SPLINT

응급센터 주치의
김병권
 다친 부위의 상태에 따라
적당한 폭을 선택하고 길
이를 측정 후 splint roll을
잰 길이보다 조금 더 길게
cutting 한다.

 포장용기내의 잔여제품을
지속적으로 보관하기 위하
여 알미늄 포장지 내의
splint roll을 2-3cm 접어
서 안쪽으로 밀어 넣고 알
미늄 포장지는 편평하게
펴서 특수제작 된 clip으로
채운다.
 잘라낸 splint roll 속에
찬물이 골고루 들어가
게 한 후에 물기를 짜
낸다.

 이때 물을 짜내는 양
만큼 splint는 빨리 굳
어버린다.
 환부에 splint roll을 대
고 탄력붕대를 감는다

 이때, 다친 부위가 편
안하게 고정되도록
성형한다.
 석고치료 후 올 수 있는 합병증

 1.Tight Cast Syndrome(증후군)

-급성손상시 padding을 충분하게 하지 않았을
때 압박으로 인하여 허혈성 근육괴사가 올 수
있다

-호발부위는 주관절, 족관절, 수완부, 슬관절

2.Loose Cast Syndrome

- 상하의 피부 괴사 초래
3. 석고고정으로 인한 개방성 골절
4. 부정 유합
5.관절구축 및 관절 강직
6. 신경손상
-석고 압박에 의한 마비
-전위된 골편 정복 시 신경손상
7.석고 증후군( Cast Syndrome)
- Hyperextension body jacket cast 나
Hip spica cast 후에 발생
- 심한 구토와 복부 팽만감과 불균형 초래
- 십이지장의 제3부가 앞부분은 장간막과
상장간막 동맥에 의하여, 뒷부분 요추와
대동맥에 의한 압박으로 발생
- 신경이 예민한 환자에서 몸을 감싸는 Cast
속에서 밀폐공포증에 유사한 압박감을 느껴
호흡 곤란 및 혈압 상승 및 쇽 유발
FINGER SPLINT
 준비물
- 성인 : aluminum splint大 또
中 gauze 4x4 또는 2x2 E.B
2inch 또는 finger dressing
bandage
paper plaster ½ inch
- 소아 : aluminum splint 中 또
는 小 gauz2x2
E.B 2inch 또는 finger
dressing bandage
paper plaster ½ inch
 우선 aluminum splint
를 사용 할 손가락의
길이만큼 제단 한다.
 시술 하기 전 제일 먼저
gauze를 사용하여 피부
보호를
먼저 시행 후 aluminum
splint 를 시술 한다.
 aluminum splint 를
환자 증상에 맞추어서
모양을 만든 후 paper
plaster 를 이용하여
고정한다
E.B 2inch 또는 finger
dressing bandage 를
사용하여 시행한 부위
를 감싼다.
 모든 처치 후 완성된
모습
THUMB SPICA SPLINT

 준비물
- 성인 :
splint 3inch 또는 4inch를
30cm 정도와 E.B
2inch 를 준비한다
- 소아 :
splint 2inch 또는 3inch를
15cm 정도와 E.B
2inch 를 준비한다
 Thumb를 포함해서
radial쪽으로 splint를
댄다.
 E.B를 감아서 완성된
모습
SHORT ARM SPLINT
 준비물
- 성인 :
splint 4inch를 40cm
정도와 E.B
3inch 를 준비한다
- 소아 :
splint 3inch를 20cm
정도와 E.B
2inch 를 준비한다
 Splint를 cutting해서
그림과 같이 모양을
만든다
 Splint를 M.P joint 부
터 대고 E.B를 감는다.
GAUZE TAPPING

gauze로 손가락 한 개
를 먼저 감고 그 다음
손가락을 포함해서 같
이 감은 다음 paper
plaster로 고정한다
SHORT ARM ULNAR GUTTER
SPLINT
 준비물
- 성인 : splint 4inch 또는
splint 5inch를 40cm 정도
와 E.B 4inch 그리고
gauze를 4x4 4장을 준비
한다
- 소아 :splint 3inch 또는
4inch를 20cm 정도와
E.B 2inch 그리고 gauze
2x2 4장을 준비한다
 gauze tapping을 그
림과 같이 시행한다.
 Splint를 ulnar 쪽에 대
고 finger 4와 5번을
포함해서 E.B 를 감는
다.
SHORT ARM RADIAL SPLINT

