Sugar tong splint: Difference between revisions
No edit summary |
(extra detail) |
||
| Line 3: | Line 3: | ||
==Indications== | ==Indications== | ||
*Distal radius and ulnar fracture. | *Distal radius and ulnar fracture (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> | ||
*Prevents pronation / supination and immobilizes elbow | *Prevents pronation/supination, flexion/extension at the wrist, and immobilizes elbow | ||
==Procedure== | ==Procedure== | ||
| Line 10: | Line 10: | ||
*Assess distal pulse, motor, and sensation | *Assess distal pulse, motor, and sensation | ||
*Apply padding and splint material (e.g. Ortho-glass) as shown | *Apply padding and splint material (e.g. Ortho-glass) as shown (from dorsum of hand, around elbow, to volar surface of hand) | ||
**Wrist should be maintained in slight extension (approximately 20°) | **Wrist should be maintained in slight extension (approximately 20°), and slight ulnar deviation <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> | |||
*Maintain position until splint hardens and secure to arm (e.g. with ace wraps) | *Maintain position until splint hardens and secure to arm (e.g. with ace wraps) | ||
*Watch for bunching of material around elbow, protect bony prominence such as elbow, ulnar styloid | |||
*Reassess distal pulse, motor, and sensation | *Reassess distal pulse, motor, and sensation | ||
Revision as of 18:05, 5 April 2017
Background
Indications
- Distal radius and ulnar fracture (occasionally for carpal bone fractures) [1]
- Prevents pronation/supination, flexion/extension at the wrist, and immobilizes elbow
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown (from dorsum of hand, around elbow, to volar surface of hand)
- Wrist should be maintained in slight extension (approximately 20°), and slight ulnar deviation [2]
- Maintain position until splint hardens and secure to arm (e.g. with ace wraps)
- Watch for bunching of material around elbow, protect bony prominence such as elbow, ulnar styloid
- Reassess distal pulse, motor, and sensation
See Also
References
- ↑ 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.
- ↑ Principles of Casting and Splinting http://www.aafp.org/afp/2009/0101/p16.html Accessed April 5, 2017