Casting & Splinting...1/26/2018 4 Common casts Cast type Fracture(s) Key features Short arm cast MC 2 to 5 base fx Wrist 30 degrees Nondisplaced triquetrum fx Top of cast 2 cm below

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http://www.bonefixator.com/bone_fracture/fractures_and_healing_1.html

http://fyeahmedlab.tumblr.com/post/13107443479/fracture-healing-process

http://askabiologist.asu.edu/how-bone-breaks

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• Permits swelling and may prevent neurovascular compromise.• Allows one to splint immediately after an injury

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Common castsCast type Fracture(s) Key features

Short arm cast

MC 2 to 5 base fx Wrist 30 degrees

Nondisplaced triquetrum fx

Top of cast 2 cm below antecubital fossa

One to two layers of padding

Two layers of casting tape

Short arm cast Nondisplaced distal radius fx (Colles')

Wrist neutral

Top of cast 2 cm below antecubital fossa

One to two layers of padding

Two layers of casting tape

Long arm cast Reduced Colles' fx

Wrist slight flexion and ulnar deviation, elbow 90 degrees

Top of cast 3 cm below axilla

One to two layers of padding

Three layers of casting tape

Short arm cast with thumb

spica

1st MC base extraarticular fx Wrist 30 degrees

Suspected scaphoid fx Top of cast 2 cm below antecubital fossa

Nondisplaced distal third scaphoid fxOne to two layers of padding

Two layers of casting tape

Long arm cast with thumb

spica

Middle or proximal third nondisplaced

scaphoid fx

Wrist 30 degrees

Top of cast 3 cm below axilla

One to two layers of padding

Three layers of casting tape

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Upper extremity splintsSplint Indication

Figure-of-eight splint Medial clavical fractures

Sling and swathe Shoulder injuries, humeral injuries

Velpeau bandage Shoulder injuries, humeral injuries

Sugar tong splints

Proximal Humeral fractures

Distal Wrist fractures, distal forearm fractures

Double Elbow fractures, forearm fractures

Reverse Distal forearm fractures

Posterior arm splint Stable elbow and forearm injuries

Colles’ splint Distal forearm and wrist fractures; 2nd – 5th MC fractures

Dorsal or volar splintWrist fractures or injuries, fractures of 2nd to 5th metacarpals, soft tissue injuries of

the hand

Gutter splint Phalangeal and metacarpal fractures

Thumb spica splintScaphoid fractures, extra-articular fractures of the thumb metacarpal, ulnar collateral

ligament injuries

Volar finger splint Fractures of distal phalanges and interphalangeal joints

Bulky hand compression dressing Closed hand fractures

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Volar Finger splint

Dorsal Finger splint

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