Upper Extremity Casting
Upper Extremity Casting
Upper Extremity Casting
CASTING
Shoulder Spica
Used to treat humerus fractures, to
protect soft-tissue injuries about the
shoulder, and in surgical repairs of
the shoulder and proximal humerus.
PLASTER BOLERO
Useful for treating unstable fractures
of the clavicle that require
hyperextension of the two shoulders
to maintain position.
It can also be applied to one
shoulder, incorporating the upper
arm if necessary.
Plaster BOLERO
PLASTER VELPEAU
Used only as a soft-tissue dressing to
immobilize the shoulder or humerus.
When combined with a sugar-tong
splint on the humerus, it is very
effective for immobilizing fractures of
the shaft of the humerus.
GAUNTLET CAST
Useful to immobilize fractures of the
metacarpals of the hand and for
minor wrist injuries
Hanging cast
The arm is placed
over the lower chest
with the elbow at 90
degrees.
The top of the
humeral component
of the cast is above
the humeral
fracture.
SPLINTS
U Slab/Humeral Splint
Humerus in line
with body
Elbow at 90
degrees
Palm facing chest
Extent: axilla to
over
acromioclavicular
U Slab/Humeral Splint
Mould over
shoulder for
close fit
Support with
collar and cuff
Gutter Splints
Gutter splints are used for the
treatment of phalangeal and
metacarpal fractures
Thumb Splint
The thumb splint is made by applying
a plaster slab from the tip of the
thumb to approximately two-thirds of
the way along the forearm
Long-Arm Posterior
Splint
A long-arm posterior splint is used to
immobilize a number of injuries to
the elbow and forearm
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