Orthotic Design and Fabrication for the Upper Extremity by Katherine Schofield;Deborah Schwartz; & Deborah Schwartz

Author:Katherine Schofield;Deborah Schwartz; & Deborah Schwartz [SCHOFIELD, KATHERINE]
Language: eng
Format: epub
ISBN: 9781630915919
Publisher: SLACK Incorporated

Figure 7-4. Orthoses that limit forearm rotation. (A) Sugar tong orthosis. (Reprinted with permission from Orfit Industries.) (B) Muenster orthosis. (Reprinted with permission from Chad Royer.)

Evidence

Level II

Levy, J., Ernat, J., Song, D., Cook, J. B., Judd, D., & Shaha, S. (2015). Outcomes of long-arm casting versus double-sugar-tong splinting of acute pediatric distal forearm fractures. Journal of Pediatric Orthopedics, 35(1), 11-17. This prospective comparative study examined the effectiveness of a double sugar tong orthosis versus a long arm cast in maintaining distal radius or double forearm bone fractures in a pediatric population. Seventy-one subjects participated in the study; 37 with a long arm cast and 34 in a double sugar tong orthosis after fracture reduction. The double sugar tong orthosis was described as a sugar tong orthosis fabricated from plaster and bivalved that was then converted into a long arm cast after the initial swelling had decreased. The long arm cast group had significant risk of loss of reduction throughout the study, but no difference between groups was apparent following cast removal. The authors concluded that both the long arm cast and double sugar tong orthoses are comparable and effective methods of immobilization for this population.

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