 준비물
- 성인 : splint 5inch
를 40cm 정도와 E.B
4inch 그리고 gauze
를 4x4 2장을 준비한
다
- 소아 :splint 4inch를
20cm 정도와 E.B
2inch 그리고 gauze
2x2 2장을 준비한다
 gauze tapping을 그
림과 같이 시행하고
splint 가운데에
thumb이 들어갈 수 있
게 오려낸다.
 Splint를 radial 쪽에
대고 thumb을 빼낸 다
음 finger 2와 3번을
포함해서 E.B 를 감는
다.
LONG ARM SPLINT

 준비물
- 성인 : splint 4inch
를 70cm 정도와 E.B
3과 4inch 3개를 준
비한다
- 소아 :splint 3inch를
40cm 정도와 E.B
2와 3inch 2개를 준
비한다
 Hand의 M.P joint부터
시작해서 elbow는 각
도는 90도를 기본으로
유지하면서 E.B를 감
는다
 어깨회전이 가능한 한
도 내에서 최대한 길
게 댄다.
SUGAR TONG SPLINT

 준비물
- 성인 : splint 3inch
를 70cm에서 80cm
정도와 E.B 3과4inch
3개를 준비한다
- 소아 :splint 2inch를
40cm에서 50cm 정도
와 E.B 2와 3inch 2
개를 준비한다
 Hand의 M.P joint부터
시작해서 elbow는 각
도는 90도를 기본으로
유지하면서 E.B를 감
는다
 Elbow 마무리 시 눌리
지 않게 잘 molding
한다
UㅡSLAB SPLIN

 준비물
- 성인 : splint 3inch
를 70cm에서 80cm
정도와 E.B 3과4inch
3개를 준비한다
- 소아 :splint 2inch를
40cm에서 50cm 정도
와 E.B 2와 3inch 2
개를 준비한다
 목 부분에 최대한 붙
인 뒤 겨드랑이 바로
밑까지 댄다.
 이때 목의 움직임을
편하게 하고 겨드랑이
가 눌리지 않도록 조
심한다.
SHORT LEG SPLINT

 준비물
- 성인 : splint 5inch를
60cm 정도와 E.B 4와
6inch 3개를 준비한다
- 소아 :splint 4inch를
50cm 정도와 E.B 3과
4inch 2개를 준비한다
 Toe보다 약간 더 길게
한 다음 fibula head가
눌리지 않게 바로 밑
까지 댄다.
 Malleola가 눌리지 않
도록 잘 Modding 한
다.
 붕대를 다 감은 다음
Toe가 나오지 않게
Cutting 한다.
 이때 fibula head와
bilateral malleolus가
절대 눌리지않게 시행
해야 한다.
Cylinder splint
 준비물
- 성인 : splint 6inch를
100cm 정도와 E.B 4
와
6inch 3개를 준비한
다
- 소아 :splint 4inch를
60cm 정도와 E.B 3
와
4inch 3개를 준비한다
 Ankle 바로 위부터 최
대한 위까지 올려준다.
 이때 fibula head와
bilateral malleolus가
절대 눌리지않게 시행
해야 한다.
Long LRG SPLINT
 준비물
- 성인 : splint 6inch를
120cm 정도와 E.B 4와
6inch 5개를 준비한다
- 소아 :splint 4inch를
100cm 정도와 E.B 3와
4inch 4개를 준비한다
 Ankle 각도는 90도
 Knee 각도는 20-30도
를 기본으로 한다
 이때 fibula head와
bilateral malleolus가
절대 눌리지않게 시행
해야 한다.
STOCKINETTE VELPEAU
 준비물
- 성인 : stockinette 10inch 소량
stockinette 3inch 소량
stockinette 4inch 소량
plaster 3inch
옷 핀 5개, cotton 소량
- 소아 : stockinette 6inch 소량
stockinette 2inch 소량
stockinette 3inch 소량
plaster 3inch
옷 핀 5개, cotton 소량
 10inch로 몸통을 두른
다음 겹쳐지는 부분에
서 자른다.
 손이 들어갈 수 있게
아래쪽 폭으로 1/3
지점에 구멍을 낸다.
 Stockinette 3 inch로
팔에 씌운 다음 4inch
로 겨드랑이 padding
을 댄다.
 Stockinette 10 inch
로 손을 끼운 다음 몸
통을 두르고 옷 핀3개
로 고정을 한다
 팔꿈치 밑에 ped를 댄
다음 옷 핀으로 고정하
고 어깨도 똑같은 순서
로 고정한다
 옷 핀 고정이 끝나면
plaster로 아래 팔꿈치
를 중심으로 목쪽으로
붙이고 어깨쪽은 위와
반대 모양으로 붙인다
 그 다음 몸통을 돌려
서 위부터 붙여서 내
려온다.
 Plaster로 고정이 끝
나면 팔걸이로 손이
움직이지 않게 고정한
다.
 이때 소아는 맞는 팔
걸이가 없으므로
stockinette 2inch로
만들어서 착용 시킨다.
  등 뒤에서 양쪽 어깨
Figure of 8 bandage
를 거쳐서 겨드랑이로
뺀 다음 줄이 2개 있는
곳에서 짧은 줄을 등
쪽 고리에다가 걸어서
고정 시키고 반대편에
있는 한 줄도 똑같이
당겨서 고정 시킨 다
음 2줄 있던 곳에서 길
었던 줄을 등을 가로
질러 겨드랑이 바로
밑에 있는 고리에 고
정 시킨다.
 등 뒤에
stockinette10inch를
등판 크기만큼 잘라서
8자 붕대 밑에 댄 다음
끈을 완전히 당긴 후
끈을 접어서 각자의
고리쪽에 고정한다.
 Figure of 8 bandage

