LONG ARM CAST

 

LONG ARM CAST

CLASSIC SILVER FORK DEFORMITY

DISTAL RADIUS/ULNA FRACTURE

FRACTURED ELBOW

DISLOCATED ELBOW

Displaced distal radius fracture

Displaced distal radius fracture

Fracture distal 1/3 radius

MATERIALS NEEDED:

2” Stockinette for arm

1” Stockinette for thumb

2 2” roll of Webril

1 3” roll of Webril

2 2” rolls of Fiberglass

1 or 2 3” rolls of Fiberglass

Scissors

Casting Gloves

POSITIONING:

Depending upon the nature of the fracture i.e. displaced vs non-displaced. Your orthopaedist will determine if the fracture requires manipulation (reduction) In certain instances such as non-displaced or minimally displaced distal radius fractures, a long arm cast may be applied.  Displaced fractures of the distal radius may require a closed reduction by manipulation of the fracture back into acceptable alignment.  The orthopaedist will determine which position the arm should be placed in the cast to hold the fracture in proper alignment.  Here are some general positional terms:


NEUTRAL

SUPINATION

PRONATION

Click on left arrow to watch video on positioning

Click on left arrow to watch video of long arm cast application

CLOSED REDUCTIONS:

With some displaced wrist fractures the orthopaedist may perform a closed reduction of the fracture to return the bones to proper alignment.  Occasionally closed reductions are performed in the office.  Here are some of the “tools” orthopaedists may use while performing closed reductions.   The fingertraps are used to achieve a form of gravity traction of the arm. Weights or manual traction may be used to achieve additional traction to help the surgeon while he manipulates the fracture back into alignment.

Click on left arrow to watch video on post reduction long arm cast application