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A short arm cast is designed to immobilize the wrist and part of the forearm, extending from below the elbow to the hand, often leaving the fingers free for limited mobility. It is used to treat less severe injuries, such as wrist fractures, sprains, or carpal bone issues.
[12] [5] Depending on the nature of the fracture, the cast may be placed above the elbow to control forearm rotation. However, an above-elbow cast may cause long-term rotational contracture. [5] For torus fractures, a splint may be sufficient and casting may be avoided. [14] The position of the wrist in cast is usually slight flexion and ulnar ...
Orthopaedic cast and extreme flexion should be avoided to prevent compartment syndrome and vascular compromise. In case the varus of the fracture site is more than 10 degrees when compared to the normal elbow, closed reduction and percutaneous pinning using X-ray image intensifier inside operating theater is recommended.
Ulnar collateral ligament reconstruction, colloquially known as Tommy John surgery, is a surgical graft procedure where the ulnar collateral ligament in the medial elbow is replaced with either a tendon from elsewhere in the patient's body, or with one from a deceased donor.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
The volar forearm splint is best for temporary immobilization of forearm, wrist and hand fractures, including Colles fracture. [ citation needed ] There are several established instability criteria: [ citation needed ] dorsal tilt >20°, comminuted fracture, abruption of the ulnar styloid process, intraarticular displacement >1mm, loss of ...
A surgical fracture table is a table that is used for applying traction to broken limbs while the body is fixed in place, allowing the surgeon to reduce the broken extremity without requiring too much assistance, and then holding the limb in this fixed and reduced position while the surgeon applies external fixation, such as a cast or splint ...
In general the elbow extension reconstructions are immobilised for a few weeks and then slowly allowed to flex the elbow in the following weeks, at a rate of 10 degrees per week. After 10 weeks the patient is allowed to move freely again. [30] After the posterior deltoid-triceps transfer, a cast is applied with the elbow at 10 degrees of flexion.