Splinting: Hand

Hand Fracture Management Chart

Fracture	Splint	Disposition
Flexor tendon injury	Finger Splint	hand specialist referral
Extensor tendon injury	Poss ED repair + Finger Splint	hand specialist referral
Mallet finger	Finger Splint to DIP (DIP in slight hyperextension)
Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)	Thumb Spica Splint
Scaphoid fracture	Thumb Spica Splint
Carpal fracture	Volar Splint
Bennet's fracture (intrarticular fracture at base of 1st MCP)	Thumb Spica Splint
Rolando's fracture (comminuted base of 1st MCP)	Thumb Spica Splint
Boxer's fracture	Ulnar Gutter Splint
4th and 5th MCP fracture	Ulnar Gutter Splint
2nd and 3rd MCP fracture	Radial Gutter Splint
Finger (Phalanx) Fracture	Finger Splint or Buddy Tape

See Also

Fracture management overview

• Upper extremity
  • Humerus
  • Forearm
  • Carpals
  • Hand
• Torso
  • Chest
  • Spine
  • Pelvis
• Lower extremity
  • Femur
  • Distal leg
  • Foot
• Other
  • Pediatric
  • Fractures (main)