Casting, Bracing & Orthotic

Volar Splint (Indications)

• Wrist Sprain

• Carpal Tunnel Syndrome

• Lacerations

• Night Splints

Volar Splint Steps

1. Check pulse and cap ref

2. Measure from Palmar crease to 2 finger widths distal to elbow

3. Cut desired length of splint → Diagonal across palmar crease

4. Round out edges & trim padding

5. Activate with water and fit to patient

6. Secure with bandage (2x around palm and down to elbow)

7. Mold to patient

8. Check cap refill

Thumb Spica (indications)

• Navicular fractures

• Scaphoid fractures

• Thumb dislocations

• Ulnar Collateral ligament sprain

Thumb Spica Steps

1. Check pulse and cap refill

2. Measure from injured thumb to one hand width distal to elbow

3. Cut desired length of splint, round edges

4. Activate with water

5. Place one side at tip of thumb, spiraling rest of splint over dorsal hand/arm

6. Anchor wrist (starting from dorsal thumb side x2)

7. Spica x1 back, through web space, to back

8. Wrap overlap 50% down arm

9. Mold to patient hand/arm

10. Check cap refill

Thumb & Wrist Immobilizer (indications)

• Scaphoid Fractures

• Carpal tunnel

• Proximal hand, thumb injuries/strains

Thumb & Wrist Immobilizer steps

1. Check pulse and cap refill

2. measure from tip of middle finger to two finger widths from elbow

3. Cut splint to length and round edges of all

4. Make mark at thumb proximally

5. Mark from middle of cast down to palmar crease, then diagnal across crease towards pinky

6. Cut leaving thumb portion, Round Edges

7. Activate splint

8. line up splint with palmar crease

9. Wrap thumb portion around thumb

10. Anchor splint at wrist, around thumb x2, web space x2

11. Wrap down arm by 50%

12. Mold to patient

13. Check cap refill

Sugar Tong Splint (indications)

Control rotation in the wrist and at the elbow

Sugar tong Splint steps

1. Check pulse and cap refill

2. Patient is Supine

3. 90 degree Flexion and Abduction

4. Measure from palmar crease, down length of arm, around elbow and back up (Letter U)

5. Activate with water

6. Fit to arm

7. Anchor at wrist, down to elbow, back up arm, through web space

8. Check cap refill

Boxer Splint (indications)

• 4th metacarpal fracture

• 5th metacarpal fracture

Boxer splint steps

1. Check pulse and cap refill

2. Measure from tip of 4th finger to one hand width away from elbow

3. Take splint out of padding, fold top half and mark line following patients fingertip angle (towards pinky)

4. Round edges & trim padding

5. Activate with water

6. Place V splint end around 4th-5th fingers & fold round arm

7. Anchor at fingers x2

8. Wrap around wrist, fingers at 45 deg angle, through web space x2

9. Wrap down arm

10. Mold to hand

11. Check cap refill

Posterior Splint Leg (indications)

• Severe ankle sprain/strain

• Metatarsal fractures

• Hairline Fractures

• Non-displaced ankle fracture

• Distal tibia / fibula fracture

Posterior Splint Leg

1. Check pulse and cap refill

2. Measure from the tip of big to → ankle → 2 finger widths below popliteal sciatic

3. Cut desired length of splint

4. Round edges

5. Mark point at base of the heel

6. Follow 10 cm above and below mark, draw horizontal line both ends

7. Mark 4 edges halfway diagonal (towards center point, draw vertical line from one line to another on same half

8. Cut 4 lines and fold butterfly

9. Activate with water

10. Apply splint, reinforced (butterfly) side away from patient

11. Apply 1st wrap at ankle → heel → toes

12. 2nd bandage wrap up and down leg

13. Trim splint to shape of toes

14. 3rd bandage ankle → foot ( go around ankle and cover lip of splint)

15. Fasten

16. check cap refill