Cast Management and Complications

What is a potential complication resulting from a tight hip spica cast?

Which material is NOT typically used in cast application?

What complication is associated with improper application of a cast?

Which of the following symptoms may result from the application of a tight hip spica cast?

What is one of the risks associated with allergy when using casting materials?

What is the primary purpose of a cast?

Which condition is NOT a contraindication for the use of a cast?

Which of the following is a purpose of applying a cast?

What is a common misconception regarding the use of a cast?

Which reason is NOT included in the purposes of using a cast?

Hip Spica Cast

Encloses the trunk and a lower extremity
Double hip spica cast encompasses both legs

Cast Materials

Natural (plaster of Paris)
Synthetic acrylic (fiberglass-free, latex-free, polymer, hybrid)

Complications of Cast Application

Due to Tight Cast

Pain
Pressure sores
Compartment syndrome (tight cast restricts swelling)
Peripheral nerve injury

Due to Improper Application

Breakage
Loose cast
Plaster blisters

Due to Allergy

Allergic dermatitis

Other

Muscle wasting
Joint stiffness

Cast Definition

Rigid, temporary, immobilizing, and protective external device made of layers of plaster or fiberglass material molded to the body parts it encases

Purposes

To immobilize, support, and protect the fractured extremity.
To correct and prevent deformities.
To stabilize weakened joints.
To promote healing.
To promote early mobilization.
To prevent injury in case of osteomyelitis.

Indication

Fracture immobilization.

Contraindication

Skeletal muscle rigidity.
Open wound or draining wounds.
Edema
Impaired circulation.
Severe spasticity
Sensory problem
Unstable fracture.
Patients with poor compliance.
Contracture existing for more than 6 months.
Active skin disease.

This quiz covers essential aspects of hip spica casts, including the materials used, potential complications during application, and the purpose of casts in immobilization and healing. Test your knowledge on the indications and preventive measures associated with cast application.