Distal Radius Reduction & Sugartong

1. Adequate analgesia / hematoma block as appropriate 2. Recreate the injury slightly, then traction and reduction maneuver for the pattern 3. Mold — not just wrap — while maintaining reduction 4. Sugartong: control forearm rotation; leave room for swelling; check capillary refill and sensation 5. Post-reduction AP and lateral; document parameters 6. Re-check NV status after splinting

If post-reduction films fail parameters for this patient, say so and plan the next step (re-reduction vs operative discussion). A “better than the injury film” reduction can still be unacceptable.

Median nerve symptoms that worsen after reduction need a clear escalation path — do not normalize progressive deficit inside a tight splint.

• Post-reduction films are mandatory
• Molding matters more than layers of plaster
• Always re-check neurovascular status
• Unstable patterns redisplace — follow closely