Page 75 - Orthopedic Casts and Splints2

Performance Steps

18
Application of reinforcement splint to volar aspect of wrist/forearm

NOTE: The reinforcement splint is used to strengthen and support the cast.
a. Place the splint in tepid water, wait for bubbles to subside and remove splint from water.
b. Squeeze the splint together to eliminate excess water.
c. Place reinforcement splint on the volar side of the cast in line with the DPC and the outer
boarder of the thenar muscle.
d. Laminate the splint to the cast.
e. Maintain patient's wrist between 0-15 degrees of dorsal extension.
NOTE: Have the patient place thumb and forefinger in opposition to one another.

19. Apply 2nd plaster/fiberglass roll( repeat steps 16-17 ).
20. Mold the cast material to wrist/forearm.
NOTE. The interosseous mold is used to prevent movement of the wrist in the cast and promote
fracture healing .
a. Place the heel of one hand on the volar aspect of the distal wrist.
b. Place the heel of the second hand on the dorsal aspect of the distal wrist.
c. Squeeze the heels of each hand together ( refer to figure 3-x)

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