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A long arm cast extends from the upper arm to the wrist or hand, immobilizing the elbow joint in addition to the forearm. It is typically used for injuries requiring stabilization across multiple joints, such as forearm fractures, certain elbow injuries, and complex soft-tissue damage.
A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. [1] Symptoms include pain, bruising, and rapid-onset swelling. [1] The ulna bone may also be broken. [1] In younger people, these fractures typically occur during sports or a motor vehicle collision. [2]
Wrist mobility is often restricted due to inflammation of the forearm muscles as they contract and tighten due to injury. [2] Most wrist dislocations occur between the capitate and the lunate. [17] [18] Carpal fractures are caused by falling on an outstretched hand the wrist is hyper-extended in ulnar deviation with a component of rotation. [18]
Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures.Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.
Hard casts are rarely required, and soft casts or splints can be removed for brief periods of time to allow for cleaning and drying the skin underneath the splint. [11] Pain from injury varies person to person as with most injuries. Depending on the individual a course of over the counter or narcotic pain medication will suffice.
The cast is applied with the distal fragment in palmar flexion and ulnar deviation. A fracture with mild angulation and displacement may require closed reduction . There is some evidence that immobilization with the wrist in dorsiflexion as opposed to palmarflexion results in less redisplacement and better functional status. [ 12 ]
The 63-year-old revealed on April 30th that she has a bandaged wrist, which she blamed on a tennis injury. After watching a padel tennis segment on the show (which is a mix of squash and tennis ...
Open fracture with extensive soft-tissue loss and periosteal stripping and bone damage. Usually associated with massive contamination. [14] [15] Will often need further soft-tissue coverage procedure (i.e. free or rotational flap) IIIC: Open fracture associated with an arterial injury requiring repair, irrespective of degree of soft-tissue injury.