착용 모습
Splinting Techniques

05-14-2003
Emergency Department, SNUH
Choi Pil Cho, MD,.
 Splinting
 Temporary immobilization of fractures and dislocations and
for definitive therapy of soft tissue injuries

 Circumferential casts abandoned in the ED - increased

compartment syndrome and other complications, splints
easier to apply, splints ideal for the ED - maximum swelling
Conditions That Benefit from Immobilization

 Acute arthritis
 Severe contusions and abrasions
 Skin lacerations that cross joints
 Tendon lacerations
 Tenosynovitis
 Puncture wounds to the hands, feet, and joints
 Animal bites to the hands or feet
 Deep space infections of the hands and feet
 Joint infections
 Fractures and sprains
 EQUIPMENT- Support Materials
 Plaster of Paris
: Most widely used material for ED
splinting
: Gypsum – calcium sulfate dihydrate
: Exothermic reaction when wet
recrystallizes (can burn patient)
: Warm water - faster set, but
increases risk of burns
: Fast drying - 5 - 8 minutes
Extra fast-drying - 2 - 4 minutes
: Can take up to 1 day to cure (reach
maximum strength)
: Less expensive than premade splints
 EQUIPMENT- Support Materials
 Prefabricated Splint Rolls
Plaster (OCL)
:10 -20 sheets of plaster
with padding and cloth
cover

 Fiberglass (Orthoglass)
: Cure rapidly (20 minutes)
: Less messy
: Stronger, lighter, wicks
moisture better
: Less moldable
 EQUIPMENT- Protective Equipment

 Stockinette

 Protects the skin

 Folded back over the

ends of the plaster,
creates a smooth,
professional-looking,
padded rim( cut
longer plaster)
 EQUIPMENT- Protective Equipment
 Padding
 Protects the skin and bony
prominences and allows for
swelling of the injured extremity.

 -Webril :greater tensile strength, Webril (Curity)

adheres better, applied more

evenly
-Specialist : micropleated cotton
fibers that relax when moistened.
uniform, felt-like padding

Specialist
 GENERAL PROCEDURE OF CUSTOM
SPLINT APPLICATION

 Patient Preparation

 Padding

 Plaster Preparation

 Splint Application

 Patient Instructions
 Patient Preparation
 If the clinical situation permits, the patient should be covered
with a sheet or gown to protect the clothing and the
surrounding area from water and plaster.

 All wounds should be cleaned, repaired, and dressed in the

usual manner

 When immobilizing open fractures or joints, the soft tissue

defect should be covered with saline-moistened sterile
gauze
 Padding
 Stockinette

 Fold back over the ends of the splint to create smooth,

padded rims and help hold the splint in place when applying
elastic bandages

 3-inch-wide : upper extremity,

 4-inch-wide : lower extremity.

