Please contact us toll free: 72 if you have any questions before you purchase or need technical help. Upon receiving your new Mytee Carpet Cleanerwe will assist you with set up, operation and maintenance. Our staff is very experienced and is here to help you answer any questions you may have prior to you purchasing your Mytee extractor. Oh and it’s very affordable too!ĭetail King is Mytee Products largest automotive carpet extractor distributor and has been offering Mytee Carpet Extractors for close to 14 years. The best thing about this Mytee Carpet Extractor is that it’s on wheels and can easily be moved around in your work area. The Mytee Deluxe Detail Prep Center is not only a hot water carpet extractor but a powerful dry vacuum cleaner, chemical dispensing system and air blower all in one unit. If you have a larger volume shop, full service car wash or automotive body shop you may want to consider the Mytee Deluxe Prep Center. The new Mytee Lite 8070 (Mytee Lite III) has the same pump, heating system and powerful suction as the other Mytee extractors but is compact and more portable making it ideal for a mobile detailing business. Mytee Products has totally redesigned the Mytee Lite for 2014. If you are a part-time auto detailer, operate a small mobile detailing business or are an avid car collector/enthusiast the Mytee Lite iii is a popular choice by professional detailers and car enthusiasts alike. The Mytee HP60 Spyder is also heated, has powerful suction, is easy to move around the shop and is priced right! The Mytee HP60 is a great choice for smaller car dealers and used car lots, detail shops and growing mobile auto detailing businesses. The Mytee HP120 Grand Prix is for volume shops and full service car washes that can’t waste time emptying and refilling solution and recover tanks as this hot water extractor comes standard with two 10 gallon tanks. If you operate an auto dealership and purchase pre-owned vehicles from the auction or need to clean your trade-ins so you can get top dollar our Mytee HP120 may be exactly what your detail shop needs. Detail King not only is Mytee’s largest automotive extractor distributor but we also sell and stock Mytee extractor accessories and parts. Mytee Heated Carpet Extractors, Accessories & PartsĪ Mytee Heated Carpet Extractor from Mytee Products is by far the best carpet cleaning machine in the auto detailing industry. Reconditioning Detail King auto reconditioning seminars teach students how to restore foggy headlights, repair rock paint chips, dye faded plastic trim, repair car interior rips and tears, rejuvenate old faded and stained carpet and fix cigarette burns.
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It also supports legal rights and obligations within the legal system and promotes accountability and transparency. Court records are important in Arizona's judicial process as it provides evidence that a particular action took place. At the county level, Arizona court records are generated, maintained, and disseminated by the court clerks of each jurisdiction's courthouse.Ī court case record usually contains information about the parties, case status, and documents filed or created during the case history. Requests for court records are processed through the Arizona Judicial Branch, which maintains state-wide court case information in Arizona. A court records search provides is the process of seeking this court record information from their custodian offices. Municipal cases, lawsuits in limited jurisdiction courts.ĭownload forms and instructions for all filings.Arizona court records are documents created and maintained by a court clerk in a legal proceeding held within state limits. Please consult the official sources for the latest information, as things may have changed.Ĭriminal, divorces and other civil filingsįind information pertaining to juvenile cases. The court has jurisdiction over civil and criminal cases, including family law, probate, juvenile, and small claims. It is located at 201 West Jefferson Street, Phoenix, AZ 85003. Maricopa County Superior Court is the court of general jurisdiction in Maricopa County, Arizona. Registered voters and election information. Search and order recorded documents in the county. Review and obtain property taxes and more. Property assessment and other county real estate resources. Search for public records from Clerk of the Board. Maricopa Official Public Records Request.Information for students, parents and teachers. Maricopa County Superintendent of Schools. Information to obtain marriage license in Maricopa. Order records of births in the county of Maricopa. Official death certificates from the county of Maricopa. Index of Maricopa's services and resources. Maricopa County is home to a number of attractions, including the Grand Canyon, the Sonoran Desert, and the Phoenix Zoo.