In noncompliant patients, or in cases of dorsal soft-tissue injury, a palmar
splint may be applied with the hand in an intrinsic plus (Edinburgh) position
and the wrist in slight extension of 20-30 degrees.
The splint is held in place with an elastic bandage. The bandage should not
be overtightened at the level of the wrist joint, in order to avoid excessive
swelling of the hand.
Direct skin contact of adjacent fingers should be prevented by placing gauze
pads between them.
This splint is easy to apply and needs no hand therapy during the period of
immobilization. A potential disadvantage of this technique is the complete
immobilization of uninjured fingers and joints.