UPPER EXTREMITY CASTING

dr. Tangkas SMHS Sibarani,Sp.OT (K) OSM

ONE DAY CASTING ACADEMYRSO.Prof.DR.R.SOEHARSO

SURAKARTA2012

Type of Upper Extremity Cast

Shoulder Spica• Used to treat humerus fractures, to protect

soft-tissue injuries about the shoulder, and in surgical repairs of the shoulder and proximal humerus.

PLASTER BOLERO

• Useful for treating unstable fractures of the clavicle that require hyperextension of the two shoulders to maintain position.

• It can also be applied to one shoulder, incorporating the upper arm if necessary.

Plaster BOLERO

PLASTER VELPEAU• Used only as a soft-tissue dressing to

immobilize the shoulder or humerus.

• When combined with a sugar-tong splint on the humerus, it is very effective for immobilizing fractures of the shaft of the humerus.

Short Arm Cast

• The short-arm cast can be used to immobilize the wrist and the base of the finger metacarpals for a host of disorders.

• The application of a short-arm cast to maintain the reduction of a relatively stable Colles‘ fracture

MUENSTER SHORT-ARM CAST

• Used to immobilize the forearm and wrist when flexion and extension of the elbow, but limited supination and pronation, are desired

GAUNTLET CAST

• Useful to immobilize fractures of the metacarpals of the hand and for minor wrist injuries

THUMB SPICA CAST

• Used primarily for fractures of the scaphoid and other instabilities of the carpal bones amenable to cast treatment.

• It also is used for fractures involving all elements of the thumb itself.

Long Arm CastThe cast is applied from just below the axilla to just proximal to the metacarpophalangeal joints of the digits but leaving the thumb free.

Hanging cast• The arm is placed over

the lower chest with the elbow at 90 degrees.

• The top of the humeral component of the cast is above the humeral fracture.

SPLINTS

U – Slab/Humeral Splint

• Humerus in line with body

• Elbow at 90 degrees• Palm facing chest• Extent: axilla to over

acromioclavicular

U – Slab/Humeral Splint

• Mould over shoulder for close fit

• Support with collar and cuff

Gutter Splints

• Gutter splints are used for the treatment of phalangeal and metacarpal fractures

Thumb Splint

• The thumb splint is made by applying a plaster slab from the tip of the thumb to approximately two-thirds of the way along the forearm

Long-Arm Posterior Splint

• A long-arm posterior splint is used to immobilize a number of injuries to the elbow and forearm

Sugar Tong Splint

• This splint permits immobilization in a position of pronation or supination without a circumferential cast being applied to the extremity

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