Indications

• Immobilization of non-displaced fracture• Immobilization of “occult” or suspected fracture

– Non-displaced Salter I fracture

– Toddler’s fracture

• Immobilization of a displaced or unstable fracture prior to transfer to the ED– Fracture with obvious deformity

– Suspected supracondylar fracture of elbow (the big swollen elbow)

Distal Forearm Fractures

• Thumb fx• 1st Metacarpal fx• Scaphoid fx• Lunate fx

• Fx of Proximal Phalanx of Ring & Little Finger

• Fx involving 4th & 5th MCP Joint

• 4th & 5th Metacarpal fx

• Proximal Forearm fx• Elbow fx• Distal humerus fx

• Ankle fx• Ankle sprain• Foot fx

– Posterior short leg splint

• Tibial fx• Fibular fx• Distal femur fx

• Prefabricated splinting rolls and materials vs the “old fashioned” method– OCL™, OrthoGlass™– Prefab materials still need application of cast

padding to prevent pressure necrosis

Continued on Part II