Sugar tong splint: Difference between revisions
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==Background== | |||
*Prevents pronation/supination, flexion/extension at the wrist, and immobilizes elbow | |||
==Indications== | ==Indications== | ||
*Distal radius and ulnar | *[[Forearm fracture|Distal radius and ulnar fractures]]<ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | ||
* | *Occasionally for [[carpal bone fractures]] <ref name="Hand and wrist emergencies">German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.</ref> | ||
==Procedure== | |||
[[File:Sugar Tong.gif|thumb|Sugar tong splint.]] | |||
{{Splint Application General Procedure}} | |||
===Splint-Specific Details=== | |||
*Apply padding and splint material as shown in figure | |||
*Splint course:<ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref> | |||
**From proximal palmar crease | |||
**Around elbow | |||
**To dorsum of MCP joints | |||
**Watch for bunching of material around elbow, protect bony prominence such as elbow, ulnar styloid <ref name="Principles of Casting and Splinting">Principles of Casting and Splinting http://www.aafp.org/afp/2009/0101/p16.html Accessed April 5, 2017</ref> | |||
*Reassess distal pulse, motor, and sensation | |||
*Key anatomic positions | |||
**Elbow at 90° | |||
**Neutral forearm with thumb pointed superiorly | |||
**Wrist in slight extension (approximately 10-20°) and slight ulnar deviation | |||
==See Also== | |||
*[[Splinting]] | |||
==References== | |||
<references/> | |||
[[ | [[Category:Orthopedics]] | ||
[[Category:Procedures]] | |||
Latest revision as of 19:56, 10 May 2023
Background
- Prevents pronation/supination, flexion/extension at the wrist, and immobilizes elbow
Indications
- Distal radius and ulnar fractures[1]
- Occasionally for carpal bone fractures [1]
Procedure
Splint Application General Procedure
- Assess pre-procedure neurovascular status (i.e., distal pulse, motor, and sensation) [2]
- Measure and prepare the splinting material
- May use contralateral extremity if easier
- Most splints use a width slightly greater than the diameter of the limb
- Apply stockinette (if applicable)
- Extend 2" beyond estimated the splinting material length
- Apply padding (if applicable)
- Use 2–3 layers over the area to be splinted / between digits (when applicable)
- Add an extra 2–3 layers over bony prominences
- Apply splinting material
- Lightly moisten the splinting material.
- Place as appropriate to specific splint type
- Once finished, if applicable fold the ends of stockinette back over the splinting material if there is excess
- Apply elastic bandaging (e.g., ace wrap)
- While still wet
- May further mold the splint to the desired shape
- Maintain position until splint material has hardened
- Re-check and document repeat neurovascular status
Splint-Specific Details
- Apply padding and splint material as shown in figure
- Splint course:[2]
- From proximal palmar crease
- Around elbow
- To dorsum of MCP joints
- Watch for bunching of material around elbow, protect bony prominence such as elbow, ulnar styloid [3]
- Reassess distal pulse, motor, and sensation
- Key anatomic positions
- Elbow at 90°
- Neutral forearm with thumb pointed superiorly
- Wrist in slight extension (approximately 10-20°) and slight ulnar deviation
See Also
References
- ↑ 1.0 1.1 German C. Hand and wrist emergencies. In: Bond M, ed. Orthopedic Emergencies: Expert Management for the Emergency Physician. Cambridge: Cambridge University Press; October 31, 2013.
- ↑ 2.0 2.1 Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017
- ↑ Principles of Casting and Splinting http://www.aafp.org/afp/2009/0101/p16.html Accessed April 5, 2017