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Casts are typically removed by perforation using a cast saw, an oscillating saw designed to cut rigid material such as plaster or fiberglass while not harming soft tissue. [7] Manually operated shears, patented in 1950 by Neil McKay , [ 8 ] may be used on pediatric or other patients who may be affected by the noise of the saw.
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. [1] Symptoms include pain, bruising, and rapid-onset swelling. [1] The ulna bone may also be broken. [1] In younger people, these fractures typically occur during sports or a motor vehicle collision. [2]
After trying a plaster cast for six months, she wrote to her physician, Samuel Jean Pozzi, asking that he amputate her leg above the knee. [19] On 22 February 1915, the leg was amputated above the knee with an anterior flap.
For a radial fracture, it is not clear if the position in which the wrist is immobilized in the cast after pinning effects the risk of reduced grip strength. [1] For an approach in which the pins are placed under the skin, it is not clear if this technique reduces the risk of infection, however in order to remove the pins when the bone has ...
A Smith's fracture, is a fracture of the distal radius. [1] Although it can also be caused by a direct blow to the dorsal forearm [2] or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. [3] Smith's fractures are less common than Colles ...
The cast is applied with the distal fragment in palmar flexion and ulnar deviation. A fracture with mild angulation and displacement may require closed reduction. There is some evidence that immobilization with the wrist in dorsiflexion as opposed to palmarflexion results in less redisplacement and better functional status. [12]
Once the cast has been removed, the patient begins physiotherapy to regain the range of movement of the wrist joint and strength in the muscles involved. If X-rays show that the capitate fracture fragments are out of alignment, surgery is indicated. A surgeon can use small compression screws or K-wires to unite the two pieces of bone.
Any fracture in the elbow region or upper arm may lead to Volkmann's ischemic contracture, but it is especially associated with supracondylar fracture of the humerus. It is also caused by fractures of the forearm bones if they cause bleeding from the major blood vessels of the forearm. [citation needed]
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