Buddy tape splint
Indication
- Finger sprain, particularly of the proximal interphalangeal (PIP) joint.
- Stable, non-displaced minor finger and toe fractures
Method
Buddy taping is the process of stabilizing an injured finger or toe to an adjacent uninjured digit using tape. Soft padding such as gauze can be used between the two digits but is not always utilized. The healthy digit serves as a splint which largely hold the two digits in an anatomically functional position and allows for healing.
For minor injuries it is recommended that individuals can return to full activity after an evaluation to rule-out unstable fractures, open injures or or other complications provided that the buddy splint remains in place. More complicated and unstable injures may require rest and a reduction or cessation of activity for 2-6 weeks following injury. It is recommended that the buddy splint remain in place until the patient has a return of full range of motion to the affected digit without pain.
Complications
Complications associated with buddy taping such as necrosis of the skin, infection, loss of fixation, and limited joint motion are not unusual but can largely be prevented by keeping the area clean and dry, replacing soiled dressings and using an adhesive tape that is less irritating to the skin such as paper tape.