casting & splinting...1/26/2018 4 common casts cast type fracture(s) key features short arm cast...
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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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