Casting of upper limb for pediatric fractures

Klaus Dresing and Jos Engelen are presenting a live interactive Webcast.

Learning goals

• Describe the characteristics of the different casting materials.
• Explain the principles of cast application.
• Define the basic steps of post application treatment.
• Recognize potential for and prevent complications.
• Apply casts and splints and prescribe orthoses.

The below videos are taken from the AO Publication "Casts, Splints, and Support Bandages - Nonoperative treatment and perioperative protection" edited by Klaus Dresing, Peter Trafton, and Jos Engelen. This publication examines the principles, methods, and techniques for applying a modern plaster or synthetic cast for the treatment of fractures, ligament, nerve, and soft-tissue injuries, overload injuries, and infections. It includes access to 55 cast and splint demonstrations on high-quality online video.

The book can be purchased both as a hard copy and as a E-Book. 

• Table of content (pdf)

• Chapter 14.1 Overview of cast, splint, orthosis, and bandage techniques (pdf)

Indications

• Fracture of the clavicle

Goal

• Stabilization of the forearm and elbow

Indications

• Fracture of the proximal humerus
• Shoulder injuries

Goal

• Stabilization of the proximal humerus and the shoulder

Indications

• Fracture of the supracondylar humerus in children
• Temporary immobilization in proximal diaphyseal humeral fractures and shoulder injuries in adults

Goal

• Elbow in flexion to maintain position, depending on the extent of swelling

Indications

• Diaphyseal fractures of the humerus
• Not recommended for primary fracture care

Goal

• Stabilization of the humeral shaft

Indications

• Fracture of the forearm
• Fracture of the radial head
• Fracture of the distal humerus
• Fracture of the epicondyle
• Epicondylitis

Goal

• Stabilization of the forearm and elbow

Indications

• Fracture of the forearm
• Fracture of the radial head
• Fracture of the distal humerus
• Fracture of the epicondyle
• Epicondylitis

Goal

• Stabilization of the forearm and elbow

Indications

• Fracture of the radius
• Fracture of the ulna
• Fracture of the elbow
• Epicondylitis

Goal

• Stabilization of the forearm and elbow

Indications

• Fracture of the radius
• Fracture of the ulna
• Fracture of the elbow
• Epicondylitis

Goal

• Stabilization of the forearm and elbow

Indications

• Fracture of the distal radius

Goal

• Stabilization of the dorsal forearm and wrist

Indications

• Fracture of the distal radius

Goal

• Stabilization of the dorsal forearm and wrist

Indications

• Stable nondisplaced fractures of the distal radius
• Radial nerve palsy

Goal

• Stabilization of the fingers and/or metacarpus

Indications

• Stable nondisplaced fractures of the distal radius
• Radial nerve palsy

Goal

• Stabilization of the fingers and/or metacarpus

Indications

• Fracture of the distal radius

Goal

• Stabilization of the distal forearm and wrist

Indications

• Fracture of the distal radius

Goal

• Stabilization of the distal forearm and wrist

Indications

• Fracture of the first metacarpal
• Fracture of the scaphoid

Goal

• Stabilization of first finger ray

Indications

• Fracture of the first metacarpal
• Fracture of the scaphoid

Goal

• Stabilization of first finger ray

Indications

• Fracture of first metacarpal
• Fracture of the scaphoid

Goal

• Stabilization of the carpal bones and the first finger ray

Indications

• Fracture of the proximal phalanges II–V
• Fracture of the metacarpals II–V

Goal

• Stabilization of the fingers and/or metacarpus

Indications

• Fracture of the proximal phalanges II–V
• Fracture of the metacarpals II–V

Goal

• Stabilization of the fingers and/or metacarpus

Indications

• Fracture of the proximal phalanges II–V
• Fracture of the metacarpals II–V

Goal

• Stabilization of the fingers and/or metacarpus

Indications

• Fracture of the proximal phalanges II–V
• Fracture of the metacarpals II–V

Goal

• Stabilization of the fingers and/or the metacarpus

Indications

• Fracture of the intermediate phalanx or ligamentous rupture of the proximal interphalangeal joint

Goal

• Stabilization of the proximal interphalangeal joint

Indications

• Extensor tendon injury at the distal interphalangeal joint (mallet or baseball finger)

Goal

• Full extension of the distal interphalangeal joint

Theddy Slongo is presenting an interactive webinar about casting in children discussing indications and techniques.

Learning objectives:

• Identify those fractures which are suitable for conservative treatment.
• Explain the main biomechanical principles of cast fixation.
• Recognize the difference between conventional plaster of Paris and fiber casting tape.
• Describe the steps of correct casting techniques for the most frequent indications.
• Anticipate the major risks and complications of casting.