Casting and Splinting for Wrist Fractures: What You Need to Know

When to Cast vs. When to Splint

Casts are typically used for definitive treatment of stable fractures. They provide rigid, constant support. Splints, on the other hand, are often used initially when swelling is a concern. They allow for some adjustment as swelling changes. For trapezium fractures, a thumb spica cast is often used, while trapezoid fractures may be treated with a short arm cast.

The Casting Process: What to Expect

Casting involves applying layers of padding and plaster or fiberglass around the injured area. For wrist fractures, the cast usually extends from below the elbow to the hand, sometimes including the thumb. The process is painless but can feel warm as the materials set. Patients are instructed on cast care, including keeping it dry and watching for signs of complications.

Splinting Techniques for Wrist Injuries

Splints are often custom-molded using materials like plaster or thermoplastic. For wrist fractures, volar (palm-side) splints are common. They immobilize the wrist while allowing some finger movement. Splints are secured with elastic bandages, allowing for adjustment if swelling increases or decreases.

Frequently Asked Questions

Key Takeaways

Proper casting and splinting, combined with diligent follow-up care, pave the way for successful healing of wrist fractures.

Related Articles

• Trapezium Fractures: The Hidden Wrist Injury You Might Be Missing
• Beyond X-rays: Advanced Imaging for Tricky Wrist Fractures
• Hidden Dangers: Risk Factors for Overlooked Wrist Fractures
• Rehabilitation After Wrist Fractures: Your Path to Recovery

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