Braces, Splints and Casts

Braces

Braces are supportive devices made of durable materials and often with Velcro straps or buckles that allow it to be removed. They may be rigid or soft, but generally are designed to immobilize the hand or wrist. Velcro strap wrist braces are a common example. Hand therapists can make custom braces (sometimes called orthotics) if off-the-shelf braces do not fit appropriately.

Splints

Splints typically consist of a rigid component that is formed to the hand or wrist (plaster, fiberglass, or metal/foam) that does not completely encircle the hand or wrist so that it can allow for swelling. These are often temporary and wrapped with an elastic bandage to allow for swelling after an injury or surgery. They are not usually designed to be taken on and off.

Casts

Casts are usually applied after the swelling from injury or surgery has resolved, and most commonly are made with a molded hard fiberglass tape shell and soft padding underneath. Because they are rigid all the way around the hand and wrist, and not easily removable, it is critically important to follow cast care instructions, otherwise cast injuries can occur.