This article highlights the different types of splints and casts that are used in various circumstances and how each is applied. In nonunion with chronic shortening of the humerus it may become necessary to distract the fracture with an external fixator. Internal oblique views are paramount in identification. and internal oblique radiographs should be obtained when a lateral condyle fracture is suspected. (n 4), short-oblique (2), and Salter-Harris Type II fracture of the proximal physis (1). These fractures have been associated with higher energy injuries compared to other elbow fractures. Fracture configuration included long-oblique. The rehabilitation regimen should take account of any damage to soft tissues, either as a result of the injury or due to the surgery. This is crucial to prevent elbow stiffness. Indications and accurate application techniques vary for each type of splint and cast commonly encountered in a primary care setting. Lateral condyle fractures account for 12-20 of all pediatric distal humerus fractures. The aim of any surgical fixation of humeral shaft fractures is a stable osteosynthesis of the fracture allowing early passive and active motion. Selection of a specific cast or splint varies based on the area of the body being treated, and on the acuity and stability of the injury. All patients who are placed in a splint or cast require careful monitoring to ensure proper recovery. In particular spiral or oblique fractures, in children under the age of 3 more often occur as a result of abuse. Excessive immobilization from continuous use of a cast or splint can lead to chronic pain, joint stiffness, muscle atrophy, or more severe complications (e.g., complex regional pain syndrome). ![]() To maximize benefits while minimizing complications, the use of casts and splints is generally limited to the short term. Because of this, casts provide superior immobilization but are less forgiving, have higher complication rates, and are generally reserved for complex and/or definitive fracture management. ![]() This quality makes splints ideal for the management of a variety of acute musculoskeletal conditions in which swelling is anticipated, such as acute fractures or sprains, or for initial stabilization of reduced, displaced, or unstable fractures before orthopedic intervention. the proximal humerus Considered to be a part if arbitrarily displaced 1 cm or angulated 45o Classification has good. Splints are noncircumferential immobilizers that accommodate swelling. Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint.
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