What is the treatment for a nightstick fracture?

A nightstick fracture, which typically occurs from a direct blow to the forearm, particularly affecting the ulna, is often treated conservatively. The most effective management for this type of fracture involves immobilization to allow healing, which is accomplished using a sugar tong splint.

The sugar tong splint provides effective support and limits motion in both the wrist and elbow joints. This type of splint wraps around the arm, maintaining the forearm's position and stabilizing the fracture site adequately.

Other treatment options, such as surgical fixation, may be necessary in certain complex cases or if the fracture is displaced, but these situations are less common. Simply resting and icing the injury do not provide sufficient stability for the healing fracture. A short arm cast can be useful in some instances, but the sugar tong splint is often preferred initially due to its adjustability and comprehensive support. Thus, using the sugar tong splint is the most aligned approach in treating a nightstick fracture, allowing for both immobilization and comfort during the healing process.