The magic of moulding – Applying upper limb cast in a child

Abstract

Upper limb fractures are common in pediatric population. Most of these injuries need application of cast as a routine procedure. The purpose of this review is to discuss the art of applying a well moulded upper limb cast in children in order to get excellent outcome. Material to be selected for cast application depends on the fracture configuration, requirement for moulding, and other physical properties of the cast required for particular patient. A well –moulded cast should be applied in order to prevent further fracture displacement. It is important to understand and maintain certain radiographic indices in order to ensure a good outcome from casting technique. Preventing cast related complications like wet cast, skin complication, compartment syndrome, thermal injuries, and cast syndrome are important consideration when taking care of the cast. Patient education is one of the most important factor in ensuring proper cast maintenance.