Splinting

Treatment

Proximal humerus Fx

1. Humeral shaft Fx
   
   1. LAPS or stable-coaptation splint/unstable-elephant ear
      
2. Supracondylar humeral Fx
   
   1. LAPS (ortho consult for type2 or 3)
      
3. Humeral condyle Fx
   
   1. LAPS and ortho for ORIF if displaced
      
4. Olecranon Fx
   
   1. nondisplaced S&S, displaced LAPS or emerg. ORIF
      
5. Radial Head Fx
   
   1. nondisplaced S&S,displaced-LAPS or emerg. ORIF
      
6. Monteggia (ulnar shaft w/prox radioulnar disloc)-
   
   1. Emergent ortho for ORIF
      
7. Galeazzi Fx (distal radius w/distal ulnar disloc)
   
   1. Emerg. ortho for ORIF
      
8. Elbow dislocation
   
   1. LAPS after reduction (if assoc. Fx-emerg. ortho)
      
9. Forearm Fx
   
   1. sugar tong
      
10. Flexor tendon injury
    
    1. finger splint/hand specialist ref.
       
11. Extensor tendon injury
    
    1. poss ED repair/finger splint to hand specialist.
       
12. Mallet finger
    
    1. finger splint to DIP (DIP in slight hyperextension)
       
13. Gamekeeper's thumb
    
    1. thumb spica with ortho f/u
       
14. Scaphoid Fx
    
    1. Thumb spica splint with ortho f/u
       
15. Carpal Fx
    
    1. volar splint with ortho f/u
       
16. Colle's Fx (distal radius with dist dorsal angulation)
    
    1. sugar tong and ortho f/u
       
17. Smith Fx (reverse colles w/ volar angulation)
    
    1. sugar tong and ortho f/u
       
18. Bennet's Fx (intrarticular Fx at base of 1st MCP)
    
    1. thumb spica and ortho f/u
       
19. Rolando Fx (comminuted base of 1st MCP
    
    1. thumb spica and ortho f/u
       
20. Boxer's Fx-ulnar gutter splint
    1. MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)
21. Phalynx Fx-finger splints with buddy tape.