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Double sugar tong splint
From WikEM
Background
- Better for most distal forearm and elbow fracture because limits flex/extension and pronation / supination
Indications
- Elbow and forearm fracture - prox/mid/distal radius and ulnar fracture.
Procedure
- Assess distal pulse, motor, and sensation
- Apply padding and splint material (e.g. Ortho-glass) as shown
- First sugar tong from proximal palmar crease, around elbow, to dorsum of MCP joints
- Second sugar tong from the deltoid insertion distally around the 90-degree flexed elbow, then proximally to 3 inches short of the axilla [1]
- Wrist should be maintained in slight extension (approximately 20°)
- Maintain position until splint hardens and secure to arm (e.g. with ace wraps)
- Reassess distal pulse, motor, and sensation
See Also
References
- ↑ Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017
Authors
Ted Fan, Michael Holtz, Ross Donaldson, Neil Young, Daniel Ostermayer
