FIBERGLASS CAST FOR SCAPHOID FRACTURE
Fleming 1 , Shane C. Learn how your comment data is processed. A standard 3M TM fiberglass cast was applied with a further clinical and radiographic review scheduled. The forearms were then placed in a support that held the arm in neutral rotation. Support Center Support Center. The fiberglass cast is also popularly called the synthetic cast. I wish I was practicing in the wonderful land of Oz!
On day-3 he was switched from oral steroids to topical steroid cream dermovate. A standard 3M TM fiberglass cast was applied with a further clinical and radiographic review scheduled. Gelberman RH, Menon J. Simple removable wrist splint appropriate for low-index-of-suspicion cases. There seems little doubt that a day 1 MRI of the wrist is the best test we have available at detecting occult fractures. Conflict of interest Authors declare no conflict of interest. A high index of suspicion should be kept when patients with an orthopedic cast present with any symptoms to the emergency department.
At the orthopedic review, fracturr was decided that non-operative treatment in a below elbow “Colles” cast was the treatment of choice. Sorry I would not be able to help you on this matter. Effects of the adductor pollicis finerglass abductor pollicis brevis on thumb metacarpophalangeal joint laxity before and after ulnar collateral liagament reconstruction.
The pain and irritation became so unbearable that the patient removed the cast with a saw himself before re-attending the emergency department.
Conclusion A high index of suspicion should be kept when patients with an orthopedic cast present to the emergency department with persistent pain or other unexplained symptoms under an orthopedic cast.
Numerous studies to date have demonstrated that immobilizing the wrist is necessary to facilitate scaphoid fracture healing [ 246111216 ]. Secondary skin changes may be seen in the form of excoriation or impetiginization as was seen in this case also .
Any symptoms beneath a cast should prompt cast removal and full examination.
Fiberglass Cast – Indications, Application and Care | Bone and Spine
The forearms were then placed in a support that held the arm in neutral rotation. J Bone Joint Surg Am ; In his prospective study of scaphoid fractures, Clay agreed that, though the wrist needed to be immobilized for fracture healing, the thumb interphalangeal joint did not [ 4 ].
The fiberglass cast, however, is not applied in acute settings because this cast is less accommodating to swelling or where the reduction of the fragments necessitates molding.
Dear sir, My daughter is just 13 month age got fracture in elbow joint.
Plastering the spine does not solve the issue. If you continue using our website, we’ll assume that you are happy to receive all cookies on this website.
Management of clinical fractures of the scaphoid: Sagittal reconstruction image with metallic markers on either side of scaphoid fracture. The official report read: This case report describes acute allergic contact dermatitis ACD secondary to fiberglass orthopedic cast application. On clinical assessment he had a painful wrist and tenderness over his anatomical snuffbox that was suspicious for a scaphoid fracture.
Computed tomography of suspected scaphoid fractures.
Scaphoid Fractures – The ED perspective
Immobilization protocols for nondisplaced scaphoid fractures have fiherglass the elbow, wrist, and thumb. A fiberglass cast is a lightweight and extremely strong material.
Traditionally, the orthopedic cast has been made of plaster of Paris and is called plaster cast. O’Neill — Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Prasad Ellanti — Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Paul Moroney — Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published.
The patient was admitted to hospital with a working diagnosis of acute allergic contact dermatitis ACD secondary to fiberglass cast application. While radiographic assessment is important, cast removal must be performed as a matter of urgency in any patient who presents with unexplainable pain, persistent burning or neurovascular symptoms to allow for full examination and ensure there is no evidence of compartment syndrome.
This would, of course, be after an appropriate clinical exam. Vijay — I think fiberflass a tradition Pete brought over with him from Ulster….
Cast dermatitis, Contact allergic dermatitis, Orthopedic casting, Scaphoid fracture Introduction Orthopedic casting is a fundamental technique in orthopedic practice. Open in a separate window. Need the thumb be immobilised in scaphoid fractures? By six weeks the skin had greatly improved and the scaphoid fracture had healed by eight weeks Figure 4.
We must make note of the clinical difficulty in this case between fracture management and skin management. When I mean vaguely tender, I mean 0.
Does Thumb Immobilization Contribute to Scaphoid Fracture Stability?
All proximal scaphoid fractures? This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author s and original publisher are properly credited.
Metallic markers were imbedded on either side of the fracture. As compared to traditional plaster of Paris cast, it is light in xcaphoid and more durable. He was treated symptomatically initially without cast removal but deteriorated. Biomechanically, we demonstrated that, even in the presence of physiologic loading of the thumb, wrist immobilization alone was sufficient to significantly reduce motion at the fracture site.