Skip to main content

Common Orthopedic Cast and Splints with the Indications




The purpose of casting and splinting is immobilization. Immobilization of fractures or injuries helps to reduce the pain and further damage to adjacent structures. Immobilization also helps in healing in a undisplaced fracture and also in displaced fractures needing ORIF, after the procedure.

Splints and cast must be given skillfully to avoid injury to bony prominences as well as soft tissue. There must be enough room to allow post injury swelling so that there is least chance of vascular compression compromising the circulation. And they must also take care of any superficial injuries.

Fractures and dislocations are are reduced by forces exact opposite which caused the injury (reversal od the injury mechanism) and proper attention to be given to restoration od length rotation angulation and joint position while reduction of the injury

The Gypsum Bandage sizes for giving a Immobilization Cast are
    • 2-4"   FOREARM
    • 4-6"   ARM
    • 4-6"   LOWER LEG
    • 6"       UPPER LEG
SOME COMMON SPLINT and CASTS that a Emergency Physician NEdds to know are
  1. Vietnam Sling
  2. Sugar Tong Splint
  3. Posterior Slab of the Elbow
  4. Ulnar Gutter Splint
  5. Colle's Wrist Fracture Cast
  6. Short Arm Cast
  7. Volar Slab
  8. Thumb Spica Cast
  9. Boxer's Cast
  10. Long Leg Cast
  11. Cylinder Cast
  12. Bulky Jones Splint
  13. Posterior Slab for the ankle
  14. Short Leg Walker CAst
  15. Walking Heel application to the below knee cast
Post correction of dislocation joints must be kept in the position of their greatest stability. And for casting after fracture balance between antagonist and protagonist muscle whould be maintained so that stronger group of muscles donot result in formation of any deformity later on.






Common Orthopedic Casts and Splints with Indications

Comments

Post a Comment

Popular posts from this blog

CRASH-3 TRIAL (Tranexamic Acid in Head Injury)

 
Post a Comment
Read more

BLUNT TRAUMA TO EYE VARIOUS FINDINGS

Blunt trauma to the eye can result in a wide range of findings and injuries, depending on the force and direction of the impact. The Trauma can be due to Direct Injury Contre-coup Injury Shearing forces and shock waves. The eye is a delicate organ with several components, and trauma can result into open or closed globe injuries. Following are some of the findings and injuries commonly associated with blunt trauma to different components of the eye:         Eyelids and Surrounding Tissues: ü   Contusions and bruising of the eyelids and periorbital area. May give an appearance of Raccoon Eyes. ü   Lacerations or cuts on the eyelids. ü   Swelling and edema of the eyelids.         Conjunctiva: ü   Subconjunctival hemorrhage, which appears as redness on the white part of the eye. ü   Chemosis, which is swelling of the conjunctiva.         Cornea: ü ...
Post a Comment
Read more

SALSA Trial

The "Slow Continuous Infusion Therapies of Hypertonic Saline for Patients With Symptomatic Hyponatremia:  The SALSA Randomized Clinical Trial" published in JAMA, is a significant clinical trial that specifically investigated the use of slow continuous infusion therapies of hypertonic saline with fast bolus replacement, for patients with symptomatic hyponatremia.  Background:   Symptomatic hyponatremia is a condition in which patients have low sodium levels in the blood, leading to neurological symptoms and potentially life-threatening complications. Rapid correction of sodium levels is necessary in such cases to alleviate symptoms and prevent harm. Objective:   The SALSA trial aimed to assess the efficacy and safety of two different strategies for correcting symptomatic hyponatremia using hypertonic saline solutions.  Methods: The study was a randomized clinical trial involving patients with symptomatic hyponatremia. Participants were divided into two groups:...
Post a Comment
Read more