Theyre usually made out of a material called fiberglass, a type of moldable plastic. Ac., CYT, 6 Ways to Ease Piriformis Syndrome Pain with Self-Massage and Stretches, 10 Shoulder Mobility Exercises and Stretches. Pearls and Pitfalls. Position of Function. Additional symptoms include: A compound/open fracture is more obvious to a healthcare provider than a simple/closed fracture because your bone has broken through your skin. Compound fractures are complicated injuries, but not all of them cause long-term complications aside from the actual broken bone. It often serves as a final treatment until the bone heals. The injured finger is taped to the adjacent finger for protection and to allow movement (Online Figure B). Never insert anything into your cast to scratch the itch. The patient may be reluctant to disclose the mechanism of injury related embarrassment, or fear or repercussions if they disclose it occurred in a fight. Splints are noncircumferential immobilizers that are best for the swelling anticipated with acute . The length of time taken for healing depends on where the fracture is and how severe the break is. Dont let your cast get wet unless your provider says its OK. Mercan, S. et.al. The splint should start just below the gluteal crease and end just proximal to the malleoli (Online Figure J). We also use third-party cookies that help us analyze and understand how you use this website. Scroll. Acting as a removable cast with the added relief of built-in air cell cushions, the high-quality foot support of the Aircast Foam Pneumatic (about $77) is ideal for promoting the recovery of stable fractures or for treating soft tissue trauma. font: 14px Helvetica, Arial, sans-serif; Once the swelling subsides, your doctor can get a better look at the injury and decide if a more supportive cast is needed. Synthetic casts offer a lot of advantages over plaster casts for both doctors and the people wearing them. In case of sale of your personal information, you may opt out by using the link. Our website services, content, and products are for informational purposes only. Upper arm, elbow, or forearm fractures. You obtain follow-up radiographs one week later which demonstrate recurrent dislocation. Yes, there are consequences if the immobilization lasts too long, including: Be sure to clarify the length of immobilization with your healthcare provider. Your healthcare provider will check for complications in addition to diagnosing the compound fracture itself. Tweet. Cast padding is placed between the fingers. inspect for open wounds and associated injuries, fight wounds over MCP joint are open until proven otherwise, extensor tendon can be lacerated and retracted, dorsal wounds over metacarpal fractures are almost always open fractures, deformity at metacarpal base may indicate CMC dislocation, shortening can be assessed by comparing contralateral hand, may be prevented by transverse intermetacarpal ligaments in isolated fracture of the 3rd or 4th metatcarpal shafts, malrotation assessed by lining up fingernail in partial flexion and full flexion if possible, compare to contralateral side, typically no motor deficits unless open wounds present, check integrity of flexor/extensor tendons in presence of open wounds, dorsal wounds may affect dorsal sensory branch of radial/ulnar nerve, best view to see 4th/5th CMC fracture/dislocation, best view to see 2nd/3rd CMC fracture/dislocation, best view to see metacarpal head fractures, best view to see thumb CMC fracture/dislocation, inconclusive radiographs of CMC fractures/dislocations, diagnosis confirmed by history, physical exam, and, acceptable angulation & shortening (see table), loss of inherent stability from border digit during healing process, no degree of articular displacement acceptable, either centrally split extensor apparatus or release and repair sagittal band, hardware cannot protrude from joint surface, fix with multiple small screws in collateral recess, headless screws, or k-wires, ideal fixation should allow for early motion, immobilize MCP joints in 70-90 degrees of flexion, unacceptable angulation (see above table), place antegrade through metacarpal base or retrograde through collateral recess, can use multiple lag screws for long spiral fractures, try to cover plate with periosteum to prevent tendon irritation, begin early motion to prevent tendon irritations, acceptable degrees of apex dorsal angulation (varies by study, see above table), immobilize MCP joints in 70-90 degrees of flexion, leave PIP joints free, 90 degrees MCP flexion, dorsal pressure through proximal phalanx while stabilizing metacarpal shaft, difficult to plate because limited bone for distal fixation, Lunate Dislocation (Perilunate dissociation), Gymnast's Wrist (Distal Radial Physeal Stress Syndrome), Scaphoid