Cast type | Fracture(s) | Key features |
Short arm cast | MC 2 to 5 base fx Nondisplaced triquetrum fx |
Wrist 30 degrees Top of cast 2 cm below antecubital fossa One to two layers of padding Two layers of casting tape |
Short arm cast | Nondisplaced distal radius fx (Colles') | Wrist neutral Top of cast 2 cm below antecubital fossa One to two layers of padding Two layers of casting tape |
Long arm cast | Reduced Colles' fx | Wrist slight flexion and ulnar deviation, elbow 90 degrees Top of cast 3 cm below axilla One to two layers of padding Three layers of casting tape |
Short arm cast with thumb spica | 1st MC base extraarticular fx Suspected scaphoid fx Nondisplaced distal third scaphoid fx |
Wrist 30 degrees Top of cast 2 cm below antecubital fossa One to two layers of padding Two layers of casting tape |
Long arm cast with thumb spica | Middle or proximal third nondisplaced scaphoid fx | Wrist 30 degrees Top of cast 3 cm below axilla One to two layers of padding Three layers of casting tape |
Short leg walking cast | Isolated fibular shaft fx Isolated maleolar fx or distal fibular shaft fx Calcaneus fx of anterior/medial/lateral process Talar dome (type 1 or 2)/head/avulsion fx Nondisplaced MT shaft fx Proximal 5th MT styloid avulsion fx |
Ankle 90 degrees Top of cast 4 cm below popliteal fossa Three to four layers of padding Four layers of casting tape |
Short leg non-weight bearing cast | Calcaneus fx of the sustentaculum tali Talar neck/body fx Reduced MT shaft fx Proximal 5th MT metaphyseal-diaphyseal junction or diaphyseal fx |
Ankle 90 degrees Top of cast 4 cm below popliteal fossa Three to four layers of padding Three layers of casting tape |
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