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Catalog
AAOE Casting, Splinting and Soft Goods Program
Splinting - Sugar Tong Splint
Splinting - Sugar Tong Splint
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Video Transcription
Start wrapping the padding at the wrist. Wrap toward the hand and make three turns around the hand for the bumper, with one turn coming around the back of the thumb. Wrap the rest of the padding proximally to above the elbow using 50-50 coverage. Make three turns above the elbow for a bumper. Place additional padding over the elbow to pad the bony prominence and wrap distally to the hand to ensure adequate padding. Make sure the ulnar styloid is well padded. With these splints a lot of times you don't want a lot of padding because they're molded. So we want to be sure we hold a good reduction. For this splint I use a 3x38. You can also roll your own out. It needs to be about 8 layers thick if you roll your own. Place the fiberglass splint on the dorsal side of the hand, wrap it around the back of the elbow to the palm, and trim to the appropriate length. Cut the fiberglass splint to form to the hand at the palmar crease. And you want to start in the palm. Hold the fiberglass splint where you made your cut up to the palm on the volar side and begin wrapping at the palm with gauze wrap or cotton padding and continue wrapping proximally. So they'll have good clearance with their fingers. And then you just wrap up the volar side. When you reach the elbow, pull the splint up around the back of the elbow to the dorsal side of the hand and continue wrapping distally. And you just want to wrap that on like that. Make two cuts in the splint at the elbow so that you can fold the splint down to keep it from wrinkling or wadding at the elbow. Wrap elbow with gauze or cotton padding. We don't want to wad any fiberglass because that creates a very uncomfortable ridge. So now we have it anchored with our gauze. Mold the splint to form to the hand and press into palm. Allow the splint to harden. Make two cuts on the opposite sides of the padding at the fingers. Then cut a small hole in the stockinette for the thumb and turn back over the hand. Cut away the padding at the top of the antecubital crease to allow the elbow to bend. You want to make sure you have good padding back here at the back of your splint. Fold the padding back at the elbow and fold over the stockinette. Bring your stockinette down over that. Use color wrap or an elastic bandage to complete the process. And that is a sugar tongue split.
Video Summary
This video provides a demonstration on how to apply a sugar tongue split for immobilizing the wrist and forearm. The process involves wrapping padding around the wrist and hand, applying fiberglass splinting material, and securing it with gauze or cotton padding. The splint is molded to form to the hand and hardened, with cuts made at the elbow to prevent wrinkling. Additional padding is added for comfort and the splint is covered with stockinette and bandages. The sugar tongue split is commonly used for immobilization and stabilization of wrist and forearm injuries.
Keywords
sugar tongue split
immobilizing wrist
immobilizing forearm
fiberglass splinting
wrist and forearm injuries
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