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Fractures and Osteogenesis Imperfecta

Splinting Fractures

If you decide that you want to observe your child before going to the doctor, or if you have some distance to travel before you can obtain medical help, you may splint a fractured bone as follows:
 
Femur (Thigh Bone)
There are two methods that parents have found to be effective:
 
  • A broken leg can often be protected (especially for sleeping) by simply placing a small folded hand towel between the child's legs and wrapping both legs together with an elastic Ace bandage. The towel will prevent chafing and will lend some rigidity to the legs.
     
  • Cut an oval piece of cardboard that is four to five inches wide and as long as the child's thigh from hip to knee (or from hip to ankle). Bend it to curve around the leg, cupping the bone like a cast. Pad the cardboard with soft fabric or a blanket. Wrap an elastic Ace bandage around the cardboard brace. This is most easily accomplished with two people, one to wrap and one to hold the leg. When wrapping with an Ace bandage, roll the bandage on without stretching it to allow for swelling. Leave the toes exposed and frequently check for color changes that indicate lack of circulation. Also watch for any swelling and color changes in the splinted limb; a deep pink or red color indicates that the splint is too tight and an adjustment must be made.
     
Humerus (Upper Arm Bone)
Support the arm as firmly as possible against the body, limiting motion as much as possible. For an effective temporary sling, simply pin the sleeve of a long-sleeved shirt to the shirt body above and below the wrist and at the elbow.
 
Radius and Ulna (Lower Arm)
Pad a magazine with a small towel, wrap it around the arm, and secure it with an Ace bandage.
 
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