long-arm cast

long-arm cast

Etymology: As, lang + earm, arm; ONorse, kasta
an orthopedic cast applied to immobilize the arm from the hand to the upper arm. It is used in treating fractures of the forearm, elbow, and humerus; for maintaining postoperative positioning of the distal arm, elbow, or upper arm; and for correcting or maintaining the correction of deformities of the distal arm, wrist, or elbow. See also cast. Compare short-arm cast.
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The extremity was then casted for 08 weeks and kept in a long-arm cast for 3 to 6 months.
At the 4th week, long-arm cast was changed to short arm cast and continued for two more weeks.
The investigators provided results for the first 78 patients they have been able to evaluate since the patients were randomized to receive either a short-arm or long-arm cast for fractures of the distal third of the forearm, which represent 75% of all forearm fractures in children.
No significant differences have been seen in angulation, deviation, or displacement between the 46 patients who received long-arm casts and the 32 patients with short-arm casts.
There was actually a trend to more displacement in long-arm casts," said Dr.
He noted that casts must be properly molded, possibly explaining some of the displacement associated with long-arm casts.
Early in the study, some residents were constructing long-arm casts all at once, rather than applying a short-arm cast and molding it well before extending it up the length of the child's arm.
As expected, range of motion of the elbow was impaired at the initial follow-up in patients who had worn long-arm casts, but this difference disappeared over time after the casts were removed.
Ironically, among eligible patients who refused randomization, half of the families demanded a short-arm cast and half demanded a long-arm cast, said Dr.
Lifestyle differences represented the only significant differences in patients assigned to short-arm versus long-arm casts, the researchers concluded.
Patients with wrist fractures were randomized after closed reduction to receive short-arm or long-arm casts.
Non-displaced, stable waist fractures have traditionally been treated in short- or long-arm casts for variable lengths of time.