įor the most up-to-date and in-depth information, please check the public records links below. There are also several private schools in the county. Maricopa County is served by a number of public school districts, including the Phoenix Union High School District and the Maricopa County Community College District. The county also has a number of courts, including the Superior Court of Arizona in Maricopa County, the Court of Appeals Division One, and the United States District Court for the District of Arizona. The county is served by a number of law enforcement agencies, including the Maricopa County Sheriff's Office, the Phoenix Police Department, and the Maricopa County Attorney's Office. The county is also divided into 15 cities and towns, each of which has its own mayor and council. The county is divided into five districts, each of which is represented by one of the five supervisors. The county manager is responsible for overseeing the day-to-day operations of the county government. The Board of Supervisors is responsible for setting county policy, approving the county budget, and appointing the county manager. Maricopa County is governed by a five-member Board of Supervisors, who are elected by the citizens of the county. The county seat is Phoenix, the state capital and fifth most populous city in the United States. It is the most populous county in Arizona and the fourth most populous county in the United States. Maricopa County is located in the south-central part of the U.S. Major domestic appliances are excluded from 30 day money back guarantee. NESN require 7-10 working days for parts to arrive from the day they are ordered. This will be decided on individual circumstances and the nature of the fault. If the repair takes an unreasonable amount (over 28 days for cosmetic faults and over 7 days for critical faults) of time Swan will consider authorising an exchange. Swan will authorise an exchange providing the fault is beyond economical repair and the service company have generated a fault reference number to reflect this. Our service company will arrange for an engineer to inspect/repair the appliance. In all other eventualities, it’s quicker to send an engineer with a spare part.Ĭustomer must contact the service company to report the fault. Swan will authorise an exchange for appliances with damage non-replacement panels/parts. The service agents will instruct an engineer to assess the damage. If the customer chooses to have the item unpacked and it is damaged the customer must reject the delivery and contact their retailer to organise an exchange.bIf the customer does not have the item unpacked by the delivery company and reports the appliance as damaged after, the customer must contact our service company (details below). The customer will be given the option of the appliance been unpacked for them by the delivery company (details below). If we encounter any problems with your request, we will query these with you.Īny refunds will be applied to the card you used to make the payment on our store. Once a request has been received, we check all items. We will organise a suitable date and time for our couriers to collect the item Please allow 3 working days for us to process a return. Simply email or post your request to us with the following information:ĭetailed reason for return or detail of the faultĪ contact name with phone number and email details When you wish to return a faulty or damaged item to the Swan Products Ltd, you will firstly need to let us know what the problem is with the item. It is important that you notify us immediately and follow the returns procedure in order to receive a refund. Items occasionally go faulty and you may have to return these items to us for a full, no quibble refund. We understand that this is an inconvenience, and can be upsetting, so we have a no quibble returns, refund or replacement policy to ensure that our customers are properly serviced. Boil up some tea or coffee in style with this must-have Liverpool FC kettle!Īt Swan Products Ltd we ship thousands of items per week and a very small amount will from time to time be faulty. Finally, the cord storage feature keeps your countertop neat and tidy. Plus, the transparent water gauge makes it easy to keep track of your water level, while the easy pouring spout ensures an easy pour every time. And with automatic cut off, boil dry protection, and over heat protection, you'll never have to worry about accidents. Its jug body holds a generous 1.5L capacity and boasts 3000W power. Its durable stainless-steel body and 360-degree rotational base make it easy to use, while the concealed heating element ensures quick boiling times. Whether you're a die-hard fan or just looking for a stylish appliance to show your team spirit, this kettle is sure to please. Score big with this Liverpool FC Retro Jug Kettle. Due to the paint processes used, a colour