View source for Splinting

==Background==
*Try to avoid large crinkles/folds with padding, can cause skin damage and breakdown
*Apply splint firmly but not too tight
**Allow room for anticipated swelling
**Tight splint can lead to compartment syndrome
*Mold splint material with palms rather than fingers to prevent ridges, may be uncomfortable for patient

==Procedure==
===Splint Materials===
*Stockinette <ref name="Principles of Casting and Splinting">Principles of Casting and Splinting
http://www.aafp.org/afp/2009/0101/p16.html
Accessed April 4, 2017</ref>
**Cloth sleeve
**Base layer for splint/cast
**Protects skin
*Cast padding (e.g., Webril)
**Used with plaster of Paris
**2-3 layers with padding of bony points as needed
**Wrapping circumferentially with 50% overlap will automatically create 2 layers
*Plaster of Paris
**6-10 layers for upper extremity splints, 12-15 for lower extremity splints
**Takes 20 minutes to cure, sooner if warmer water is used
**Watch for exothermic reaction
*Elastic bandage
**Outer layer to hold splint in place
**Excessive tightness can lead to pain, less room for swelling
*Fiberglass
**Pre-wrapped material
**Use cool or room temperature water
**Not as pliable as plaster of Paris
**Trim or cover cut edges to prevent injury

{{Splint Application General Procedure}}

==Splint Types==
*Hand
**[[Buddy tape splint]]
**[[Finger splint]]
*Arm
**[[Coaptation splint]]
**[[Double sugar tong splint]]
**[[Forearm volar splint‎]]
**[[Long arm posterior splint]]
**[[Radial gutter splint]]
**[[Sling and swathe splint]]
**[[Sugar tong splint]]
**[[Thumb spica splint]]
**[[Ulnar gutter splint]]
*Leg
**[[Long leg posterior splint]]
**[[Posterior ankle splint]]
**[[Stirrup splint]]

===Splint Types Gallery===
<gallery mode="packed">
File:Buddy-taping-finger.png|[[Buddy tape splint]]
File:Finger splint.jpg|[[Finger splint]]
File:Coaptation splint.jpg|[[Coaptation splint]]
File:Forearm Volar Splint.gif|[[Forearm volar splint]]
File:Long Arm Posterior Splint.gif|[[Long arm posterior splint]]
File:Radial Gutter3.gif|[[Radial gutter splint]]
File:Sling and Swathe.jpg|[[Sling and swathe splint]]
File:Sugar Tong.gif|[[Sugar tong splint]]
File:Double Sugar Tong.gif|[[Double sugar tong splint]]
File:Thumb Spica.gif|[[Thumb spica splint]]
File:Ulna Gutter 2.gif|[[Ulnar gutter splint]]
File:long leg posterior splint.jpg|[[Long leg posterior splint]]
File:Stirrup Splint.gif|[[Ankle stirrup splint]]
File:Posterior Ankle Splint.gif|[[Posterior ankle splint]]
</gallery>

==Splinting Overview by Area==
{{Adult Humerus Fracture Management Table}}
{{Pediatric Humerus Fracture Management Table}}
{{Forearm Fracture Management Table}}
{{Hand Fracture Management Chart}}
{{Foot and toe fractures}}
{{Distal Leg Fracture Management Chart}}

==Complications==
*[[Burn]]
*[[Compartment syndrome]]
*[[Acute arterial ischemia|Compressive ischemia]]
*[[Dermatitis]]
*[[Deep venous thrombosis]]
*Joint stiffness (e.g., frozen shoulder)
*[[Peripheral nerve syndromes|Peripheral nerve injury]]
*[[Pressure ulcer]], skin breakdown

==See Also==
*[[Vacuum splint]]
*[[Fractures (main)]]

==References==
<references/>

[[Category:Orthopedics]]
[[Category:Procedures]]
[[Category:Sports Medicine]]