Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method
This chapter aims to provide a comprehensive review of the techniques and challenges associated with applying upper extremity casts in pediatric patients. The chapter, along with its accompanying figures and video clips, serves as an introductory guide to pediatric orthopaedic cast application for t...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
|
| Series: | Journal of the Pediatric Orthopaedic Society of North America |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2768276525000847 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849388650626809856 |
|---|---|
| author | David S. Liu, MD Andrea S. Bauer, MD |
| author_facet | David S. Liu, MD Andrea S. Bauer, MD |
| author_sort | David S. Liu, MD |
| collection | DOAJ |
| description | This chapter aims to provide a comprehensive review of the techniques and challenges associated with applying upper extremity casts in pediatric patients. The chapter, along with its accompanying figures and video clips, serves as an introductory guide to pediatric orthopaedic cast application for trainees. Generally, casts are used to preserve appropriate alignment rather than to create improved alignment. In cases of nondisplaced fractures or those with acceptable alignment, the role of the cast is to maintain that alignment until healing occurs. For fractures with unacceptable alignment, reducing them to an acceptable position is necessary while the cast is utilized to maintain proper alignment. For challenging fractures that are difficult to keep aligned, have displaced intraarticular components, or are length-unstable, surgical intervention is recommended, followed by casting for immobilization after surgery. This chapter reviews the indications, application, techniques, and pitfalls of short arm, thumb spica, mitten, ulnar gutter, long arm, and hanging arm casts. Key Concepts: (1) The cast index is a valuable measure that impacts the rates of loss of reduction in distal radius fractures. (2) Molds are important not only for maintaining fracture reduction but also for keeping the cast in position and preventing slippage. (3) Along with using a cast saw to split fiberglass casts, a cast splitter should be employed to ensure proper bivalving. |
| format | Article |
| id | doaj-art-5e3579a029d442dd84df8754ccbcc6f2 |
| institution | Kabale University |
| issn | 2768-2765 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Pediatric Orthopaedic Society of North America |
| spelling | doaj-art-5e3579a029d442dd84df8754ccbcc6f22025-08-20T03:42:14ZengElsevierJournal of the Pediatric Orthopaedic Society of North America2768-27652025-08-011210024010.1016/j.jposna.2025.100240Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodDavid S. Liu, MD0Andrea S. Bauer, MD1Harvard Medical School, Boston Children's Hospital, Boston, MA, USACorresponding author: Harvard Medical School, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02116, USA.; Harvard Medical School, Boston Children's Hospital, Boston, MA, USAThis chapter aims to provide a comprehensive review of the techniques and challenges associated with applying upper extremity casts in pediatric patients. The chapter, along with its accompanying figures and video clips, serves as an introductory guide to pediatric orthopaedic cast application for trainees. Generally, casts are used to preserve appropriate alignment rather than to create improved alignment. In cases of nondisplaced fractures or those with acceptable alignment, the role of the cast is to maintain that alignment until healing occurs. For fractures with unacceptable alignment, reducing them to an acceptable position is necessary while the cast is utilized to maintain proper alignment. For challenging fractures that are difficult to keep aligned, have displaced intraarticular components, or are length-unstable, surgical intervention is recommended, followed by casting for immobilization after surgery. This chapter reviews the indications, application, techniques, and pitfalls of short arm, thumb spica, mitten, ulnar gutter, long arm, and hanging arm casts. Key Concepts: (1) The cast index is a valuable measure that impacts the rates of loss of reduction in distal radius fractures. (2) Molds are important not only for maintaining fracture reduction but also for keeping the cast in position and preventing slippage. (3) Along with using a cast saw to split fiberglass casts, a cast splitter should be employed to ensure proper bivalving.http://www.sciencedirect.com/science/article/pii/S2768276525000847Short arm castThumb spica castMitten castLong arm cast |
| spellingShingle | David S. Liu, MD Andrea S. Bauer, MD Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method Journal of the Pediatric Orthopaedic Society of North America Short arm cast Thumb spica cast Mitten cast Long arm cast |
| title | Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method |
| title_full | Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method |
| title_fullStr | Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method |
| title_full_unstemmed | Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method |
| title_short | Upper Extremity Cast ApplicationMaster’s MethodMaster's MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s MethodMaster’s Method |
| title_sort | upper extremity cast applicationmaster s methodmaster s methodmaster s methodmaster s methodmaster s methodmaster s methodmaster s methodmaster s methodmaster s method |
| topic | Short arm cast Thumb spica cast Mitten cast Long arm cast |
| url | http://www.sciencedirect.com/science/article/pii/S2768276525000847 |
| work_keys_str_mv | AT davidsliumd upperextremitycastapplicationmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethod AT andreasbauermd upperextremitycastapplicationmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethodmastersmethod |