Materials

• Stockinette
• Splinting material (padded fiberglass or 8-10 layers of plaster)
• Padding
• Elastic bandaging

Instructions

Landmarks

• Lateral: deltoid
• Medial: medial proximal humerus
• Distal: elbow

Splint Position

• Start: medial proximal humerus, nearly in the axilla.
• Wrap around the elbow.
• End: overlying or just proximal to the deltoid on the lateral surface of the arm.
• Elbow at 90º

Application

• Pad the arm evenly, paying particular attention to areas of possible friction.
• Begin with the splint material on the medial humerus, near the axilla.
• Wrap splinting material around the elbow, continuing up the lateral humerus and ending over the deltoid.
• Secure with elastic bandage that both secures the splint to the upper arm and extends across the chest (it will wrap under the contralateral axilla).
• Alternate method: prior to application place the splinting material into stockinette that extends 20-30 in beyond the both sides of the splinting material. After the splint is applied the stockinette can be tied around the contralateral side of the neck to provide support.
• Place the arm in a sling for additional support.
• Wrap in elastic bandage
• Reassess pulses, motor and sensation.