Double sugar tong splint

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
• 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

• Splinting