Splinting: Humerus

Humerus Fracture Management Table

Adult

Fracture	Splint	Disposition
Proximal	Sling and swathe splint, or coaptation splint	Non-emergent, but many need surgery, refer to ortho vs ED consult
Shaft	Option 1: Long Arm Posterior Splint Option 2: Stable: coaptation splint (upper arm sugar-tong splint) Unstable: elephant ear	R/o neurovasc injury and compartment syndrome, but many need surgery, refer to ortho vs ED consult
Elbow Fracture (Adult)	Long arm posterior splint	R/o neurovasc injury and compartment syndrome, but many need surgery, refer to ortho vs ED consult
Olecranon	Nondisplaced: Sling and Swathe Splint Displaced: Long Arm Posterior Splint or emerg. ORIF	R/o neurovasc injury and compartment syndrome, refer to ortho within 24 hrs

Pediatric

Fracture	Splint	Disposition
Proximal	Sling and swathe splint, or coaptation splint	Non-emergent Ortho follow up
Shaft	Long arm posterior splint, sling and swathe splint, or coaptation splint	Non-emergent Ortho f/u
Supracondylar	Long Arm Posterior Splint	Ortho consult for Type 2 or 3

See Also

Fracture management overview

• Upper extremity
  • Humerus
  • Forearm
  • Carpals
  • Hand
• Torso
  • Chest
  • Spine
  • Pelvis
• Lower extremity
  • Femur
  • Distal leg
  • Foot
• Other
  • Pediatric
  • Fractures (main)

References

Authors

Ross Donaldson, Jonathan Snyder, Claire