The Ulnar Gutter splint is used in the treatment of distal 5th Metacarpal fractures, commonly referred to as ‘Boxer’s Fracture’. These are commonly displaced fractures, requiring some form of manipulation to correct the angle of the 5th Metacarpal head.



  1. Apply stockinette and Adhesive Airpadding
  2. Apply second stockinette
  3. Apply stockinettes for fingers IV and V
  4. Open the vents and apply Woodcast 4in1 as shown in the video
  5. Place the reinforcement on the dorsal side
  6. Mold and take safe-position
  7. Fold the stockinettes
  8. Apply cohesive or double layer bandage
  9. Check position and length of the splint