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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

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