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Casting and Splinting for Wrist Fractures: What You Need to Know
Published: Sep 09, 2023
Proper immobilization is crucial for healing wrist fractures. Understanding the casting and splinting process can help patients actively participate in their recovery.
When to Cast vs. When to Splint
Casts are typically used for definitive treatment of stable fractures. They provide rigid, constant support. Splints, on the other hand, are often used initially when swelling is a concern. They allow for some adjustment as swelling changes. For trapezium fractures, a thumb spica cast is often used, while trapezoid fractures may be treated with a short arm cast.
The Casting Process: What to Expect
Casting involves applying layers of padding and plaster or fiberglass around the injured area. For wrist fractures, the cast usually extends from below the elbow to the hand, sometimes including the thumb. The process is painless but can feel warm as the materials set. Patients are instructed on cast care, including keeping it dry and watching for signs of complications.
Splinting Techniques for Wrist Injuries
Splints are often custom-molded using materials like plaster or thermoplastic. For wrist fractures, volar (palm-side) splints are common. They immobilize the wrist while allowing some finger movement. Splints are secured with elastic bandages, allowing for adjustment if swelling increases or decreases.
Follow-up Care and Complications to Watch For
Regular follow-up appointments are crucial to ensure proper healing. The doctor will check for proper fit, signs of healing, and any complications. Patients should report any increased pain, numbness, skin irritation, or foul odor from the cast. In some cases, the cast may need to be adjusted or replaced during the healing process.
Frequently Asked Questions
Typically 4-6 weeks, but it can vary based on the specific injury.
No, keep it dry. Use a cast cover or plastic bag.
Yes, but physical therapy can help regain motion and strength.
Seek medical attention immediately as this could indicate a serious problem.
It may be challenging, but many people adapt with practice.
The Road to Recovery
Proper casting and splinting, combined with diligent follow-up care, pave the way for successful healing of wrist fractures.
References
- Sawardeker PJ, Baratz ME. Carpal injuries. In: DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice, 4th ed, Miller MD, Thompson SR (Eds), Saunders Elsevier, Philadelphia 2015. p.860.
- Urch EY, Lee SK. Carpal fractures other than scaphoid. Clin Sports Med 2015; 34:51.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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