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In the arm, a cylinder cast typically extends from the upper arm to just above the wrist, stabilizing injuries like isolated humeral fractures or post-surgical repairs that do not require elbow immobilization. For the leg, the cast extends from the thigh to just above the ankle, often used to manage patellar fractures, some types of tibial ...
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.
[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 ...
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 ...
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]
Ideally, splintage should be used to immobilise the elbow at 20 to 30 degrees flexion in order to prevent further injury of the blood vessels and nerves while doing X-rays. Splinting of fracture site with full flexion or extension of the elbow is not recommended as it can stretch the blood vessels and nerves over the bone fragments or can cause ...
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 ...
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.