Sugar Tong Splint (Emergency Medicine)

|Hide
Procedures Consult Mobile
Quick ReviewFull DetailsChecklist
Pre-ProcedureProcedurePost-Procedure
Help  |  Print
SAMPLE EXCERPT
- Full procedure text, video and illustrations available with the full product
PRE-PROCEDURE
INDICATIONS
  • Temporary immobilization for distal radius fracture
CONTRAINDICATIONS
  • Infection
  • Impending compartment syndrome
  • Diabetic or other neuropathy
EQUIPMENT
  • Slightly warm (not over 24°C) water and bucket
  • Stockinette (optional)
  • Soft cotton bandage/undersplint material (e.g., Webril padding), 3 or 4 inch width
  • Plaster bandages, 3 or 4 inch width
  • Elastic bandages (Ace)
  • Adhesive tape
ANATOMY
  • The radius and ulna articulate distally with the carpal bones to form the wrist.
  • The brachial artery branches at the anterior elbow to form the ulnar and radial arteries, which continue distally.
  • At the elbow, the ulnar nerve is posterior to the lateral epicondyle; the median nerve is anterior to the joint along with the brachial artery; and the radial nerve lies anterior to the medial epicondyle.
  • The median nerve is located in the midline of the anterior wrist (ventral), the ulnar nerve courses medially along the ulna, and the radial nerve continues along the radial aspect of the forearm.
  • The radial nerve supplies sensation to the dorsolateral hand (dorsal and thenar areas) and proximal thumb, the median nerve supplies sensation to the lateral palm and the palmar/distal first and second digits, and the ulnar nerve supplies sensation to the medial hand (dorsal and palmar) and the fifth digit.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Use radiography to confirm that reduction was achieved and maintained.
  • Conduct a neurovascular examination.
  • Instruct the patient to keep the splint clean and dry.
  • The extremity should be kept elevated for the first 2-3 days.
  • Loosen the elastic bandage if neurovascular symptoms arise.
  • Reevaluate if increased pain or burning develops in the extremity.
COMPLICATIONS
  • Plaster burn
  • Pressure sores
    • The epicondyles and olecranon process are particularly vulnerable.
  • Nerve palsy
    • Use extra padding to protect the elbow and wrist areas.
    • The ulnar nerve is particularly vulnerable to compression at the posterior lateral epicondyle, and the radial is particularly vulnerable at the anterior medial epicondyle.
    • The median nerve is vulnerable at the wrist.
  • Vascular compromise
    • The ulnar and radial arteries are vulnerable to compression from bone fragments, swelling, and splinting.
  • Splint dermatitis
  • Permanent joint stiffness
About Procedures Consult | Help | Contact Us | Terms and Conditions | Privacy Policy | Send Feedback
Copyright © 2014 Elsevier Inc. All rights reserved.