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Am Fam Physician 2021 03;103(6):345-354

Rush Copley Family Medicine Residency, Aurora, IL, USA.

Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. Evaluation with radiography or ultrasonography usually can confirm the diagnosis. Read More

J Pediatr Orthop 2019 Apr;39(4):e245-e247

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY.

Introduction: Following closed reduction and initial casting of pediatric forearm fractures, loss of reduction (LOR) occurs in ∼5% to 75% of fractures. Sugar-tong splinting has been shown to maintain acceptable reduction in pediatric distal radius fractures while potentially avoiding issues associated with circumferential casting. We hypothesized that the sugar-tong splint would be an acceptable method for initial immobilization to prevent LOR in distal, mid-shaft, and proximal pediatric forearm fractures. Read More

J Wrist Surg 2018 Nov 7;7(5):409-414. Epub 2018 Aug 7.

Department of Orthopaedic Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.

 No consensus exists regarding postoperative splinting position following volar plate fixation of distal radius fractures.  The purpose of this study was to determine whether immobilization in supination would result in superior outcomes compared with no restriction of forearm range of motion.  All patients >18 years of age with distal radius fractures indicated for volar plate fixation were eligible. Read More

J Pediatr Orthop 2015 Jan;35(1):11-7

*Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, HI †Sun Valley Sports Medicine, St. Luke's, Hailey, ID ‡University of Utah, Draper, UT.

Introduction: The traditional treatment after closed reduction of distal radius (DR) and distal both bone (DBB) forearm fractures has been application of a long-arm cast (LAC) or a short-arm cast (SAC). Splinting is another option that avoids the potential complications associated with casting. The purpose of this study is to evaluate the maintenance of reduction of DR or DBB fractures placed in a double-sugar-tong splint (DSTS) compared with a LAC in a pediatric population. Read More

Postgrad Med 1989 Nov;86(6):185-8

Both plaster of Paris and fiberglass can be used for temporary or definitive treatment of acute extremity fractures, sprains, and strains. Longitudinal slab splints are appropriate for immobilizing inflamed tendons or joints of the wrist, elbow, and knee. "Sugar-tong" splints work well for humerus, forearm, and ankle fractures or sprains. Read More