variation with matching products is possible and therefore may not be a 100% match. Ultimately, picking and choosing your categories is going to be a much more meticulous process. Try to pick categories that represent a broad array of interests, rather than three that are all closely related. In that case, you could select “Norse Mythology” as a second category. You should still select that one, because it's the most relevant, but maybe your book has Norse Mythology elements as well. For example, if you write an epic fantasy, the category of “Epic Fantasy” will likely be crowded. Think Outside the Box: While your book may best belong in a high-competition category, there may be other niche categories that you belong in.Plus, if you pick a subcategory, Amazon automatically includes you in the broader categories above it. These will not only have the least competition, but it will give Amazon a better idea of what your book is about. Niche Down: When entering your categories, you want to drill down as far as you can go into the subcategories.Otherwise, Amazon might boot you from the categories, or place you in other categories that you simply do not want. Only pick categories that are relevant to your book. This will not work for you in the long run. Pick Relevant Categories: Authors have been miscategorizing their books (in the hopes of ranking well in low-competition category) for years now.If you see a category with an upward trend like in the image above, that might be a good sign that your category is a good one to invest in for the future.Īdditionally, I have some specific advice to get the most out of your categories. WARNING: Choose Your Categories Wiselyīecause Amazon only allows three categories (where they used to allow ten), this makes it even more important than ever that you use a program like Publisher Rocket to select your book categories.Īnd with Rocket's Category Insights tool, it is easier than ever to not only see the performance of a category today, but also whether that category is growing or shrinking. Add your categories to your book in KDP.See the list of all Amazon book categories.Check for the #1 best seller in your chosen categories.Research a list of potential book categories.Instead, here is the step-by-step process to research, find, and select Amazon categories: So because Amazon has removed this option, I'll walk you through a more complete process of finding potential categories. However, Amazon has removed this capability. Then, those that knew of this, could use a special form to contact Amazon and request a change of categories, and even addition of categories. This was crazy because there are only 4,800 categories, but Amazon actually has over 11,000 on their store.įrom there, Amazon would take from your BISAC selection and put you into an Amazon category. Okay, so back in the day, Amazon had a confusing system by which authors could choose their categories.įirst, they would go into their KDP dashboard, and choose from a list of BISAC categories. In this example, I will be trying to find a good category for a language book: But First, the Old Way Follow the steps below:įor this, I will be using an example. There are two steps to finding out how to choose a good kindle category or Amazon book category. Now, let's look at how to find the best Amazon categories for your book or ebook. So, the category you choose has a DIRECT effect on whether you’ll become an Amazon Best Seller and get that attractive bestseller tag. Again, using my calculator, that’s only 3 books a day.īig difference, right? 90 books vs 3 books? However, if you choose a category where the #1 book has an ABSR of 70,000, then all you need is an ABSR of 69,999 or less. Using my kindle calculator, you’d find out that you’d need to sell over 90 books per day to reach that. If you choose a category where the #1 book in that category has an ABSR of 2,000, then you’d need to have an ABSR or 1,999 or less in order to be the new #1. So, choosing your Amazon Kindle categories or book categories will have a direct effect on whether or not you become a bestseller. So, if your book has the LOWEST ABSR of all books that are attached to an Amazon category, then you are the #1 best seller in that category. If you have an ABSR of 1,000,000, then it means there are 999,999 books selling better than you. With this, if you have an ABSR of 1000, then it means that at that point in time, there are 999 books on Amazon selling better than you. Amazon assigns the ABSR of a book based on how many sales or downloads it has had over a certain period of time as compared to all other books on the Amazon market. We offer video conferencing, administrative services and more!