Gilchristverband

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Applied Gilchristverband

The Gilchrist bandage is applied to injuries to the shoulder and upper arm area. The classic version was developed by the American dermatologist Thomas C. Gilchrist , 1862–1927.

It is used to immobilize or fix the shoulder joint, e.g. B. after re-established shoulder dislocation ( shoulder dislocation ), with injuries to the shoulder joint (AC joint), with upper arm, shoulder and lateral collarbone fractures. The Gilchrist bandage is also occasionally used after shoulder operations (e.g. shoulder joint endoscopy) to immobilize the patient. Mostly prefabricated Gilchrist bandages are used, which are available in different sizes, are reusable and removable, and are secured with Velcro fasteners.

If more immobilization of the shoulder is required (e.g. in the case of an unstable proximal humerus fracture ), a Desault dressing is more likely to be used. In clavicle fracture come paving reins associations (in children) or backpack associations (in adults) are used.

The finished bandage consists of a wide chest band and an upper and lower arm fixation. The arm is bent at right angles in the elbow joint; the hand looks out of the bandage in the area of ​​the navel and can (and should) be used with restrictions. A loop goes around the neck from the part of the bandage in front of the abdomen. The task of the chest band is to hold the arm dorsally (behind).

A self-made Gilchrist bandage consists of a long piece of tubular gauze, upholstery and bandage wadding as well as 2-4 safety pins . However, it can also be wrapped using several tighter elastic bandages.

Individual evidence

  1. a b N. Wülker (Ed.): Pocket textbook on orthopedics and trauma surgery. Verlag Thieme, 2005, ISBN 3-13-129971-1 , p. 348.

swell

  • Care today . Verlag Urban & Fischer, 2000, pp. 860/861.