Volar Splint Indications: -Hand and Wrist injures (NOT distal radius or ulna fractures, can still supinate and pronate) -Carpal fractures -Lunate dislocation -2nd-5th metacarpal head fracture Application: -Extends along volar forearm from metacarpal heads to just proximal to radial head -Allow flexion of elbow -Wrist at 20 degrees of extension -Can add dorsal "sandwich" for stability Ulnar Gutter Splint Indications: -4th and 5th phalanges and metacarpals Application: -Extends from 5th DIP to proximal forearm -Wrist at 20 degrees of extension -Flex MCPs at 50-70 degrees, PIP and DIPs in slight flexion Thumb Spica Splint Indications: -Scaphoid and lunate fractures -1st metacarpal fracture -Thumb fractures -De Quervain tenosynovitis Application: -Extends from tip of thumb to proximal forearm -Wrist at 20 degrees of extension -Thumb slightly flexed Long Arm Splint Indications: -Proximal forearm and elbow fractures -Intraarticular fractures of distal humerus and olecranon Application: -Elbow at 90 degrees of flexion -Neutral forearm and wrist Sugar Tong Splint Indications: -Wrist and distal forearm fractures Application: -Extends from MCPs on dorsum, around elbow, to volar midpalmar crease -Elbow at 90 degrees of flexion -Neutral forearm and wrist -Double sugar tong for complex or unstable forearm and elbow fractures Resources:
Michael T Fitch, MD. Basic Splinting Techniques. New England Journal of Medicine. 2008; 359:e32. Wikiem.com Ortho-teaching.feinberg.northwestern.edu/docs/Splinting.pptx
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Disclaimer: All images and x-rays included on this blog are the sole property of CMC EM Residency and cannot be used or reproduced without written permission. Patient identifiers have been redacted/changed or patient consent has been obtained. Information contained in this blog is the opinion of the author and application of material contained in this blog is at the discretion of the practitioner to verify for accuracy.
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