Forearm volar splint

Background
  • May add a dorsal splint for increased stability (‘sandwich splint’)
  • Not used for distal radius or ulnar fracture because this splint allows for supination and pronation

Indications
  • Soft tissue hand / wrist injuries - sprain, carpal tunnel night splints, etc
  • Most wrist fractures, 2nd -5th metacarpal fracture

Procedure
  • Assess distal pulse, motor, and sensation
  • Apply padding and splint material (e.g. Ortho-glass) as shown
    • Splint should run from dorsal or volar mid-forearm to the distal palmar crease [1]
    • Wrist should be placed in slight extension (approximately 20°)
  • Maintain position until splint material has hardened and secure splint to arm (e.g. ace wraps)
  • Reassess distal pulse, motor, and sensation

See Also

References
  1. Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017
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