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The cast restricts wrist movement while allowing elbow mobility, providing a balance between immobilization and functionality. In some cases, a thumb spica variant is added to include the thumb in immobilization, such as for scaphoid fractures or severe thumb sprains. Proper fit and careful alignment are critical to ensure effective healing and ...
A spica splint is a type of orthopedic splint used to immobilize the thumb and/or wrist while allowing the other digits freedom to move. It is used to provide support for thumb injuries (ligament instability, sprain or muscle strain), gamekeeper's thumb, osteoarthritis, de Quervain's syndrome or fractures of the scaphoid, lunate, or first metacarpal. [1]
[14] [15] [16] The choice of short arm, short arm thumb spica or long arm cast is debated in the medical literature and no clear consensus or proof of the benefit of one type of casting or another has been shown; although it is generally accepted to use a short arm or short arm thumb spica for non displaced fractures. [7]
In such cases, closed reduction followed by immobilization in a thumb spica cast and serial radiography may be all that is required for effective treatment. [ 5 ] For Bennett fractures where there is between 1 mm and 3 mm of displacement at the trapeziometacarpal joint, closed reduction and percutaneous pin fixation (CRPP) with Kirschner wires ...
A short arm cast, in contrast, stops just below the elbow. Both varieties may, depending on the injury and the doctor's decision, include one or more fingers or the thumb, in which case it is called a finger spica or thumb spica cast". ee1518 09:09, 21 September 2016 (UTC)
Capener finger splint. By the emergency medical services or by volunteer first responders, to temporarily immobilize a fractured limb before transportation;; By allied health professionals such as occupational therapists, physiotherapists and orthotists, to immobilize an articulation (e.g. the knee) that can be freed while not standing (e.g. during sleep);
[12] [5] Depending on the nature of the fracture, the cast may be placed above the elbow to control forearm rotation. However, an above-elbow cast may cause long-term rotational contracture. [5] For torus fractures, a splint may be sufficient and casting may be avoided. [14] The position of the wrist in cast is usually slight flexion and ulnar ...
Fiberglass casts were introduced in the 1980s or 1990s. The curing time of a fiberglass cast is far shorter than plaster of Paris, letting the patient walk with an outer boot within an hour of application. Because casts made of fiberglass have lower breakdown rate and do not impede patient mobility, this material has become the choice for TCC.
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