Splinting

Types

• Double Sugar Tong Splint
• Long Arm Posterior Splint
• Forearm Volar Splint‎
• Sugar Tong
• Radial Gutter
• Ulnar Gutter
• Thumb Spica
• Buddy Tape
• Dorsal Volar Finger Splint

Upper Extremity

Humerous

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

Forearm

1. Radial Head Fracture
   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 Fracture (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 Fracture
   1. Sugar Tong
6. Colle's Fracture (distal radius with dist dorsal angulation)
   1. Sugar Tong
7. Smith Fracture (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 Fracture
   1. Thumb spica splint
6. Carpal Fracture
   1. Volar Splint
7. Bennet's Fracture (intrarticular Fx at base of 1st MCP)
   1. Thumb spica
8. Rolando Fracture (comminuted base of 1st MCP
   1. Thumb spica
9. Boxer's Fracture
   1. Ulnar gutter splint
10. MCP Fracture
    1. Gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)
11. Phalynx Fracture
    1. Finger splints with buddy tape

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