Ĭall 1-87 now to reserve a meeting venue or select a meeting space in Winchester in Las Vegas above to view cheap pricing and additional facility features. Davinci's offices are all equipped with the latest technologies. Just need a coworking space or wish to woe your clients with a hosted affair? We will make your experience at our conference venues in Winchester in Las Vegas as effortless as possible. Pick from day offices and configurable meeting rooms, board rooms, conference centers, event spaces, and more to address your short- and long term meeting space needs. Davinci has executive meeting room centers in Winchester. Winchester in Las Vegas is a great place for business. Thank you for visiting Davinci Meeting Rooms in Las Vegas. Davinci Meeting Rooms offer a convenient and hassle free reservation process. We offer video conferencing, administrative services and more!Ĭall 1-87 now to reserve a meeting venue or select a meeting space in Las Vegas in Las Vegas above to view cheap pricing and additional facility features. Just need a coworking space or wish to woe your clients with a hosted affair? We will make your experience at our conference venues in Las Vegas in Las Vegas as effortless as possible. Davinci has executive meeting room centers in Las Vegas. Las Vegas in Las Vegas is a great place for business. We offer video conferencing, administrative services and more!Ĭall 1-87 now to reserve a meeting venue or select a meeting space in Southeast Las Vegas in Las Vegas above to view cheap pricing and additional facility features. Just need a coworking space or wish to woe your clients with a hosted affair? We will make your experience at our conference venues in Southeast Las Vegas in Las Vegas as effortless as possible. Davinci has executive meeting room centers in Southeast Las Vegas. Southeast Las Vegas in Las Vegas is a great place for business. We offer video conferencing, administrative services and more!Ĭall 1-87 now to reserve a meeting venue or select a meeting space in South Las Vegas in Las Vegas above to view cheap pricing and additional facility features. Just need a coworking space or wish to woe your clients with a hosted affair? We will make your experience at our conference venues in South Las Vegas in Las Vegas as effortless as possible. Davinci has executive meeting room centers in South Las Vegas. South Las Vegas in Las Vegas is a great place for business. Using identification that appears to be altered or forgedĮach casino should have its own, risk-based, compliance program and compliance officerĪ casino’s size, location, dollar volume, types of games, type/nature of customers, and internal controls are some of the factors to consider when analyzing the possible risk of money laundering occurring at the casino.Section A: 31 C.F.R.Using the casino purely for its financial services.Supplying other patrons with cash to purchase chips.Purchasing chips and then, after minimal gambling, redeeming the chips for a check.Regularly conducting currency transactions that are just below $10,000.Ğxchanging several monetary instruments, such as traveler’s checks, for one casino check. Ğxchanging many small bills for large ones.involves use of the casino to facilitate criminal activity.Īctivities that are considered suspicious for a Casino are:.has no business or apparent lawful purpose or is not the sort in which the particular customer would normally be expected to engage, and the casino knows of no reasonable explanation for the transaction after examining the available facts or.is designed to evade the reporting or recordkeeping requirements of the BSA (structuring).involves funds derived from illegal activity or is intended or conducted in order to hide or disguise funds or assets derived from illegal activity (money laundering).Reimbursements for customers’ travel and entertainment expenses by the casinoīSA requires that Casinos file a Casino SAR (SARC) for any transaction conducted or attempted by, at, or through a casino, and involving or aggregating at least $5,000 in funds or other assets, that the casino knows, suspects, or has reason to suspect:.Ĝashing of checks or other negotiable instruments.Payments by a casino to a customer based on receipts of funds through wire transfer for credit to a customer.Payments on bets, excluding slot and video lottery terminal jackpots.Ědvances on any form of credit, including markers and counter checks.Redemption of chips, tokens and plaques.Transactions in currency involving cash-out include: Ğxchanges of currency for currency, including foreign currency.Ĝurrency received by a casino for transmittal of funds through wire transfer on behalf of a customer.Payments on any form of credit, including markers and counter checks.Transactions in currency involving cash-in include: Procedures for using computers to aid in assuring compliance, if the casino has computerized systems. Procedures for using all available information to determine any transactions or patterns of transactions required to be reported as suspicious andħ. Procedures for using all available information to verify the identity of a person, when required the name, address and Social Security Number (SSN).Ħ. Internal controls (policies and procedures designed to assure compliance with the Bank Secrecy Act (BSA) Ĥ.Ě compliance officer, who is responsible for day-to-day compliance with the BSA and the casino’s AML program ĥ.
