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There are many different indications for hand splinting. These include phalanx fractures, conditions requiring immobilization of the metacarpophalangeal and distal interphalangeal joints, metacarpal fractures, thumb strains, and de Quervain syndrome. Some commonly used types of hand splints include dorsal distal phalanx splints, hairpin splints, dynamic finger splints, ulnar gutter splints, radial gutter splints, dorsal splints with extension hoods, and thumb spica splints. If there are open fractures present, an orthopedic referral is needed for evaluation and should not be delayed by splint placement. This activity reviews the indications for hand splints and highlights the role of the interprofessional team in the management of affected patients. Objectives: Review the indications for a hand splint. Explain how a hand splint is applied. Describe potential complications of hand splints. Outline interprofessional team strategies for enhancing care coordination and communication to advance the treatment of hand disorders with hand splints and improve outcomes. Access free multiple choice questions on this topic.

There are many complications that are associated with splint application. Inflammation and swelling of injuries can cause compartment syndrome, nerve impingement, pressure sores, skin breakdown, skin infection, and vascular compromise. Soft cotton bandages should also be placed on the skin to prevent any thermal injury from plaster reaction after the plaster has been soaked in water.

Hand splints are used to treat many disorders and can be effective for symptom relief. However, all healthcare workers including therapists and nurses who apply hand splints should ensure that the patient has close followu up. Hand splints can be associated with many complications, which if neglected can lead to malpractice litigation. At discharge the patient should be provided with thorough instructions on follow up, symptoms to observe and when to retrun to the emergency department.