Double sugar tong splint: Difference between revisions
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==Background== | ==Background== | ||
*Better for most distal forearm and elbow | *Better for most [[Forearm fractures|distal forearm]] and [[Elbow diagnoses|elbow fractures]] because limits flex/extension and pronation/supination | ||
==Indications== | ==Indications== | ||
* | *Complex and unstable [[Forearm fracture|forearm]] and [[elbow fractures]] | ||
==Procedure== | ==Procedure== | ||
[[File:Double Sugar Tong.gif|thumb]] | [[File:Double Sugar Tong.gif|thumb]] | ||
{{Splint Application General Procedure}} | |||
===Splint-Specific Details=== | |||
*Apply padding and splint material | *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> | |||
**First sugar tong from proximal palmar crease, around elbow, to dorsum of MCP joints | **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 <ref name="Splints and Casts: Indications and Methods"> Splints and Casts: Indications and Methods | **Second sugar tong from the deltoid insertion distally around the 90-degree flexed elbow, then proximally to 3 inches short of the axilla <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> | ||
http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref> | *Key anatomic positions | ||
*Wrist should be maintained in slight extension (approximately 20°) | **Elbow at 90º | ||
**Forearm neutral with thumb pointed superiorly | |||
**Wrist should be maintained in slight extension (approximately 10-20°) | |||
==See Also== | ==See Also== | ||
Latest revision as of 21:27, 10 May 2023
Background
- Better for most distal forearm and elbow fractures because limits flex/extension and pronation/supination
Indications
- Complex and unstable forearm and elbow fractures
Procedure
Splint Application General Procedure
- Assess pre-procedure neurovascular status (i.e., distal pulse, motor, and sensation) [1]
- 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:[1]
- 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]
- Key anatomic positions
- Elbow at 90º
- Forearm neutral with thumb pointed superiorly
- Wrist should be maintained in slight extension (approximately 10-20°)
See Also
References
- ↑ 1.0 1.1 1.2 Splints and Casts: Indications and Methods. http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017