Materials

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

Instructions

Landmarks

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

Splint Position

• Extend down ulnar forearm including 4th and 5th digits.
• Forearm in neutral position
• Wrist and hand in "intrinsic-plus" position
• Wrist extended approximately 30º
• MCPs in 70º to 90º of flexion

Application

• Proximal interphalangeal and distal interphalangeal joints in full extension
• Pad the hand and wrist evenly, paying particular attention to areas of possible friction, such as the area between the 4th and 5th digits and the ulnar styloid.
• Mold the splinting material to the ulnar side of the arm/wrist/fingers to maintain the intrinsic-plus position.
• Wrap in elastic bandage.
• Reassess pulses, motor and sensation.