Diferencia entre revisiones de «Double sugar tong splint»

Sin resumen de edición
(splint detail)
Línea 10: Línea 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
**Wrist should be maintained in slight extension (approximately 20°)
**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
http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017</ref>
*Wrist should be maintained in slight extension (approximately 20°)
*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)
*Reassess distal pulse, motor, and sensation
*Reassess distal pulse, motor, and sensation

Revisión del 18:36 5 abr 2017

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

Double Sugar Tong.gif
  • 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

  1. Splints and Casts: Indications and Methods http://www.aafp.org/afp/2009/0901/p491.html Accessed April 5, 2017