Splinting

Treatment

roximal humerus Fx-S&S

Humeral shaft Fx-LAPS or stable-coaptation splint/unstable-elephant ear

Supracondylar humeral Fx-LAPS (ortho consult for type2 or 3)

Humeral condyle Fx-LAPS and ortho for ORIF if displaced

Olecranon Fx-nondisplaced S&S, displaced LAPS or emerg. ORIF

Radial Head Fx-nondisplaced S&S,displaced-LAPS or emerg. ORIF

Monteggia (ulnar shaft w/prox radioulnar disloc)-Emergent ortho for ORIF

Galeazzi Fx (distal radius w/distal ulnar disloc)-Emerg. ortho for ORIF

Elbow dislocation-LAPS after reduction (if assoc. Fx-emerg. ortho)

Forearm Fx-sugar tong

Flexor tendon injury-finger splint/hand specialist ref.

Extensor tendon injury-poss ED repair/finger splint to hand specialist.

Mallet finger-finger splint to DIP (DIP in slight hyperextension)

Gamekeeper's thumb-thumb spica with ortho f/u

Scaphoid Fx-Thumb spica splint with ortho f/u

Carpal Fx-volar splint with ortho f/u

Colle's Fx (distal radius with dist dorsal angulation)-sugar tong and ortho f/u

Smith Fx (reverse colles w/ volar angulation)-sugar tong and ortho f/u

Bennet's Fx (intrarticular Fx at base of 1st MCP)-thumb spica and ortho f/u

Rolando Fx (comminuted base of 1st MCP-thumb spica and ortho f/u

Boxer's Fx-ulnar gutter splint

MCP Fx-gutter splint (4th and 5th-ulnar, 2nd and 3rd-radial)

Phalynx Fx-finger splints with buddy tape.

• S&S= sling and swathe

Source

(Ayana Herbert 10/03)