Instructions

Dorsal cast is used in the treatment of stable and unstable fractures of the distal Radius. The cast is easy to apply and cost effective

You will need

5cm Stockinette
Short 2mm Rigid Vented/Non-vented
1mm 8cm Ribbon
5cm Cohesive bandage

Instructions

Cut two pieces of stockinette to size. Check skin quality and apply Air Padding, if required, between the first and second layer of stockinette, considering anatomical bony prominences such as Ulna Styloid. Make sure the cast is the correct length.

Heat the 2mm sheet and open the vents up by pulling at both sides. Place onto the dorsal aspect of the injured forearm. Smooth the cast over the limb with your hands.

Cut away any excess material allowing for elbow flexion. Cut proximal to the metacarpal heads to allow free movement of the fingers. Trim well around the thumb, ensuring it is well fitted through web space and the thumb can move freely without irritation.

Pay particular attention to any bony prominences, conforming the cast well over these areas. Leave a gap on the anterior aspect of the forearm. Apply a cotton crepe or cohesive bandage to secure the cast in place. If concerned about compliance, secure with 1mm Ribbon before bandaging.

The posterior leg splint can be applied to a patient as a first aid splint ahead of surgery for ankle fracture, or as a stretching/resting night splint in a rehabilitation context.

2mm or 4mm Woodcast is suitable for paediatric and adult posterior leg splints respectively.

You will need

7.5 – 10cm Stockinette
Long 4mm Vented
Air Padding
Cohesive Bandage

Instructions

Apply two layers of stockinette and appropriate padding. Particular consideration should be given to the medial and lateral malleoli and fibula head as compression can result in damage to the common perial nerve and/or pressure sores.

A single 80cm sheet can be used to make the posterior leg splint. Measure for size by applying the warmed material to the patients leg and trimming away any excess.

Open up the vents by up to 30% on the measured sheet.

With the help of an assistant, position the splint and conform into the sole of the foot and up the back of the leg, paying particular attention to the Achilles Tendon and heel.

The Woodcast will create a natural flare at the ankle, cut half way along this flare towards the heel, fold the proximal sides in first, distal over the top and seal.

Ensure the splint allows sufficient flexion of the knee and does not impinge over the toes. Round off the corners.

Allow to cool and secure with an appropriate bandage.

The Ulna Gutter splint is used in the treatment of distal 5th Metacarpal fractures, commonly referred to as ‘Boxer’s Fracture’. These are commonly displaced fractures, requiring some form of manipulation to correct the angle of the 5th Metacarpal head.

You will need

5cm Stockinette
Short 2mm Rigid Vented/Non-vented
Cohesive bandage

Instructions

Apply two layers of stockinette to the hand, wrist, and 4th and 5th fingers. Buddy strapping fingers will help to prevent rotational deformities.

Place 2mm Woodcast over the Ulna aspect of the forearm, covering 4th and 5th fingers. Smooth along the forearm and into the palm, folding back any excess material, anteriorly, that passes further than the 4th finger.

This will result in a triangular fold on the anterior aspect of the hand.

Ensuring the moulding is held at the metacarpo-interphalangeal joint will help to retain fracture reduction. To speed up the setting, an ice pack or cold wet cotton crepe bandage may be used. Round off any sharp edges and secure with a bandage or hook & loop strapping.

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