Splinting

Types

• Double Sugar Tong Splint
• Long Arm Posterior Splint
• Forearm Volar Splint‎

Upper Extremity

Humerous

1. Humeral shaft fracture
   1. LAPS or stable-coaptation splint/unstable-elephant ear
2. Supracondylar humeral fracture
   1. LAPS (ortho consult for Type 2 or 3)
3. Humeral condyle fracture
   1. LAPS and ortho for ORIF if displaced
4. Olecranon fracture
   1. Nondisplaced S&S, displaced LAPS or emerg. ORIF

Forearm

1. Radial Head Fx
   1. Nondisplaced
      1. S&S
   2. Displaced
      1. LAPS or emerg. ORIF
2. Monteggia (ulnar shaft w/prox radioulnar disloc)
   1. Emergent ortho for ORIF
3. Galeazzi Fx (distal radius w/distal ulnar disloc)
   1. Emerg. ortho for ORIF
4. Elbow dislocation
   1. LAPS after reduction (if assoc. Fx-emerg. ortho)
5. Forearm Fx
   1. Sugar tong
6. Colle's Fx (distal radius with dist dorsal angulation)
   1. Sugar tong
7. Smith Fx (reverse colles w/ volar angulation)
   1. Sugar tong

Hand

1. Flexor tendon injury
   1. finger splint/hand specialist ref.
2. Extensor tendon injury
   1. poss ED repair/finger splint to hand specialist
3. Mallet finger
   1. finger splint to DIP (DIP in slight hyperextension)
4. Gamekeeper's thumb
   1. thumb spica
5. Scaphoid Fx
   1. Thumb spica splint
6. Carpal Fx
   1. volar splint
7. Bennet's Fx (intrarticular Fx at base of 1st MCP)
   1. thumb spica
8. Rolando Fx (comminuted base of 1st MCP
   1. thumb spica
9. Boxer's Fx
   1. Ulnar gutter splint
10. MCP Fx
    1. Gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)
11. Phalynx Fx-finger splints with buddy tape

• S&S = sling and swath
• LAPS = Long Arm Posterior Splint