As a result, Newzoo anticipated that the 2021 market will see a small decline as the world recovers from COVID-19 and spending on video games slows down, but otherwise the industry would remain on track to break $200 billion in revenue by 2023. Newzoo estimated the global market for video games in 2020 was $177.8 billion, a 23.1% increase from 2019, buoyed by the COVID-19 pandemic. Virtual and augmented reality had about $6.7 billion, while video gaming content such as online streamers generated an additional $9.3 billion. Mobile games accounted for over $73.8 billion or 58% of the market, with computer games at $33.1 billion and console games at $19.7 billion. SuperData Research estimated the global video game market grew by 12% in 2020 to a total $139.9 billion in revenues. The global market for video games based on 2020 revenues was estimated to exceed $179.7 billion according to the International Data Corporation the growth of 20% over 2019 revenues is attributes to the surge in spending in video games from the COVID-19 pandemic along with the releases of the new consoles. Releases scoring 90/100 or higher on Metacritic in 2020 Titleĭragon Quest XI S: Echoes of an Elusive Age - Definitive Edition It generally considers expansions and re-releases as separate entities. Metacritic is an aggregator of video game journalism reviews. ^ a b Cunningham won for his performance as Hades, Achilles, Poseidon, Asterius, Charon, and the Storyteller.^ a b c Some award presentations combine these categories.Logan Cunningham as multiple characters in Hades Laura Bailey as Abby in The Last of Us Part II Top-rated games Major awards Category/Organization Major planned acquisitions included Xbox Game Studios' acquisition of ZeniMax Media and its subsidiaries, and Electronic Arts outbidding Take-Two Interactive for Codemasters. Apple lawsuit over mobile app store revenue cut policies. Mobile gaming continued its growth as a major platform for video gaming as part of this, Epic Games initiated the Epic Games v. The industry also reacted to various political/cultural events also saw the release of There is No Game: Wrong Dimension. While this caused numerous delays in software and hardware releases and the cancellation of live conferences and events in favor of virtual shows, it also created a boon for the industry as people turned to gaming as a means to pass the time. The industry was heavily affected by the impact of the COVID-19 pandemic which had begun in March and was characterized by COVID-19 lockdowns and remote work. In the video game industry, 2020 saw the launch of the next generation of video game consoles, with both Microsoft and Sony Interactive Entertainment having released the Xbox Series X/S and PlayStation 5 consoles, respectively, in November 2020. If you agreed to this type of reoccurring payment, the agency must follow certain steps to comply with the EFTA. AscensionPoint, like most collection agencies, wants to set up recurring payments from consumers imagine how much money it can earn if hundreds, even thousands, of consumers electronically pay them $50 – $100 or more per month. If AscensionPoint Recovery Services, LLC took unauthorized deductions from your bank account, you may have an EFTA claim against the agency. Have you received a message from this agency that sounds pre-recorded or cut-off at the beginning or end? These are tell-tale signs that the message is pre-recorded, and if you have these messages on your cell phone, you may have a TCPA case against the agency.The Electronic Fund Transfer Act (EFTA) protects electronic payments that are deducted from bank accounts. You can receive $500 per call if AscensionPoint Recovery Services, LLC violates the TCPA. You can tell it’s a robocall because either no one responds on the other end of the line, or there is a delay when you pick up the phone before a live person responds. If AscensionPoint Recovery Services, LLC is harassing you over a debt, you have rights under the FDCPA.The Telephone Consumer Protection Act (TCPA) protects you from robocalls, which are those annoying, automated, recorded calls that computers make all day long. In other words, everyone is protected under the FDCPA, and this Act is a laundry list of what debt collectors can and cannot do while collecting a debt, as well as things they must do while collecting debt. The Fair Debt Collection Practices Act (FDCPA) is a federal law which applies to everyone in the United States. AscensionPoint Recovery Services, LLC Complaints A search for