4. Rollers, 2 inches and 1 inch wide for the fingers.
5. Scissors.
6. A tray, and kettle of hot water.
7. A towel, and basin of cold water.
8. Sling.
9. Cotton wool.
Step 1. Cut out a paper pattern of the splint on the limb to be fitted. The pattern should reach along the clavicle to the root of the neck, and over the scapula to its posterior border, and be continued down the arm to the elbow, tapering as it goes, but having its anterior and posterior margins brought sufficiently to the inner side of the arm to give the splint a good grasp of the limb in descending. The end should be left long enough to turn a couple of inches round the point of the elbow (see fig. 36). A notch must be cut at the upper end of the paper pattern to make it fit on the shoulder between the clavicle and the spine of the scapula; this should not be repeated in the gutta-percha, as that can be moulded on without; and for that reason the cap is much more serviceable when made of gutta-percha than of leather, where a notch must be cut and stitched together when the leather is set. The gutta-percha, when cut to pattern, must be softened in the manner described in making the splint for the elbow at page [50], fig. 34; then accurately adjusted to the shoulder as high as the root of the neck, and turned under the point of the elbow a couple of inches (see fig. 36), while the forearm is well raised across the chest.
Fig. 36.—Cap for fracture near the Shoulder.
When set, the splint must be removed that it may be trimmed and lined with wash-leather. If of gutta-percha, it must be perforated with small holes; if of leather, the notch at the shoulder must be stitched together. Next prepare a soft thin pad, 5 or 6 inches broad, and 8 or 10 inches long, to fill the axilla.