How should the wrist be positioned for a volar splint?

Splint should run from dorsal or volar mid-forearm to the distal palmar crease.
Wrist should be placed in slight extension (approximately 20°)

When do you use a volar splint?

A volar splint can be used for various injuries, including the following:

Soft-tissue injuries of the wrist and hand.
Fractures of the second, third, and fourth metacarpals.
Fractures of the second, third, and fourth phalanges.
Positioning for rheumatoid arthritis.
Certain wrist fractures, including a pisiform fracture.

What is the purpose of a wrist Cockup splint?

It holds the wrist in extension but allows for functional use of the thumb and fingers. The wrist cock-up orthosis is commonly prescribed for patients with carpal tunnel syndrome, wrist sprains or tendinitis, wrist arthritis or following forearm and carpal surgeries or fractures.

What is volar splint used for?

The forearm volar slab splint is a non-circumferential shell of plaster used to temporarily immobilize fractures and soft tissue injuries of the forearm and wrist. It is used to obtain pain relief until a circumferential cast is applied or until definitive surgical treatment is obtained.

What is difference between cast and splint?

What is the difference between a cast and a splint? A cast wraps all the way around an injury and can only be removed in the doctor’s office. All casts are custom-made with fiberglass or plaster. A splint is like a “half cast.” The hard part of a splint does not wrap all the way around the injured area.

How long does a volar plate fracture take to heal?

Most volar plate injuries heal without any problems in about six weeks. You should regain movement quickly with regular exercise (within four weeks). However, it may take several months for your symptoms to settle completely – these can include pain or discomfort, stiffness, decreased strength and swelling.

Is it OK to take a splint off?

A splint protects a broken bone or other injury. If you have a removable splint, follow your doctor’s instructions and only remove the splint if your doctor says it’s okay. Most splints can be adjusted.

Where are the volar and Dorsal splints applied?

Volar/dorsal splints are splints that extend from the middle of the forearm to the distal palmar crease (top crease in the palm). Volar splints are applied to the palm side of the forearm, wrist and hand, while dorsal splints are applied to the top side of the forearm, wrist, and hand.

How to apply stockinette for volar splinting?

1 The injured limb is completely exposed. 2 A stockinette is applied from the palm, covering the entire palm, to the forearm just beyond the mid-forearm. 3 A hole is made for the thumb to pass through. 4 Soft padding is applied over the stockinette. 5 The padding should extend 2-3 cm beyond the overlying plaster on both ends.

Are there absolute contraindications for volar splinting?

There are no absolute contraindications for volar splinting. Relative contraindications involve the following injuries that require an immediate evaluation or intervention by a consultant (e.g., an orthopedic surgeon, a hand surgeon or a plastic surgeon ): The term arthritis refers to stiffness in the joints.

What happens if you scratch a volar splint?

The patient can be tempted to use sticks, pens, or hangers to scratch an itch inside the splint. Sticking objects into the splint to scratch yourself can wrinkle the padding and lead to pressure injuries or cause cuts in the skin, leading to infection. The splint is usually rechecked every 48 hours by the doctor.