AscensionPoint Recovery will display 5 lawsuits filed against the agency in 4 states for violations of consumer rights and/or the Fair Debt Collection Practices Act (FDCPA). PACER is the U.S.’s federal docket which lists federal complaints filed against a wide range of companies. If you want to know just how unhappy consumers are with AscensionPoint Recovery Services, take a look at the number of lawsuits filed against the agency on the Public Access to Court Electronic Records (“PACER”). Here are some phone numbers AscensionPoint may be calling you from:ĪscensionPoint Recovery Services, LLC Lawsuits For an advanced search, visit and click “Number Search” in the “Lookup” dropdown menu. Like many debt collection agencies, AscensionPoint Recovery Services, LLC may use many different phone numbers to contact debtors. The main telephone number is 76 and AscensionPoint’s website is Phone Numbers Used by AscensionPoint Recovery Services, LLC AscensionPoint Recovery Services, LLC’s Address, Phone Number, and Contact InformationĪscensionPoint Recovery Services, LLC is located at 200 Coon Rapids Boulevard, Suite 200, Coon Rapids, MN 55433. AscensionPoint has been accredited with the Better Business Bureau since 2008 and has received 37 complaints via the BBB in the past three years, primarily for advertising/sales problems and billing/collection problems.Consumers allege harassing phone calls, wrongfully contacting debtors’ relatives, threatening to take legal actions that could not be taken or were not intended to be taken, and even falsely claiming a debtor to be dead to attempt to collect debts from her estate. Who is AscensionPoint Recovery Services, LLC?ĪscensionPoint Recovery Services, LLC is a debt collection agency based in Coon Rapids, Minnesota. You have nothing to lose! Call us today at 88 for a free consultation. Plus, some of our clients also receive debt relief and cleaned-up credit reports. You won’t owe us a dime for our services. THE BEST PART IS…If AscensionPoint Recovery Services, LLC violated the law, you will get money damages and AscensionPoint will pay your attorneys’ fees and costs. You have rights under the law, and we will stop the harassment once and for all. Debt collectors like AscensionPoint Recovery Services, LLC cannot harass you over a debt. Which AI Tool Is for Generating Animations? Some apps include a drag-and-drop feature that helps you nudge the AI animation software in the right direction. They produce sophisticated, personalized animations based on your inputs and vision. AI animation tools use AI algorithms and machine learning to do so. The more insights you provide, the more the AI has to work with, and the better the animation or results can be. They can use any piece of information you provide, such as text, images, motion capture data, or scripts, to create animations. It makes beautifully designed characters that can enhance your brand awareness and create an emotional connection with your audience.Ĭommon Questions About AI Animation Generators What Are AI Animation Generators?ĪI animation generators are useful computer programs that create animations using artificial intelligence and machine learning. GliaStar is best for creating an AI-animated mascot with just a few text inputs. It doesn’t have a set premium plan, but you can request a quote, and they’ll get back to you with full package details. GliaStar comes with free demo access to the AI animation software, but once you create the video, you’ll be required to pay for commercial rights. Supports the tonal and emotional intricacies of five languages: English, Chinese, Japanese, Korean, and Vietnamese.Lip synchronization for spoken text provides an ultra-realistic touch to characters.Auto-animations for facial expressions and body gestures using artificial intelligence.Converts a 2D or 3D visual design into a 3D animated character.GliaStar is a great tool for education and training videos, social media content, commercial videos, presentations, and branding kits. Let’s take a look at the best AI animation generators you can use and what each is for. It lets you focus on creativity, business goals, marketing plans, film production, branding, and more, rather than on filming and acting on camera! These can help you create anything visually appealing and informative.ĪI animation software saves you time and money. The best AI animation generators can build presentations, slideshows, marketing or branding content, promo videos or ads, 3D models, explainer videos, whiteboard videos, and even post-production VFX. Some use relevant keywords or image inputs, while other animation software can work from scratch. What Are the Best AI Animation Generators?