Nonunion Advanced Collapse (SNAC), Carpal Instability Nondissociative (CIND), Constrictive Ring Syndrome (Streeter's Dysplasia), Thromboangiitis Obliterans (Buerger's disease). Common Uses. Last reviewed by a Cleveland Clinic medical professional on 09/29/2021. This is the least reliable but may be used for a first pass to check a child of any The splint extends from the lateral mid-calf around the heel, and ends at the medial mid-calf (Online Figure H).16 The position of function is with the ankle flexed to 90 degrees (neutral). Fractures are an unfortunate part of life, but they often heal without any long-term damage when treated properly. Casts are supportive devices used to help keep an injured bone in place while it heals. Surgery. If you see redness or drainage, or if your skin is sore, contact your healthcare provider. 4. Use of a short arm radial gutter splint is recommended for initial immobilization of a displaced distal radial fracture. 445 0 obj <>/Encrypt 429 0 R/Filter/FlateDecode/ID[<46B8E7659D603845AD8B3B6311CF7ADB>]/Index[428 27]/Info 427 0 R/Length 84/Prev 234953/Root 430 0 R/Size 455/Type/XRef/W[1 2 1]>>stream Comminuted fracture: An impact shatters the bone into many . Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. wXNwc {5/u[pr2~{94[.sQ5K#3L.]a About IOT; The Saillant System; Flow Machine. Boxer's Fracture (5th Metacarpal neck fracture): A fracture of the forth or fifth metacarpal neck with volar displacement of the metacarpal head. the hot, itchy skin. This can assess for anger management issues or antisocial traits that need addressing. Nondisplaced, stable fractures of the head, neck, and shaft of the fourth or fifth metacarpal with mild angulation and no rotational deformities; nondisplaced, non-rotated shaft fractures and serious soft tissue injuries of the fourth or fifth, proximal or middle phalanx; boxer's fractures (distal fifth metacarpal fractures, the most common injury for which ulnar gutter splint/cast used). The cast begins at the metatarsal heads and ends 2 inches distal to the fibular head. Coronavirus (COVID-19): Latest Updates | Visitation PoliciesVisitation PoliciesVisitation PoliciesVisitation PoliciesVisitation Policies | COVID-19 Testing | Vaccine InformationVaccine InformationVaccine Information. This very common fracture can occur in many different ways to people of all ages. Cotton and other synthetic materials are used to line the inside of the cast to make Cast padding is placed between the fingers. __________ 4. Minimal angulation or rotation at the fracture site may cause functional problems, such as difficulty with grasp, pinch, or opposition. ! When to call a healthcare provider about your childs fever. A wet cast can lead to sores or infection, so use a plastic bag or waterproof cover made to protect casts. Complications that may occur after a compound fracture include: Compound fracture recovery time can be several to many months. Splints delay healing because of the fact that they . Continuous extension in the splint for six to eight weeks is essential, even when changing the splint. Other fractures might need just a cast or just a splint. Keep the cast elevated above your heart if possible during the first 24 to 48 hours (one to two days). } As displacement increases, the need for closed reduction . Use a rectal thermometer with care. Adagio Overview; Examples (videos) %%EOF Applied around the neck and trunk of the body. 428 0 obj <> endobj Complete fractures involve breaks through the bone or snapping of bone into separated pieces. Night splinting for an additional two to three weeks is recommended. The splint runs along the radial aspect of the forearm to just beyond the DIP joint of the index finger, leaving the thumb free (Online Figure A). For one, they cant get wet, as this can cause the plaster to crack or disintegrate. Position of Function. Copyright 2009 by the American Academy of Family Physicians. The typical symptoms of a boxer's fracture are pain or tenderness centered in a specific . The splint begins at the proximal forearm and extends to just beyond the distal interphalangeal (DIP) joint (Figure 1). font-weight: normal; The knee is positioned in slight flexion. Most distal radial fractures are displaced dorsally. Your body will create new bone tissue during this stage. (OBQ11.18) When you talk with any healthcare provider Oj8'od+MCf#x#&G2cVmWesq Once an X-ray shows the fracture is healed, the cast can be removed. With functional taping this is achieved by using elastic tape and buddy strapping the fourth finger against the fifth, with padding between them, to prevent deformity and pressure areas. Application. If you dont feel OK using a rectal thermometer, ask the Mayo Clinic Staff. Snapping ECU is a clinical condition characterized by pain over the ulnar wrist