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A long arm cast extends from the upper arm to the wrist or hand, immobilizing the elbow joint in addition to the forearm. It is typically used for injuries requiring stabilization across multiple joints, such as forearm fractures, certain elbow injuries, and complex soft-tissue damage.
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]
Hard casts are rarely required, and soft casts or splints can be removed for brief periods of time to allow for cleaning and drying the skin underneath the splint. [11] Pain from injury varies person to person as with most injuries. Depending on the individual a course of over the counter or narcotic pain medication will suffice.
Wrist mobility is often restricted due to inflammation of the forearm muscles as they contract and tighten due to injury. [2] Most wrist dislocations occur between the capitate and the lunate. [17] [18] Carpal fractures are caused by falling on an outstretched hand the wrist is hyper-extended in ulnar deviation with a component of rotation. [18]
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 ]
Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures.Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.
The longtime co-host later revealed on GMA that she hurt her wrist because she was still clutching her racket when she fell over on the court. “If you have the racket and you fall, drop the ...
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]