ORTHOPAEDIC IMMOBILIZATION TECHNIQUES .ORTHOPAEDIC IMMOBILIZATION TECHNIQUES ORTHOPAEDIC IMMOBILIZATION

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  • O R T H O PA E D I CI M M O B I L I Z AT I O N

    T E C H N I Q U E S

    O R T H O PA E D I CI M M O B I L I Z AT I O N

    T E C H N I Q U E S

    Nati

    onal Association of

    Orthopaedic Technolog

    ists

    A S T E P - B Y - S T E P G U I D E F O R C A S T I N G A N D S P L I N T I N G

    S a m u e l A . B r ow n M.S., OTC | F r a n k R a d j a OTCMore about this book: http://www.sagamorepub.com/products/orthopaedic-immobilization-techniques?src=lipdf

  • O R T H O PA E D I CI M M O B I L I Z AT I O N

    T E C H N I Q U E SA S T E P - B Y - S T E P G U I D E F O R C A S T I N G A N D S P L I N T I N G

    S a m u e l A . B r ow n , MS, OTC

    F r a n k E . R a d j a , OTC

    SAGAMOREP U B L I S H I N G

    More about this book: http://www.sagamorepub.com/products/orthopaedic-immobilization-techniques?src=lipdf

  • 2015 Sagamore Publishing LLCAll rights reserved.

    Publishers: Joseph J. Bannon and Peter L. BannonDirector of Sales and Marketing: William A. AndersonSales Manager: Misti GillesDirector of Development and Production: Susan M. DavisTechnology Manager: Keith HardymanProduction Coordinator: Amy S. DagitInterior and Cover Designer: Julie Schechter

    Library of Congress Control Number: 2014950924ISBN print edition: 978-1-57167-742-6ISBN ebook: 978-1-57167-743-3

    Printed in the United States

    1807 N Federal Dr.Urbana, IL 61801www.sagamorepublishing.com

    SAGAMOREP U B L I S H I N G

    More about this book: http://www.sagamorepub.com/products/orthopaedic-immobilization-techniques?src=lipdf

  • Nati

    onal Association of

    Orthopaedic Technolog

    ists

    This publication is made possible by a partnership between the National Association of Orthopaedic

    Technologists and BSN Medical Inc.

    More about this book: http://www.sagamorepub.com/products/orthopaedic-immobilization-techniques?src=lipdf

  • iv

    Samuel A. Brown, MS, OTCDirector Of Orthopaedic TechnologySouthern Crescent Technical College

    Frank E. Radja, OTCUniversity of Illinois at Chicago

    Steven M. Kane, MDChairman, Atlanta Medical CenterOrthopaedic Surgery Residency ProgramAtlanta Medical Center

    Evan Siegall, MDAtlanta Medical CenterOrthopaedic Surgeon

    Ken Wright, DA, ATCProfessorThe University of Alabama

    Medical EditorsProf. Benson Bradley, MBA, CST, SADepartment Chair; Allied HealthAcademic AffairsDirector; Surgical Technology & Central Sterile

    SupplySouthern Crescent Technical CollegeGriffin, Georgia

    John F. Dalton IV, MDGeorgia Hand, Shoulder & ElbowAtlanta, Georgia

    Ched Garten, MDPrimary Care Sports MedicineMyers Sports Medicine & Orthopaedic CenterAtlanta, Georgia

    Authors

    Contributing AuthorsSean B. Conkle, OTCPresidentNational Association of Orthopeadic Technologists

    Cynthia R. Henderson, OTC, BOCO, COViscent Orthopedic Solutions

    Robyn Lynn Masseth, OTCFargo VA Medical Center

    Nicole T. Williams, MBA, NCQA PCMH CCE, OTCVice PresidentNational Association of Orthopaedic TechnologistsSCL Physicians

    Carl Lindsey, OTCBSN Medical Inc.Clinical National Trainer, Fracture Management

    Timothy J. Henderson, MD, FAAOSGotham City Orthopedics New York, New York

    Clarence T. Millikin, PA,CPhysician Assistant Orthopaedic Surgery-CertifiedUniversity Orthopaedic ClinicAtlanta, Georgia

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  • v

    Authors ivMedical Editors ivDisclaimer viiAcknowledgmentsviiiPreface ix

    Chapter One: Fundamentals of Casting and Splinting Procedures 1Educational Objectives 1Introduction 1Terminology 1Injury Assessment 1Purposes of Splinting 2Presplinting Procedure2Selection of Splint Supplies 2Splinting Procedure 3Patient Instructions 4Purposes of Casting 4Selection of Cast Supplies 4Precasting Procedures 4Casting Procedure 5Patient Instructions 6Cast Removal 7Specific Cast-Cutting Procedures 9Other Important Considerations 12

    Chapter Two: Upper Extremity Splints 13Educational Objectives13Introduction 13Terminology 13Splinting Techniques 13 Short Arm Volar Fiberglass Splint 14 Volar Splint PlasterReusable 16 Thumb Spica Splint 18 Ulnar Gutter Splint 20 Coaptation Splint 24 Forearm Sugar Tong Splint 27 Double Sugar Tong Splint 30 Long Arm Posterior Splint 33 Finger/Wrist Flexion Block Splint 36 Finger/Wrist Extension Block Splint or the Clam Digger Splint 38

    Contents

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  • vi

    Chapter Three: Upper Extremity Casts .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Educational Objectives.......................................................................................................................41Introduction .......................................................................................................................................41Terminology .......................................................................................................................................41Cast Techniques .................................................................................................................................41 Short Arm Cast ............................................................................................................................42 Long Arm Cast ............................................................................................................................46 Short Arm Thumb Spica Cast .......................................................................................................50 Short Arm Thumb Spica Cast Using Plaster of Paris .....................................................................53 Boxers Cast/Intrinsic Plus Cast ...................................................................................................56 Muenster Cast and Modified Muenster ........................................................................................60

    Chapter Four: Lower Extremity Splints .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65Educational Objectives.......................................................................................................................65Introduction .......................................................................................................................................65Terminology .......................................................................................................................................65Splint Techniques ...............................................................................................................................65 Posterior SplintShort Leg ...........................................................................................................66 Posterior SplintLong Leg ...........................................................................................................69 Posterior SplintShort Leg With Stirrups .....................................................................................72 Posterior SplintShort Leg With Stirrups Using Plaster of Paris ...................................................76

    Chapter Five: Lower Extremity Casts .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81Educational Objectives.......................................................................................................................81Introduction .......................................................................................................................................81Terminology .......................................................................................................................................81Cast Techniques .................................................................................................................................81 Short Leg Cast..............................................................................................................................82 Short Leg Cast Using Plaster of Paris ...........................................................................................87 Short Leg CastToe Plate .............................................................................................................91 Equinus Short Leg Cast ................................................................................................................96 PTBPatellar Tendon Bearing Cast .............................................................................................100 Long Leg Cast ............................................................................................................................107 Cylinder Cast .............................................................................................................................111

    Chapter Six: Complications of Casting and Splinting .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115Educational Objectives.....................................................................................................................115Introduction .....................................................................................................................................115Incidence .........................................................................................................................................115Complications ................................................