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



  • Proximal: Posterior proximal humerus
  • Distal: MCP

Splint Position

  • Start: posterior proximal humerus
  • Wrap around elbow, splinting along the ulnar forearm.
  • End: ulnar metacarpophalangeal joints
  • Elbow at 90º
  • Forearm neutral position with thumb up
  • Neutral or slightly extended wrist (10–20º)


  • Pad the hand, wrist, arm, and elbow evenly, paying particular attention to elbow and ulnar styloid.
  • Apply splinting material.
  • Secure the splint with elastic bandage.
  • Reassess pulses, motor and sensation.