caused by instability and tendonitis of the ECU tendon secondary overuse. The cast extends from the proximal one third of the forearm to the distal palmar crease volarly and just proximal to the MCP joints dorsally (Online Figure D). Application. Children, for example, heal quicker than adults. Please read our disclaimer. Casting continues with application of stockinette, then circumferential application of two or three layers of cotton padding, and finally circumferential application of plaster or fiber-glass. The wrist is slightly extended, with the metacarpophalangeal (MCP) joints in 70 to 90 degrees of flexion, and the proximal interphalangeal (PIP) and DIP joints in 5 to 10 degrees of flexion. Fractures can also be caused by less traumatic but repeated force. Management of a wide variety of musculoskeletal conditions requires the use of a cast or splint. For example, a simple buckle fracture will need a plaster cast for 2 to 3 weeks and be almost completely healed in 4 weeks. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Position of Function. When do I need to follow up, and with whom? Thanks in advance. Forearm or wrist fractures. Fiberglass casts are applied in a similar manner to plaster casts. He really sounds like he is saying "cobra cast" but cannot locate in Stedman's or online. Definitive or alternative treatment of injuries commonly treated with ulnar gutter splint.8. Any bone in your body can break, but compound fractures most commonly occur in your limbs (arms, hands, legs and feet). to lift or carry the child. The splint extends from the plantar surface of the great toe or metatarsal heads along the posterior lower leg and ends 2 inches distal to the fibular head to avoid compression of the common peroneal nerve (Online Figure G). Tips to keep body casts clean and dry and prevent skin irritation around the genital Using radio waves and a powerful magnet to produce detailed images . 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. Aircast Foam Pneumatic. Pearls and Pitfalls. Hand and wrist fractures often heal in 4-6 weeks whereas a tibia fracture may take 20 weeks or more. Excessive immobilization from continuous use of a cast or splint can lead to chronic pain, joint stiffness, muscle atrophy, or more severe complications, such as complex regional pain syndrome.6 All patients who are placed in a splint or cast require careful monitoring to ensure proper recovery.7, This article highlights the different types of splints and casts that are used in various circumstances and how each is applied. } As your bones remodel, they become a more normal shape and are less fragile. Low-energy or high-energy mechanisms may be involved. Fibular fractures, particularly those involving the ankle and the shaft just proximal, are common. The wrist is in a neutral position and slightly extended; the MCP joints are free. The. The techniques of cast immobilization, splints, dressings, and traction devices are designed to provide an external means of support or protective covering while healing proceeds under optimal conditions. The forearm is neutral and the wrist is slightly extended. A number of factors affect how quickly you may recover from a compound fracture. In young people, such fractures typically occur in high-energy accidents, such as a fall from a ladder or a car crash. about your childs fever, tell them which type you used. The splint covers the radial aspect of the forearm, from the proximal one third of the forearm to just distal to the interphalangeal joint of the thumb, encircling the thumb (Figure 2). You will be provided with verbal and written instruction on how to remove the cast. Pelvis, hip, or thigh fractures. You also have the option to opt-out of these cookies. Also used to hold the hip or thigh muscles and tendons in place after . The purpose of splinting acutely is to immobilize and protect the injured extremity, aid in healing, and lessen pain. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Necessary cookies are absolutely essential for the website to function properly. (2014). However, if you have chronically swollen fingers with other symptoms, A shoulder arthrogram is an imaging test that can help diagnose hard-to-see joint issues. university avenue palo alto restaurants. Based on a work athttps://litfl.com. Doctors sometimes use casts and splints together. Short leg walking casts are adequate for nondisplaced fibular and metatarsal fractures.2,18 Commercially produced high-top walking boots are acceptable alternatives for injuries at low risk of complications.2,19. A distal radius fracture almost always occurs about 1 inch from the end of the bone. Check the skin around your cast often. Common Uses. Your childs A traumatic accident like a fall or car crash can break your leg or other bones in your