Common Orthopedic Cast and Splints with the Indications

Orthopedic Splints and Casts- Subhadeep PGModules.pptx from Subha Deep

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

Vietnam Sling
Sugar Tong Splint
Posterior Slab of the Elbow
Ulnar Gutter Splint
Colle's Wrist Fracture Cast
Short Arm Cast
Volar Slab
Thumb Spica Cast
Boxer's Cast
Long Leg Cast
Cylinder Cast
Bulky Jones Splint
Posterior Slab for the ankle
Short Leg Walker CAst
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

Lignocaine Associated Systemic Toxicity (LAST)

Lidocaine Associated Systemic Toxicity (LAST) Lidocaine Associated Systemic Toxicity (LAST) is a potentially life-threatening condition that occurs due to the excessive absorption of local anesthetics, particularly lidocaine, into the systemic circulation. LAST can result from inadvertent intravascular injection, overdose, or rapid absorption from highly vascularized areas. Pathophysiology: Lidocaine, like other local anesthetics, works by blocking sodium channels, inhibiting the initiation and propagation of nerve impulses. However, when systemic levels of lidocaine become excessively high, these sodium channels are blocked in vital organs such as the heart and brain, leading to serious complications. Clinical Presentation: LAST can manifest with a variety of symptoms that often progress through two stages: Neurological Symptoms : Early signs include circumoral numbness, metallic taste, tinnitus, and dizziness. As toxicity increases, more severe symptoms such as seizures,...

Various Methods of Shoulder Joint Reduction

Shoulder joint dislocation can be reduced by a lot of explained maneuvers. Its better to learn them through some good videos from open source (YouTube and Vimeo) rather than memorizing The various maneuvers for the reduction of a Dislocated Shoulder Joint are 1. Kochers Maneuver 2. FARES (Fast Reliable and Safe Technique) 3. Hennepin Technique (External Rotation Technique) 4. Milch Technique 5. Stimsons Technique (Gravitational Weight) 6. Hippodratic and Modified Hippocratic Technique 7. Cunningham Technique Kochers Maneuver Adduction-ExtRotation-Flexion-Internal Rotation The process must be very slow and its better to give some muscle relaxant and analgesic prior to the procedure. Cunningham Technique https://www.youtube.com/watch?v=HGIjEEg_PQQ FARES (FAst, REliable and Safe Technique) Small occilating movements while in extension and external rotation. Gradually this is incre...

EmDocIndia

Search This Blog