From the Research
For a distal ulnar fracture, a sugar-tong splint is typically recommended as the primary immobilization method. This recommendation is based on general medical knowledge and principles of fracture management, as the provided studies do not directly address the specific question of the type of splint for distal ulnar fractures. The study by 1 discusses the management of distal ulnar fractures in adults but does not specify the type of splint to use. The study by 2 is unrelated to the question, as it discusses nerve regeneration after suture.
- A sugar-tong splint extends from the hand around the elbow and back to the hand on the opposite side, effectively immobilizing both the wrist and forearm while preventing pronation and supination movements.
- The splint should be applied with the forearm in neutral position or slight supination to maintain proper alignment of the fracture fragments.
- Padding should be placed between the skin and splint material to prevent pressure sores, particularly at bony prominences.
- The splint should be worn continuously until follow-up with an orthopedic specialist, typically within 7-10 days.
- During this time, the patient should keep the arm elevated above heart level when possible to minimize swelling, apply ice for 20 minutes every 2-3 hours for the first 48-72 hours, and take appropriate pain medication as prescribed.
- A sugar-tong splint is preferred for distal ulnar fractures because it provides circumferential support while allowing for swelling, maintains the reduction, and prevents rotational movements that could displace the fracture.
- For more complex or unstable fractures, surgical intervention may be necessary, but the initial management typically involves this type of splinting.