body. Applied to the area below the knee to the foot. A hairline fracture, also known as a stress fracture, is a small crack or severe bruise within a bone. The DIP joint is placed in slight hyperextension with a padded dorsal splint, an unpadded volar splint, or a prefabricated mallet finger splint. The cast and extremity should be elevated to reduce edema if prescribed. Wiggle your toes or fingers if its safe to do so (check with your healthcare provider). MRI. age with signs of illness. Thigh fractures. For children younger than 3 years, a rectal temperature is the most accurate. Management of Emergency Department Patients with Boxers Fractures: Functional Treatment or Immobilization. The next morning the brash young man notes that his hand is swollen, tender, and painful to move. #mergeRow-gdpr { The types of complete fractures you can get include: Single fracture is where the bone is broken in one place. Ear temperatures are accurate after 6 months of age, but not before. Weight-bearing recommendations are determined by the type and stability of the injury and the patient's capacity and discomfort. Lower leg fractures, severe ankle sprains and strains, or fractures. Simple Analgesia= Paracetamol-codeine, NSAIDs. Plaster casts used to be more common These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Treatment is based on which metacarpal is involved, location of the fracture, and the rotation/angulation of the injury. Talk with your child'shealthcare providerfor special cast care A recent study, however, demonstrated that compared with casting for definitive treatment of wrist buckle fractures in children, a removable plaster splint improves physical functioning and satisfaction, with no difference in pain or healing rates.13. Prefabricated and over-the-counter splints are the simplest option, although they are less custom fit, and their use may be limited by cost or availability. It may pass Treatment for your compound fracture is summed up by the acronym P.R.I.C.E. Sounds like "cobra" cast. ANSWER:1, 2, 3. of urine. by. Definitive treatment of injuries initially treated with a posterior splint. Injuries to soft tissues and blood vessels can be seen on CT scans. The wet splint is then placed over the padding and molded to the contours of the extremity, and the stockinette and padding are folded back to create a smooth edge (Figure 1). clear: left; The dried splint is secured in place by wrapping an elastic bandage in a distal to proximal direction. Treatment of reduced PIP joint dislocations is similar, but requires a starting angle of 20 degrees. Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC. Overuse or repetitive motions can cause stress fractures. After surgery, both splints and casts are frequently used to immobilize extremity fractures. Pearls and Pitfalls. A short leg cast with a fibreglass top layer being used to treat a fractured foot. Google+; alquiler de apartamentos en puerto rico area metro . Use a hairdryer placed on a cool setting to blow air under the cast and cool down When you get to the emergency department youll get one or more pain relief options, including: You might also get a tetanus vaccine and antibiotics, depending on what caused your injury and/or the location and severity of the fracture. Examples of events that can cause this type of severe trauma include a: A broken bone is a compound fracture if it breaks through your skin. Get useful, helpful and relevant health + wellness information. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Applied from the chest to the feet. The cast causes continuous or worsening pain. Treatment is based on which metacarpal is involved, location of the fracture, and the rotation/angulation of the injury. A second sugar-tong splint is then applied, extending from the deltoid insertion distally around the 90-degree flexed elbow, and proximally to 3 inches short of the axilla (Figure 9). Therefore, any fracture that has a concomitant wound should be considered open until proven otherwise. Al Mackay . 2005-2023 Healthline Media a Red Ventures Company. Remodeling stage: The remodeling stage can take several months. Application. The usual signs of a tibia fracture include: Severe pain in the extremity 2 . Although the stirrup splint is adequate for short-term treatment of acute ankle sprains, the evidence favors a functional approach to inversion ankle sprain treatment with the use of a semirigid or soft lace-up brace.17, A bulky Jones splint is a variation on the stirrup splint used acutely for more severe ankle injuries. Additional padding is placed over bony prominences, including the fibular head and both malleoli (Online Figure I). These are easily cut and molded to the injured extremity; however, they are more expensive and are not always available. } Ulnar