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CASTS IN THE UPPER EXTREMITY

NAME OF CAST

INDICATIONS

Short Arm Circular Wrist, fingers & lower 3rd of radius & ulna
Cast
Long Arm Circular Middle & upper 3rd of the radius & ulna
Cast
Hanging Cast

Shaft of the humerus

Functional Cast

shaft of the humerus w/c allows flexion & extension of the humerus
w/ callus formation

Fuenster or Munster Radius and ulna w/ callus formation


Cast

Airlane or Abduction Neck of the humerus


Cast

Shoulder
Cast

or

Spica Shoulder joints & upper portion of humerus

Sugar Tong

Shoulder joints & upper portion of humerus with open wound ,


swelling or infection

Collar Cast

cervical affectation

CAST IN THE LOWER EXTREMITY


Short Leg Circular Cast

Ankles & toes lower 3rd of tibia & fibula

Long Leg Circular Test

m/3rd & lower 3rd tibia & fibula

Walking Cast

Ankles & toes w/ heel

Patellar Tendon Bearing Cast Tibia Fibula w/ callus formation


( Pro)
Quadrilateral/
Bearing Cast
Cylinder Cast

Ischial

Weight Affection of femur w/ callus formation


Fx patella

Brace Casket

D/3rs femur &P/3rd of tibia w/c allows flexion &


extension of lower extremity

Delvit Cast

D/3rd tibia-fibula w/ callus formation

Basket Cast

for massive bone injury ; to facilitate dressing of wounds

Boot Casket

Post polio w/ residual paralysis

CAST IN THE TRUNK & NECK


Collar Cast

Cervical spine

Minervas Cast

Cervical spine & upper dorsal

Rizzers Jacket

Scoliosis

Body Cast

Lower dorso-lumbar spine

Shoulder Spica Cast

Shoulder joints & upper part of the humerus

CAST IN THE HIP


Single Hip Spica Cast

Hip & femur

1 Hip Spica Cast

Both hips and 1 femur

Double Hip Spica Cast

Both hips and both femur

Pantalon Cast

For pelvis

Frog Cast

For congetal hip dislocation

Night Splint

For post polio w/ contractures of hip & knee ; applied @HS

Internal Rotator Splint

For post hip surgery , to maintain knee abduction

CASTS AND MOLDS


1. Hanging Casts - Shaft of the humerus
2. Functional Arm Cast - Humerus (allows abduction and adduction) with callus formation
3. Shoulder Spica - Humerus and shoulder joint
4. Airplane - Humerus and shoulder joint with compound affection (with open wound,
infection or swelling)
5. Short Arm (Circular) Cast - Wrist and fingers
6. Short Arm Posterior Mold - Wrist and fingers with compound affection
7. Long Arm (Circular) Cast - Radius/Ulna
8. Fuensters Cast (Munster Cast) - Radius/Ulna with callus formation
9. Long Arm Posterior Mold - Fracture of the radius and ulna with compound affection
10. Collar Cast - Cervical affection
11. Minerva - Upper dorsal cervical spine
12. Body Cast - Lower dorso-lumbar spine
13. Double Hip Spica - Hip and femur
14. Rizzers Jacket - Scoliosis
15. Single Hip Spica - Hip and one femur
16. Single Hip Spica Posterior Mold - Pelvic bone fracture with callus formation
17. 1 Hip Spica - Hip and femur
18. 1 Hip Spica Posterior Mold - Hip and femur with compound affection
19. Double Hip Spica Posterior Mold - Pelvic Affectation with CF plus 2 femur
20. Pantalon Cast - Pelvic bone fracture
21. Frog Cast - Congenital Hip Dislocation
22. Basket Cast - Severe leg trauma with open wound
23. Long Leg Cast - Tibia/Fibula
24. Long Leg Posterior Mold - Fracture of the tibia and fibula with compound affectation
25. Quadrilateral/Ischial Bearing Cast - Shaft of femur with CF
26. Cylindrical Leg Cast - Patella
27. Cast Brace - Fracture of the femur distal 3rd femur
28. Short Leg Cast - Ankle and foot
29. PTB (Patellar-Tendon Bearing) - Tibia/Fibula with CF
30. Delbit Cast - Tibia/Fibula
31. Short Leg Posterior Mold - Ankle and foot with compound affectation
32. Boot Leg - Hip and femoral fracture (for traction only)
33. Internal Rotator Splint - Post hip operation
34. Night Splint - Post Polio
Nursing Implications for client with cast
NURSING RESPONSIBILITIES

Perform frequent neurovascular assessments

Palpate the cast for hot spots that may indicate the presence of underlying infection.

Report any drainage to physician promptly


CLIENT AND FAMILY TEACHING

Do not place ant objects in the cast.

If the cast is made of plaster, keep it dry.

If he cast is made up of fiber glass, dry it with blow drier on the cool setting if it becomes
wet.


Assess the injured extremity for coolness, changes in color, increased pain, increased
swelling, and/or loss of sensation.

Use a blow dryer on the cool setting to relieve itching by blowing cool air into the cast.

If a sling is used, it should distribute the weight of the cast evenly around the neck. Dont
roll the sling; this can impair circulation to the neck.

If crutches are used, arrange for physical therapist to teach correct crutch walking.

When the cast is removed at follow up appointments for skin assessments, an oscillating
cast remover will be used. A guard prevents the cast remover from penetrating past the depth of
the cast, so it will not cut the client. It I noisy and the client will feel vibration.

The client may wish to wash and thoroughly dry the extremity before reapplication of
cast.