After realignment of a distal radius fracture, which splint is commonly used?

• A. Sugar-tong splint
• B. Short arm cast
• C. Splint only
• D. Sling and swath

Answer: (A)

After reducing a distal radius fracture, you want stable immobilization that protects the new alignment while allowing for tissue swelling. A sugar-tong splint fits this need because it is a rigid forearm splint that wraps around the arm, crossing the wrist and forearm to immobilize the radius and ulna in a functional position. This setup provides good immobilization in multiple planes and is designed to accommodate swelling, avoiding a tight circumferential cast that could raise pressure and complicate edema. It’s commonly used immediately after closed reduction to maintain stability, with conversion to a short-arm cast once swelling has subsided.