Splinting

Treatment

Proximal humerus Fx
S&S
Humeral shaft Fx
LAPS or stable-coaptation splint/unstable-elephant ear
Supracondylar humeral Fx
LAPS (ortho consult for type2 or 3)
Humeral condyle Fx
LAPS and ortho for ORIF if displaced
Olecranon Fx
nondisplaced S&S, displaced LAPS or emerg. ORIF
Radial Head Fx
nondisplaced S&S,displaced-LAPS or emerg. ORIF
Monteggia (ulnar shaft w/prox radioulnar disloc)-
Emergent ortho for ORIF
Galeazzi Fx (distal radius w/distal ulnar disloc)
Emerg. ortho for ORIF
Elbow dislocation
LAPS after reduction (if assoc. Fx-emerg. ortho)
Forearm Fx
sugar tong
Flexor tendon injury
finger splint/hand specialist ref.
Extensor tendon injury
poss ED repair/finger splint to hand specialist.
Mallet finger
finger splint to DIP (DIP in slight hyperextension)
Gamekeeper's thumb
thumb spica with ortho f/u
Scaphoid Fx
Thumb spica splint with ortho f/u
Carpal Fx
volar splint with ortho f/u
Colle's Fx (distal radius with dist dorsal angulation)
sugar tong and ortho f/u
Smith Fx (reverse colles w/ volar angulation)
sugar tong and ortho f/u
Bennet's Fx (intrarticular Fx at base of 1st MCP)
thumb spica and ortho f/u
Rolando Fx (comminuted base of 1st MCP
thumb spica and ortho f/u



Boxer's Fx-ulnar gutter splint


MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)


Phalynx Fx-finger splints with buddy tape.


  • S&S= sling and swathe


Source

(Ayana Herbert 10/03)