Page 82 - Orthopedic Casting Manual

Ulnar Gutter Cast

The ulnar gutter cast is specifically designed to immobilize the four th and fifth
digits along with the ulnar side of the hand and wrist.

Indications: This cast is t ypically used for fractures of the four th and fifth
metacar pals, such as boxer's fractures, and for cer tain ligamentous injuries

LRicci et al., 2018M.

Application Steps:

1. Position the wrist in slight ex tension and the four th and fifth
metacar pophalangeal LMCP) joints in 70]90 degrees of flexion.

2. Apply the stockinette and padding, focusing on the ulnar border and digits.
3. Wrap the casting material from the mid-forear m down to the distal end of the
four th and fifth fingers, leaving the thumb and other digits free.

4. Mold the cast to ensure proper immobilization of the metacar pal fractures.
5. Check for comfor t and functionalit y, and provide
instructions for care.