 Padding
 Webril

 At least 2 to 3 layers thick

 Each turn should overlap the previous turn by 25 to 50% of

its width

 Extend 2.5 to 5.0 cm beyond the ends of the splint

 Extra padding : bony prominence, Significant swelling

 Avoid wrinkling
 Padding
 Webril
 Joints immobilized in a 90° position (eg,. Ankle, elbow)
:continuous Webril wrapping difficult
: placed in the proper position before padding.
 wrapped around the malleolar and midtarsal
regions first.
 bare calcaneal region covered with overlapping
vertical and horizontal Webril strips
 2-in :hands and feet,
3- to 4-in :upper extremity
4- to 6-in :lower extremity
 Padding
 Bony Prominences of the Upper and Lower
Extremity That Require Additional Padding

• Upper Extremity • Lower Extremity

Olecranon Upper portion of the inner thigh

Radial styloid Patella

Ulnar styloid Fibular head

Achilles tendon

Medial and lateral malleoli

 Padding
Alternative method of Webril application

 Significant swelling : placed

directly over the wet plaster,
rather than wrapping it around
the extremity.
 Plaster Preparation
 For the majority of ED splints, plaster with slower setting
times (e.g., Specialist fast-drying) is recommended
: easier for some physicians to use
: produces less heat

 Ideal length and width of plaster

: Length = area to be splinted+ generous length
: Width = slightly greater than the diameter of the
limb to be splinted
 Plaster Preparation
 Thickness of a splint
 > 12 sheets of plaster  increased risk of significant burns
 Upper extremities- 8 sheets of plaster,
 Lower extremity - 12 to 15 sheets

 Temperature of the water

 Warm water hardens a splint faster than cold water
 Around 24 °C.
 40 °C  the potential for serious burns increases
 Splint Application

 Elastic bandage by wrapping in a distal to proximal

direction.
 Mold using only the palms( Finger indentations may
cause a ridge that will produce a pressure point)
 While the plaster is setting, a pillow or blanket should not
be wrapped around the extremity for support 
inadequate ventilation  increases the amount of heat
produced
 Patient Instructions
 Check for adequate immobilization, evidence of vascular
compromise or significant discomfort
 Elevation
 Sling for upper extremity injuries
 Crutches for lower extremity injuries
 <24 hours -ice bags or cold packs at least 30 minutes
 Not more than the first 24 to 48 hours
 Not to stress the splint for at least 24 hours until evaporation
has reduced the water content of the plaster
 Patient Instructions

 Check for signs of vascular compromise.

: significant increase in pain,

: any numbness or tingling of the digits,
: pallor of the distal extremity,
: decreased capillary refill, or weakness
 Strong opioids -avoid during the first 2 to 3 days after
splinting to allow pain to prompt a follow-up visit
 Principles of custom splint application

A, Stockinette is applied to extend 2 or 3 in. beyond the plaster.

B, Two to 3 layers of Webril are evenly and smoothly applied over the area to be splinted.
C, The plaster slab is positioned over the area to be immobilized and the stockinette and Webril are
folded back to help secure the slab in place and to form smooth, rounded ends.

D, The elastic bandage is applied to secure the splint.

E, While still wet, the plaster is molded to conform to the shape of the extremity. This is an important
step that is often overlooked
 UPPER EXTREMITY SPLINTS
 Long Arm Splints
 Long Arm Posterior Splint
 Double Sugar-Tong Splint

 Forearm and Hand Splints

 Volar Splint
 Sugar-Tong Splint
 Thumb Spica Splint
 Ulnar Gutter Splint
 Radial Gutter Splint
 Finger Splints
 Sling, Swathe and Sling, Shoulder Immobilizer
 Figure-of-8 Clavicle Strap
 LOWER EXTREMITY SPLINTS

 Knee Splints
 Posterior Knee Splint

 Ankle Splints

 Posterior Splint
 Anterior-Posterior Splint
 Sugar-Tong (Stirrup) Splint
 Long Arm Posterior Splint
 Injuries of the elbow and proximal forearm

 completely eliminates flexion and extension of the elbow

 Not entirely prevent pronation and supination of the forearm.

