UPPER EXTREMITY CASTING dr. Tangkas SMHS Sibarani,Sp.OT (K) OSM ONE DAY CASTING ACADEMY RSO.Prof.DR.R.SOEHARSO SURAKARTA 2012
UPPER EXTREMITY CASTING
dr. Tangkas SMHS Sibarani,Sp.OT (K) OSM
ONE DAY CASTING ACADEMYRSO.Prof.DR.R.SOEHARSO
SURAKARTA2012
Shoulder Spica• Used to treat humerus fractures, to protect
soft-tissue injuries about the shoulder, and in surgical repairs of the shoulder and proximal humerus.
PLASTER BOLERO
• Useful for treating unstable fractures of the clavicle that require hyperextension of the two shoulders to maintain position.
• It can also be applied to one shoulder, incorporating the upper arm if necessary.
PLASTER VELPEAU• Used only as a soft-tissue dressing to
immobilize the shoulder or humerus.
• When combined with a sugar-tong splint on the humerus, it is very effective for immobilizing fractures of the shaft of the humerus.
Short Arm Cast
• The short-arm cast can be used to immobilize the wrist and the base of the finger metacarpals for a host of disorders.
• The application of a short-arm cast to maintain the reduction of a relatively stable Colles‘ fracture
MUENSTER SHORT-ARM CAST
• Used to immobilize the forearm and wrist when flexion and extension of the elbow, but limited supination and pronation, are desired
GAUNTLET CAST
• Useful to immobilize fractures of the metacarpals of the hand and for minor wrist injuries
THUMB SPICA CAST
• Used primarily for fractures of the scaphoid and other instabilities of the carpal bones amenable to cast treatment.
• It also is used for fractures involving all elements of the thumb itself.
Long Arm CastThe cast is applied from just below the axilla to just proximal to the metacarpophalangeal joints of the digits but leaving the thumb free.
Hanging cast• The arm is placed over
the lower chest with the elbow at 90 degrees.
• The top of the humeral component of the cast is above the humeral fracture.
U – Slab/Humeral Splint
• Humerus in line with body
• Elbow at 90 degrees• Palm facing chest• Extent: axilla to over
acromioclavicular
Thumb Splint
• The thumb splint is made by applying a plaster slab from the tip of the thumb to approximately two-thirds of the way along the forearm
Long-Arm Posterior Splint
• A long-arm posterior splint is used to immobilize a number of injuries to the elbow and forearm
Sugar Tong Splint
• This splint permits immobilization in a position of pronation or supination without a circumferential cast being applied to the extremity