Materials

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

Instructions

Landmarks

• Proximal: Mid-forearm
• Distal: Mid-distal phalanx of thumb

Splint Position

• Extend down radial aspect of forearm.
• Splint should include the thumb while leaving the other 4 digits unaffected.
  -Thumb should be slightly flexed and abducted (like holding a wine glass).

Application

• Cut hole in stockinette for thumb and apply to hand and forearm.
• Apply second small piece of stockinette over the thumb.
• Cut wedges on both sides of splinting
  material at MCP joint to keep splint material from bunching.
• Apply padding to the hand and wrist evenly. Pay particular attention to the base of the thumb and distal radius.
• Mold splinting material to the radial aspect of the forearm. Wrap splinting material around the thumb. Maintain slight wrist extension.
• Wrap in elastic bandage
• Reassess pulses, motor and sensation.