Splinting

Types

Upper Extremity

Humerus

Fracture Splint Disposition
Humeral shaft fracture
Supracondylar fracture Long Arm Posterior Splint Ortho consult for Type 2 or 3
Humeral condyle fracture Long Arm Posterior Splint ortho for ORIF if displaced
Olecranon fracture

Nondisplaced

Displaced

Forearm

Fracture Splint Disposition
Radial head fracture

Nondisplaced

Displaced

Monteggia fracture-dislocation (ulnar shaft w/prox radioulnar disloc) Emergent ortho for ORIF
Galeazzi fracture (distal radius w/distal ulnar disloc) Emerg. ortho for ORIF
Elbow dislocation Long arm posterior splint after reduction If associated fracture emergent ortho consult
Forearm fracture Sugar Tong Splint
Colle's fracture (distal radius with dist dorsal angulation) Sugar Tong Splint
Smith fracture (reverse colles w/ volar angulation) Sugar Tong Splint

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)
Gamekeeper's Thumb Thumb Spica Splint
Scaphoid Fracture Thumb Spica Splint

Lower Extremity

References