Materials

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

Instructions

Landmarks

• Proximal: Elbow
• Distal: Volar MCP joints and dorsal metacarpal heads

Splint Position

• Start: Volar MCP joints.
• Wrap around elbow.
• End: Dorsal metacarpal heads.
• Elbow held at 90º.
• Forearm neutral with thumb up.
• Slightly extended wrist (10–20º).

Application

• Pad the hand and wrist evenly, paying particular attention to areas of possible friction.
• Mold the splint to provide direct support to the reduced elements of the injury: three point molding.
• Wrap in elastic bandage.
• Reassess pulses, motor and sensation.