 Not recommended for immobilization of complex or unstable
distal forearm fractures unless used in conjunction with a
long arm anterior splint
Long arm posterior splint

 Posterior aspect of the

proximal humerus  arm,
elbow  ulnar aspect of the
forearm  hand to the distal
metacarpals
 Elbow: flexion at a 90° angle
 Forearm : neutral (thumb up)
position,
 Wrist : neutral position or
slightly (10° to 20°) extended.
Long arm posterior splint
adding anterior splint
 Preventing pronation and
supination of the forearm
 Anterior splint mirrors the
posterior splint
 Arm  antecubital fossa, radial
aspect of the forearm  hand to
the distal radius.
 Never used alone,
 Sugar-Tong Splint

 Immobilize injuries of the elbow and forearm.

 Some fractures of the distal forearm and elbow

Sugar-Tong Splint
 MC heads on the dorsum of the hand,
 dorsal surface of the forearm
around the elbow  volar surface of
the forearm MCP joints
 Elbow : flexion at a 90° angle
Forearm : neutral (thumb up)
position
Wrist : neutral position or slightly
(10° to 20°) extended.
 Advantage over the volar splint
: immobilization of the elbow
: prevention of pronation and
supination of the forearm.
Double sugar-tong splint
 Alternative to the long arm posterior
splint
 Immobilizes the elbow and prevents
pronation and supination of the
forearm
 Elbow: flexion at a 90° angle
Forearm: neutral (thumb up)
position,
Wrist : neutral position or slightly
(10° to 20°) extended.
 Forearm portion : first.
 Arm portion
 Thumb : free to avoid stiffnes
U- Slap Splint

 Humerus shaft fracture

 Axilla  shoulder

 Additionally long arm

splint can be applied

 Volar Splint
 Soft tissue injuries of the hand and wrist
Temporary immobilization of triquetral fractures, lunate and
perilunate dislocations, and second through fifth metacarpal
head fractures.
 For these more serious injuries
 add a dorsal splint to create a more stable bivalve effect
 Not completely eliminate pronation and supination of the
forearm  not recommended for fractures of the distal
radius and ulna.
Volar splint
 Metacarpal heads  volar surface
of the forearm just proximal to
the elbow
 Fingers injure extended to
incorporate the involved digits
 Forearm : neutral position (thumb
upward)
Wrist : slightly (10° to 20°) extended
 More serious injuries  additional
dorsal slab
Wine glass position
 Safe splint position for the
hand
 Wrist : alignment of the
thumb with the forearm
Metacarpophalangeal joint
: moderately flexed,
Interphalangeal joints
: slightly flexed.
 Thumb : abducted away
from the palm.
 Thumb Spica Splint
 Immobilize injuries to the scaphoid, lunate, and thumb and
fractures of the first metacarpal
 de Quervain tenosynovitis

 8 layers , 3-in. wide plaster

Thumb Spica Splint
 Just distal to the interphalangeal
joint of the thumb the mid-
forearm
 Forearm : neutral position
Wrist : extended 25°
Thumb: in the wine glass
position
 Small (1- 2cm)perpendicular cut is
made 1 cm distal to the first MCP
joint on each edge of the plaster to
allow molding of the splint around
the thumb without creating a buckle
in the plaster
 Ulnar Gutter Splint

 Immobilize fractures and serious soft tissue injuries of the

little and ring fingers and fractures of the neck, shaft, and
base of the fourth and fifth metacarpals.
 6 to 8 layers of3- to 4-in. plaster
Ulnar Gutter Splint
 Webril or gauze
: placed between the digits
 DIP joint of the little finger  the
mid-forearm
 Forearm: neutral position
Wrist: slight extension (10° to
20°)
MCP joint : 50° of flexion
Proximal and distal IP joint :
slight (10° to 15°) flexion
Metacarpal neck fracture: MCP
joint flexed to 90°
 Radial Gutter Splint
 Immobilize fractures and serious soft tissue injuries of the
index and long fingers and fractures of the neck, shaft, and
base of the second and third metacarpals.

