What are volar splints?
Splints are usually applied to reduce movement and provide support and comfort by stabilizing an injury. They are primarily used during nonemergency injuries to the bones or ligaments until they can be evaluated by a consultant such as an orthopedic surgeon. They are also used to temporarily immobilize an extremity before surgery (e.g., for an open fracture) or enable healing.
Unlike casts, splints are preferred in an emergency setting, where injuries are often acute, and swelling may continuously increase. All patients with injuries that are splinted should be referred for evaluation by a consultant within two to seven days.
Volar relates to the palm or sole. Volar splints are applied to minimize movements and provide support and comfort by stabilizing an injury of the palm or foot. Immobilizing the joint reduces pain and helps the injury heal faster. Studies have reported that using a combination of corticosteroid injection with splinting may yield better results than using an injection alone in inflammatory conditions.
What injuries are volar splinting used for?
Volar splinting is used for the following:
- Soft-tissue injuries of the wrist and hand
- Fractures of the palm and foot
- Positioning for rheumatoid arthritis
- Certain wrist fractures
- Treatment of carpal tunnel syndrome (medical condition due to compression of the nerve called the median nerve as it travels through the wrist)
- Ligament injuries and inflammation
- Inflammation of the tendon
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):
- Complicated fractures
- Open fractures
- Injuries with associated neurovascular compromise (damage to the nerves and blood vessels)
How is a volar splint wrapped?
There are various types of splints made of various materials and have different techniques of application. Volar splints are generally applied by a healthcare professional.
Volar splinting is usually tolerated without the use of anesthesia. In case of significant pain during joint manipulation or reduction of fracture, anesthesia and painkillers would be required.
Splinting of the volar
Volar splinting of the hand is also called a “cock up splint.”
- The injured limb is completely exposed.
- A stockinette is applied from the palm, covering the entire palm, to the forearm just beyond the mid-forearm.
- A hole is made for the thumb to pass through.
- Soft padding is applied over the stockinette.
- The padding should extend 2-3 cm beyond the overlying plaster on both ends.
- Plaster of Paris (POP) is applied over the padding.
- A bandage wrap is applied over the wet plaster.
- The hand remains immobile until the splint is dry.
- The patient may feel some warmth released from the plaster as it dries.
In case of a simple sprain, the doctor may advise a simple brace with Velcro clips or a bandage wrap to be worn for two to six weeks to immobilize the joint.
The patient is advised to rest, elevate, and ice the injured limb. If the patient experiences weakness, numbness, color change (pale or bluish), increasing pressure or pain or spreading redness, they are advised to remove the splint and visit the emergency department right away.
The splint must be kept clean and dry. 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.
What are the complications of volar splinting?
Complications of volar splinting include
Latest Arthritis News
Health Solutions From Our Sponsors
Medscape Medical Reference
Top What Is Volar Splinting? Related Articles
Juvenile Rheumatoid Arthritis (JRA)Juvenile rheumatoid arthritis (JRA) annually affects one child in every thousand. There are six types of JRA. Treatment of juvenile arthritis depends upon the type the child has and should focus on treating the symptoms that manifest.
Osteoarthritis vs. Rheumatoid ArthritisOsteoarthritis (OA) and rheumatoid arthritis (RA) are chronic joint disorders. RA is also an autoimmune disease. OA and RA symptoms and signs include joint pain, warmth, and tenderness. Over-the-counter pain relievers treat both diseases. There are several prescription medications that treat RA.
Rheumatoid Arthritis (RA)Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease. The 16 characteristic early RA signs and symptoms include the following.
- Both sides of the body affected (symmetric)
- Joint deformity
- Joint pain
- Joint redness
- Joint stiffness
- Joint swelling
- Joint tenderness
- Joint warmth
- Loss of joint function
- Loss of joint range of motion
- Many joints affected (polyarthritis)
16 Early Signs and Symptoms of Rheumatoid Arthritis (RA)Early RA symptoms and signs vary differently from person to person. The most common body parts that are initially affected by RA include the small joints of the hands, wrists, and feet, and the knees and hip joints. Joint inflammation causes stiffness. Warmth, redness, and pain may vary in degree.
RA Friendly ExercisesRegular exercise boosts fitness and helps reverse joint stiffness for people with rheumatoid arthritis (RA). Our experts offer helpful exercises to get you started.
RA SlideshowWhat is rheumatoid arthritis (RA)? Learn about juvenile rheumatoid arthritis. Discover rheumatoid arthritis (RA) symptoms, diagnosis, and treatment.
RA QuizHow is rheumatoid arthritis different from other forms of arthritis, such as osteoarthritis and gout? Take the Rheumatoid Arthritis (RA) Quiz to rest your RA IQ.
Famous Faces of RALearn more about the famous faces of rheumatoid arthritis such as Lucille Ball, Glenn Frey, and more.
Rheumatoid Arthritis vs. ArthritisArthritis is a general term used to describe joint disease. Rheumatoid arthritis (RA) is a type of arthritis in which the body’s immune system mistakenly attacks the joints, causing chronic inflammation.
Rheumatoid Arthritis vs. FibromyalgiaThough rheumatoid arthritis (RA) and fibromyalgia have similar symptoms, RA is an autoimmune disease and fibromyalgia is a chronic pain syndrome. RA symptoms include joint redness, swelling, and pain that lasts more than six weeks. Fibromyalgia symptoms include widespread pain, tingling feet or hands, depression, and bowel irritability. Home remedies for both include stress reduction, exercise, and getting enough sleep.
What Is the Main Cause of Rheumatoid Arthritis?Rheumatoid arthritis is a chronic inflammatory disease characterized by pain and inflammation in joints, typically of the hands and feet. It is an autoimmune disease in which the immune system of the body attacks its own healthy cells, resulting in inflammation of the membrane lining the joints and damage to joint tissue.