1st page mod sir yuan splinting and casting

difference between splinting and casting

SO WHY DON’T WE USE SPLINTING INSTEAD OF CASTING? WHAT IS THE INDICATION OF IT?

Fracture reduction and immobilization, it is helpful in the correction of pediatric deformities, dysplastic hip disease, scoliosis, and foot deformities such as clubfoot

● Maintain or obtain a correction of deformity

● Promote alignment following surgery

● Give support to damaged soft tissues in the healing process of fractures, dislocations, and sprains.

FROM MC TO LEAST COMMON: CONDITIONS THAT BENEFIT FROM IMMOBILIZATION

1. Fractures

2. Sprains

3. Severe soft-tissue injuries

4. Reduced joint dislocations Inflammatory conditions: arthritis, tendinopathy, tenosynovitis

5. Deep laceration repairs across joints

enumerate the casts of the upper limb

• below elbow cast

• scaphoid cast

• bennett’s type cast

• above elbow or full arm casts

• smith’s cast

• humeral brace

below elbow cast

scaphoid cast

bennett’s type cast

above elbow / full arm casts

smith’s cast

humeral brace

enumerate the casts if the lower limb

• slippers

• below knee cast

• tibial bracing sarmiento

• cylinder cast

• above knee or long leg cast

• broomstick casts

slippers

below knee cast

tibial bracing sarmiento

cylinder cast

above knee / long leg cast

broomstick casts

enumerate the casting of the trunk

• spica

  • single hip spica

  • one and a half spica

  • double hip spica

• plaster jacket

  • anterior view (gamgee pad, felt pads)

  • posterior view (plaster slabs)

  • anterior view

• plaster corset

• minerva jacket

• shoulder spica

single hip spica

one and a half hip spica

double hip spica

• what type of cast is this? (indicate the view)

• label the letter a.

• plaster jacket (anterior view)

• a. gamgee pad

• what type of cast is this? (indicate the view)

• label the letters a. and b.

• plaster jacket (anterior view)

• a. gamgee pad

• b. felt pads

• what type of cast is this? (indicate the view)

• label the letter b.

• plaster jacket (anterior view)

• b. felt pads

• what type of cast is this? (indicate the view)

• label the letter a.

• plaster jacket (posterior view)

• plaster slabs

what type of cast is this and indicate the view

plaster jacket (anterior view)

plastic corset

minerva jacket

shoulder spica

SO BEFORE WE DO CASTING WHAT ARE THE GENERAL PRECAUTIONS/CONSIDERATIONS?

1. Stage and severity of the injury, the potential for instability, the risk of complications, and the patient's functional requirements.

2. Assessment of the skin, neurovascular status, soft tissues, and bony structures to accurately assess and diagnose the injury.

COMPLICATIONS IN CASTING

[CIPHI NI DJ]

1. Compartment syndrome

2. Ischemia

3. Pressure sores and skin breakdown

4. Heat injury

5. Infection

6. Neurologic injury

7. Dermatitis

8. Joint stiffness

HIGH-RISK THAT MAY DEVELOP INCREASED COMPLICATIONS

1. Pt with an inability to effectively communicate

2. Pt. under general or limb block anesthesia

3. Pt. who are very young or has GDD

4. Pt. with impaired sensations (SCI, DM)

5. Pt. with spasticity