Splinting

Types

Upper Extremity

Hand

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

Lower Extremity

Leg

Fracture Splint Disposition
Tibial plateau fracture Knee immobilizer Ortho referral in 2-7d
Tibial shaft fracture Long leg posterior splint
Pilon Fracture Long leg posterior splint
Maisonneuve Fracture Long leg posterior splint
Ankle fracture Posterior ankle splint
Foot and toe fractures Posterior ankle splint

Foot and toe fractures

Fracture Splint Disposition
Talus fracture Posterior ankle splint
Calcaneus fracture Posterior ankle splint
Lisfranc injury Posterior ankle splint
Navicular fracture Posterior Ankle Splint
Cuboid fracture Posterior Ankle Splint
Cuneiform fracture Posterior Ankle Splint
Fifth metatarsal fracture Jones Posterior Ankle Splint Ortho f/u 3-5D
Non-fifth metatarsal fracture Posterior Ankle Splint Ortho f/u 2-3 days
Toe Fracture Posterior Ankle Splint

See Also

Fracture management overview


References