positioned in flexion and the proximal interphalangeal pip and distal interphalangeal dip joints of the fingers are positioned in extension. This tutorial goes over basic indications for ulnar and radial gutter splinting tips for wrapping the fracture and instructions on placing the patient s hand in the intrinsic plus position.
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