Materials

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

Instructions

Landmarks

• Proximal: Approximately 5 cm distal to the elbow joint
• Distal: At the level of the metacarpophalangeal (MCP) joints

Splint Position

• There are 2 components to the splint: volar and dorsal.
• Use a separate slab of splint material for each.
• Both will run from the base of the fingers to the mid forearm on their respective sides.

Application

• Patient’s elbow flexed at 90° and forearm in neutral (neither pronation or supination).
• Wrist in 15-20° of extension and fingers in a relaxed, slightly flexed positions (can holding position).
• Pad the hand and wrist evenly, paying particular attention to areas of possible friction
• Mold the splinting material to both the volar and dorsal aspects of the forearm and wrist to support the injury.
• Wrap in elastic bandage
• Reassess pulses, motor and sensation.