Splint after cast for elbow fractures (1789)
Key points below
What is a splint?
A splint helps protect and support the elbow after a cast is removed. The back half of your child’s cast will be used to make the splint. Fig 1
The splint is kept on with an Ace® bandage. It will help make your child more comfortable. Fig 2
Your child’s healthcare provider will let you know how long the splint should be worn. Most often it is needed for 2 to 3 weeks. The splint can be taken off for bathing and elbow exercises, as needed.
Daily care and exercises:
You will need to help your child do some simple exercises to help with movement and strength of the elbow joint. This will make it less likely that physical therapy will be needed. 
1. Remove the splint a minimum of 2 to 3 times each day and complete each exercise about 20 times.
Watch your child closely when the splint is off so they do not hurt themselves.
2. After the splint is off, ask your child to gently and slowly use the elbow joint.
a. Have your child keep the elbow close to the side of the body. Ask your child to make the elbow as straight as possible. Fig 3
b. Next, ask your child to gently bend the elbow and try to touch their shoulder with their hand as the elbow bends. Fig 4
c. Then, ask your child to keep the elbow tight to their side. With the arm bent, turn the palm up and then turn the palm down. Figs 5 and 6
Special information
Your child:
- May tell you that the elbow is stiff and sore for about 2 to 3 weeks
- May not be able to fully bend or straighten the elbow for 6 to 8 weeks.
- May not be able to play sports, take physical education (gym) class, or fully join in recess for a while. Your child’s healthcare provider will let you know when these activities may start up again.
- If your child had pins removed from the elbow today, stay out of water for 48 to 72 hours or until the pin site has scabbed over.
For other health and wellness information, check out this resource: https://kidshealth.org/ChildrensWi/en/parents