ĪI animation generators are computer programs that use artificial intelligence and machine learning to create animations. Please read full disclosure for more information. This post may contain affiliate links, which means I’ll receive a commission if you purchase through my links, at no extra cost to you. Common pediatric fractures and dislocations. Phalangeal and metacarpal fractures of the hand. Getting a grasp on hand injuries in young athletes. New York, NY: McGraw-Hill 2007:1–29.īoyd AS, Benjamin HJ, Asplund C. General principles In: Simon RR, Sherman SC, Koenigsknecht SJ, eds. The wrist: common injuries and management. Philadelphia, Pa.: Saunders 2004:989.Įiff MP, Hatch R, Calmbach WL, eds. Clinical Procedures in Emergency Medicine. In: Roberts JR, Hedges JR, Chanmugam AS, eds. Often used when high-top walking boots are not availableĬhudnofsky CR, Byers S. If ankle immobilization is necessary, as with tibial shaft injuries, the splint should extend to include the metatarsalsĭistal metatarsal and phalangeal fractures Weight-bearing status important initially non–weight bearing with tibial injuriesĪcute soft tissue and bony injuries of the lower extremity Refer for displaced or angulated fracture or proximal first through fourth metatarsal fractures Mold to site of injury for effective compressionĬompartment syndrome most commonly associated with proximal mid-tibial fractures, so care is taken not to over-compress Refer for displaced or multiple fractures or significant joint instability Isolated, nondisplaced malleolar fractures Splint ends 2 inches distal to fibular head to avoid common peroneal nerve compression Offers greater immobilization against pronation/supination Used for increased immobilization of forearm and greater stabilityĮlbow, proximal forearm, and skeletally immature wrist injuriesĭistal humeral and proximal/midshaft forearm fracturesĮnsure adequate padding at bony prominencesĪcute elbow and forearm fractures, and nondisplaced, extra-articular Colles fractures Nondisplaced, minimally displaced, or buckle fractures of the distal radiusĬarpal bone fractures other than scaphoid/trapezium Refer for displaced or unstable fractures Increase flexion by 15 degrees weekly, from 45 degrees to full extensionĮxtensor tendon avulsion from the base of the distal phalanxĬontinuous extension in the splint for six to eight weeks is essentialĪcute carpal bone fractures (excluding scaphoid/trapezium)Ĭhildhood buckle fractures of the distal radiusĬonsider splinting as definitive treatment for buckle fractures Middle phalangeal volar plate avulsions and stable reduced PIP joint dislocations Refer for angulated, displaced, rotated, oblique, or significant intra-articular fracture or failure to regain full range of motionĮncourage active range of motion at PIP and MCP joints Nondisplaced proximal/middle phalangeal shaft fracture and sprainsĮncourage active range of motion in all joints Refer for angulated, displaced, intra-articular, incompletely reduced, or unstable fracture Stable thumb fractures with or without closed reductionįracture of the middle/proximal one third of the scaphoid treated with casting Nondisplaced, nonangulated, extra-articular first metacarpal fractures Thumb, first metacarpal, and carpal bones Second and third proximal/middle phalangeal shaft fractures and select metacarpal fractures Refer for angulated, displaced, rotated, oblique, or intra-articular fracture or failed closed reduction Proper positioning of MCP joints at 70 to 90 degrees of flexion, PIP and DIP joints at 5 to 10 degrees of flexion This article highlights the different types of splints and casts that are used in various circumstances and how each is applied.įourth and fifth proximal/middle phalangeal shaft fractures and select metacarpal fractures Indications and accurate application techniques vary for each type of splint and cast commonly encountered in a primary care setting. Selection of a specific cast or splint varies based on the area of the body being treated, and on the acuity and stability of the injury. All patients who are placed in a splint or cast require careful monitoring to ensure proper recovery. Excessive immobilization from continuous use of a cast or splint can lead to chronic pain, joint stiffness, muscle atrophy, or more severe complications (e.g., complex regional pain syndrome). To maximize benefits while minimizing complications, the use of casts and splints is generally limited to the short term. Because of this, casts provide superior immobilization but are less forgiving, have higher complication rates, and are generally reserved for complex and/or definitive fracture management. This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling is anticipated, such as acute fractures or sprains, or for initial stabilization of reduced, displaced, or unstable fractures before orthopedic intervention. Splints are noncircumferential immobilizers that accommodate swelling. Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint. |
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