gutter, radial gutter, thumb spica, finger, Posterior knee, off-the-shelf immobilizer, Posterior ankle (mid-shaft and distal fractures), bulky Jones, Long leg (proximal fracture), short leg (mid-shaft and distal), Posterior ankle (post-mold), stirrup, bulky Jones, high-top walking boot, Posterior ankle with or without toe box, hard-soled shoe, high-top walking boot, Short leg, short leg with toe box for phalanx fracture, Fourth and fifth proximal/middle phalangeal shaft fractures and select metacarpal fractures, Proper positioning of MCP joints at 70 to 90 degrees of flexion, PIP and DIP joints at 5 to 10 degrees of flexion, Second and third proximal/middle phalangeal shaft fractures and select metacarpal fractures, Thumb, first metacarpal, and carpal bones, Fracture of the middle/proximal one third of the scaphoid treated with casting, Nondisplaced proximal/middle phalangeal shaft fracture and sprains, Encourage active range of motion in all joints, Encourage active range of motion at PIP and MCP joints, Middle phalangeal volar plate avulsions and stable reduced PIP joint dislocations, Increase flexion by 15 degrees weekly, from 45 degrees to full extension, Extensor tendon avulsion from the base of the distal phalanx, Continuous extension in the splint for six to eight weeks is essential, Consider splinting as definitive treatment for buckle fractures, Nondisplaced, minimally displaced, or buckle fractures of the distal radius, Used for increased immobilization of forearm and greater stability, Elbow, proximal forearm, and skeletally immature wrist injuries, Distal humeral and proximal/midshaft forearm fractures, Ensure adequate padding at bony prominences, Acute elbow and forearm fractures, and nondisplaced, extra-articular Colles fractures, Offers greater immobilization against pronation/supination, Splint ends 2 inches distal to fibular head to avoid common peroneal nerve compression, Isolated, nondisplaced malleolar fractures, Refer for displaced or multiple fractures or significant joint instability, Mold to site of injury for effective compression, Compartment syndrome most commonly associated with proximal mid-tibial fractures, so care is taken not to over-compress, Refer for displaced or angulated fracture or proximal first through fourth metatarsal fractures, Weight-bearing status important; initially nonweight bearing with tibial injuries, Acute soft tissue and bony injuries of the lower extremity, If ankle immobilization is necessary, as with tibial shaft injuries, the splint should extend to include the metatarsals, Distal metatarsal and phalangeal fractures, Often used when high-top walking boots are not available, Refer for displaced or unstable fractures. long leg: applied from the chest to the feet, with a bar between both legs to keep the hips and legs immobile. Metacarpal Fractures are the most common hand injury and are divided into fractures of the head, neck, or shaft. Pearls and Pitfalls. Fiberglass (comes in a variety of colors, patterns, and designs). Reflex sympathetic dystrophy causes burning pain in your arms, legs, hands or feet. Splitting a below-knee cast. Jun 2022 24. emerald lake lodge restaurant menu Facebook; significance of number 21 in hinduism Twitter; is it normal for a cvt transmission to whine? Rectal or forehead: 100.4F (38C) or higher, A fever of ___________as advised by the provider. If the hospital staff applies the cast, the facility will report the same code. What makes a fracture compound or open is when the broken bone pierces your skin. Last medically reviewed on October 29, 2018, The development of fiberglass casting tape in the 1970s led to the water-resistant fiberglass cast thats often used today. In a previous article in American Family Physician, we discussed the principles and risks of casting and splinting, as well as proper techniques for safe application.6. Boyd AS, et al. Place toilet paper inside the bedpan to prevent urine from splashing onto the cast the hips and legs immobilized. Common Uses. Healthline Media does not provide medical advice, diagnosis, or treatment. Heins, K. & Heins, A. Many health conditions can cause swollen fingers. Long arm casts are used most often in childhood because of the frequency of distal radial, ulnar, and distal humeral fractures.2,10,14. In some cases, your doctor may be able to put a waterproof liner under the cast, which makes the entire cast waterproof. Generally, bones break as a result of force and/or trauma like a car crash. One of the most common injuries seen in the ED, and occurs in 20% of patients that punch a hard object. Evidence supports a functional treatment approach to inversion ankle sprains with the use of a semirigid or soft lace-up brace. By clicking Accept, you consent to the use of ALL the cookies. See agents for this cast & crew on IMDbPro Series Directed by . Attend all follow-up appointments when theyre scheduled. Splints are easily adjustable, so theyre often used to help stabilize the area until the swelling goes down. Diagnosis is made with clinical examination with palpation of the ECU tendon and noting a painful snap while moving the wrist from pronation to supination. These cookies will be stored in your browser only with your consent. They also take several days to fully harden, so youll need to limit your activities for a few days after getting the cast. Soft tissue injuries of the hand and wrist; temporary immobilization of carpal bone dislocations or fractures (excluding scaphoid and trapezium). Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Until the 1970s, the most common type of cast was made with plaster of paris. [1][2] Don't put powders or lotion inside the cast. Nondisplaced or minimally displaced fractures of the distal wrist, such as Colles and Smith fractures or greenstick, buckle, and physeal fractures in children; carpal bone fractures other than scaphoid or trapezium. area. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. If you wait too long to get treatment then theres a higher likelihood of complications. This can be done with a splint, cast, surgery, or traction. Your therapist will help you with stretches and exercises to improve your: Once your bones are lined up correctly, your healthcare provider will wrap the area in cloth and cotton material to protect your skin. The following kinds of fractures can be treated with a splint, brace, or cast: Single non-displaced fractures: The bone cracks or breaks but stays in place. After surgery on the neck or upper back area. Application. orthoinfo.aaos.org/en/recovery/care-of-casts-and-splints/, my.clevelandclinic.org/health/drugs/15211-casts--splints, rchsd.org/health-articles/frequently-asked-questions-about-casts/, mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/cast-care/art-20047159, Learning About and Caring for Your Fiberglass Cast, What Causes Swollen Fingers and How to Treat Them. Application. Check your pulse and blood pressure to be sure there is no significant bleeding. Suspected injuries to the scaphoid; stable ligamentous injuries to the thumb; initial treatment of nonangulated, nondisplaced, extra-articular fractures of the base of the first metacarpal; de Quervain tenosynovitis; first carpometacarpal joint arthritis. Symptoms include pain and swelling of a deformed joint. Use a digital thermometer to check your childs temperature. Pearls and Pitfalls. Next, theyll wrap your injury in bandages that are wet with plaster or fiberglass strips. fracture: [verb] to cause a fracture in : break. Also used to hold the hip or thigh muscles and tendons But it grows stronger as it calcifies and develops into normal bones over weeks to months. It may also be frightening to see your bone exposed. #mergeRow-gdpr fieldset label { Position of Function. healthcare provider what type to use instead. Rotational deformity in the hand is never acceptable. A high clinical suspicion should be used when assessing these injuries. Indications. A cast holds a broken bone in place as it heals. Seguin, et al surveyed physicians at 15 Canadian hospitals and found significant . They typically have a hard, supportive surface made of plaster, plastic, metal, or fiberglass. While the outer layer is waterproof, the soft padding underneath is not. Minimal mobilisation iseffective depending on the degree of angulation and rotation of the metacarpal head, and is tending to become the more preferred method of managing boxers fractures. automobile) may result in multiple fractures, wounds may indicate open fractures or concomitant soft tissue injury, closed injuries with multiple fractures or dislocations, 1st, 4th, and 5th digits form mobile borders, 2nd and 3rd digits form stiffer central pillar, index metacarpal is the most firmly fixed, while the thumb metacarpal articulates with the trapezium and acts independently from the others, three palmar and four dorsal interossei muscles arise from metacarpal shafts, insert on the base of metacarpal II, III (respectively); assist with wrist extension and radial flexion of the wrist, inserts on the base of metacarpal V; extends and fixes wrist when digits are being flexed; assists with ulnar flexion of wrist, inserts on the trapezium and base of metacarpal I; abducts thumb in frontal plane; extends thumb at carpometacarpal joint, inserts on metacarpal I; flexes metacarpal I to oppose the thumb to the fingertips. Some of these factors include: Regardless of what your doctor recommends, theyll give you a list of instructions to help you take care of your cast or splint and ensure a smooth recovery process.

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