 6 to 8 layers, 3- to 4-in. plaster

Radial Gutter Splint
 Webril or gauze
: placed between the digits
 Radial aspect of the forearm
from just beyond the distal IP
joint of the index finger mid-
forearm
 Forearm: the neutral position
Wrist: slight extension (10° to
20°)
MCP joint: 50° of flexion
Proximal and distal IP joint
: slight (10° to 15°) flexion
 Metacarpal neck fracture
: MCP joint flexed to 90°
 Finger Splints
 Sprains, fractures, tendon repair, infection
 Minor finger sprains : dynamic splinting (e.g., buddy taping)
or a commercially available foam splint with aluminum
backing (one-surface splint)
 Fractures, tendon repairs, and some soft tissue injuries
benefit from formal splinting (e.g., thumb spica, ulnar and
radial gutter splints)
 Mallet finger : a specialized splint
 Complete immobilization of a finger (e.g., unstable
phalangeal fractures) : outrigger" finger splint
Buddy tape technique
 Taping between the digital
joints allows the normal
adjacent finger to protect the
collateral ligament of its
injured neighbor

 Webril should be placed

between the digits to prevent
maceration of the skin
Dorsal aluminum foam splint
 The bone is subcutaneous
dorsally, and splints here
afford better immobilization of
the digit.

 Preservation and use of tactile

sense, which encourages
function and better splint
acceptance on the part of the
patient
Splinting a mallet finger

 Dorsal splint

: immobilizes only the

distal IP joint.

 Excess Hyperextension
: avoided
Outrigger finger splint

 Complete immobilization of
the finger
 Padded aluminum splint
: incorporated into the
middle of a plaster splint
 Plaster splint
: dorsum of the hand and
wrist with an elastic
bandage
 Finger taped to the
aluminum splint.
 Posterior Knee Splint

 Angulated fractures,
Temporarily immobilizing that require immediate operative
intervention or orthopedic referral

 12 to 15 layers of 6-in. plaster

Posterior knee splint
 A, just below the buttocks

crease

 approximately 2 to 3 cm

above the malleoli.

 B, Alternatively, two

parallel splints
Long-leg splint

 Knee : flexion at 20-30 °

angle
 Ankle : at a 90° angle
 Posterior Ankle Splint
 Severe ankle sprains, fractures of the
distal fibula and tibia, reduced ankle
dislocations. lateral or bilateral
ligamentous injuries, fractures of foot
 4- to 6-in.-wide plaster ,15 to 20
layers
 Plantar surface of the great toe (or
metatarsal heads)  level of the fibular
head
 Ankle at a 90° angle.
Posterior Ankle Splint

 Incorrect splint application.

(1) not extend distally enough to

support the entire foot

(2) ankle not maintained at a 90°

angle.

(3)Edges and ankle area are not

molded.
 Posterior Ankle Splint

Most convenient way Full -thickness skin loss

( No padding)
 Anterior-Posterior Splint
 Augment a posterior splint

 Serious fractures and soft

tissue injuries of the ankle.

 8 to 10 layers are required

 Ankle at a 90° angle.

 Sugar-Tong (Stirrup) Ankle Splint
 Primarily for injuries to the ankle.
 4- or 6-in.-wide plaster strips
 plantar surface of the foot  just
below the level of the fibular head
 Ankle at a 90° angle.
 Immobilization of the knee, :be
extended proximally to the groin,
creating a long leg sugar-tong
splint
 COMPLICATIONS OF SPLINTS
• Ischemia
 Heat Injury

 Pressure Sores

 Infection

 Dermatitis

 Joint Stiffness

 Cast pain
 Suggested Length of Immobilization for Conditions That Frequently
Require Splinting Condition Length of Immobilization
Condition Length of Immobilization (Days)

Contusions 1-3
Abrasions 1-3
Soft tissue lacerations 5-7
Tendon lacerations Variable
Tendonitis 5-7
Tendonitis 5-7
Puncture wounds and bites 3-4
Deep space infections and cellulitis 3-5
Mild sprains 5-7
Fractures and severe sprains Variable
 Sling, Swathe and Sling, Sling
Shoulder Immobilizer
 Sling
: maintain elevation and provide immobilization of the
hand, forearm, and elbow
: important to have adequate support of the wrist and
hand (ulnar deviation  ulnar nerve injury)

 Swathe and Sling, Shoulder Immobilizer

: treatment of choice for most proximal humerus
fractures and shoulder injuries
: sling  supports the weight of the arm
swathe immobilizes the arm against the chest wall
 Sling, Swathe and Sling, Sling
Shoulder Immobilizer
Sling

Universal sling with Swathe and Sling,

immobilisation strap Shoulder Immobilizer
 Figure-of-8 Clavicle Strap

 Despite its widespread use,

this device has never been
proved superior to a simple
sling (in terms of cosmesis,
functional outcome, or pain
relief)