Name:
Sherman: Simon’s Emergency Orthopedics 8e Video A-11
Description:
Sherman: Simon’s Emergency Orthopedics 8e Video A-11
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/aa3231d9-665e-4466-bd47-90d139ee0d2f/thumbnails/aa3231d9-665e-4466-bd47-90d139ee0d2f.jpg?sv=2019-02-02&sr=c&sig=XW1x%2Baj5hAFsezlkn%2Fwqez0pXM5IQ8%2Fiv0W44WMCNdY%3D&st=2024-05-04T22%3A09%3A54Z&se=2024-05-05T02%3A14%3A54Z&sp=r
Duration:
T00H02M47S
Embed URL:
https://stream.cadmore.media/player/aa3231d9-665e-4466-bd47-90d139ee0d2f
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/aa3231d9-665e-4466-bd47-90d139ee0d2f/A-1120Sherman_7e.mov?sv=2019-02-02&sr=c&sig=kUVt%2BVVPns9Sakg6x9PJmJkRTUHXwvJZWORtHft%2FaOc%3D&st=2024-05-04T22%3A09%3A54Z&se=2024-05-05T00%3A14%3A54Z&sp=r
Upload Date:
2022-02-27T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
The sugar tong spling is commonly used to immobilize injuries in both adult and pediatric patients involving fractures of the distal radius and the distal ulna, as well as physeal injuries to the distal radius and the distal ulna. It's commonly used to immobilize forearm fractures and radial head dislocations in pediatric patients.
The sugar tong splint runs from the dorsum of the metacarpal phalangeal joints of the hand across the forearm, around the elbow, and runs volarly to the hand to the corresponding MCP joint. Two areas to be concerned about in padding would be the radius and the ulna distally. These areas, if too much pressure is applied, can cause sores or pain. It's important to check the neurovascular and neurosensory status in the upper extremity after this splint has been applied.
Preparation for applying the sugar tong splint. I've moved to the opposite side of the patient, and I'll have an assistant help me. In this splint application, there's two ways to apply this splint-- with the wrist in a neutral position as it's shown here, and also with the wrist flexed in a slight ulnar deviated position as well. We'll demonstrate the neutral position for this splinting purpose.
I'll have my assistant hold on to the patient's fingers and then also stabilize behind his elbow. So we'll apply the splint here and have my assistant hold on to that. The splint will go around his elbow and come up and attach to his fingers. And then we'll start the ACE wraps around his wrist and then come around his hand to help with edema control and support the splint and continue to work the ACE wrap up the splint towards his elbow.
Once the splint has been applied and it has formed in its rigid position, then we'll want to make sure that we assess the patient's sensory and motor function to make sure that those are intact.
Once the splint and ACE wraps have been applied, then we will mold it until it's in a rigid position.