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Shoulder Spica Cast

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Other Names

Illustration of the shoulder spica cast[1]
Final product of the shoulder spica cast[2]
  • Shoulder Spica Cast
  • Shoulder Spica

Background

  • This page refers to the shoulder spica cast
    • This cast immobilizes the shoulder and elbow and anchors them to the trunk

Indications


Contraindications

  • Most acute fractures
  • Open fractures
  • Injuries with neurovascular compromise
  • Fractures with active swelling

Procedure

Equipment

Technique

  • NEEDS TO BE UPDATED

Aftercare

  • Typically non-weight bearing until re-evaluated
  • Advise patient to keep cast or splint clean and dry
  • Do not insert objects into splint/ cast
  • Monitor for complications (worsening pain, paresthesia/ numbness, color changes)
  • Seek further care if unable to control pain at home

Complications

  • Acute Compartment syndrome
    • The ability to passively/actively extend fingers without discomfort indicates absence of muscle compartment compression
  • Plaster burn/ thermal injury
  • Pressure sores
  • Nerve palsy
  • Vascular compromise
  • Splint dermatitis
  • Permanent joint stiffness
  • Skin infection

See Also


References

  1. Image courtesy of https://www.childrenshospital.org/
  2. Image courtesy of https://shoulderelbow.org/, "Shoulder spica cast"
Created by:
John Kiel on 15 July 2023 15:09:28
Authors:
Last edited:
31 July 2023 15:06:31
Category: