above elbow backslab
Vimeo Events Produce and promote stunning virtual events and webinars. These include avulsion of the medial epicondyle fracture of the olecranon or proximal ulna.
Fracture Education Management Principles
POP plaster of paris physical plaster cast back-slab technique.
. Above Elbow Backslab. How to apply the backslab in adults and paediatrics. Flexion of the elbow of 90-110 or as tolerated may be indicated depending upon angulation.
On-line referral to virtual fracture clinic. Collar cuff single or double loop Analgesia. Basics 10 minutes Main Session 2 x15 minutes case discussions covering key points and evidence Advanced Session 2 x 20 minutes case discussions covering diagnostic dilemma advanced management Sim scenario 30 minutes Quiz 5 minutes Infographic sharing 5 minutes.
Ensure elbow is well padded and padding overlaps itself by 25-50 with minimal creases Submerge the pre-prepared dry backslab in water until bubbling stops then remove Squeeze out excess water smooth on a flat surface and apply along ulnar border of forearm Submerge the pre-prepared dry stirrup splint in water until bubbling stops then remove. Basic Plaster and Splinting Upper Limbs Printed versions are uncontrolled Page 4 of 21. The most common mechanism is a fall onto the outstretched arm with a valgus stress at the elbow.
Associated elbow injuries occur in 50 of radial neck fractures. Above Elbow Back Slab AEBS - allows for swelling while also immobilising. Below-elbow backslab fibreglass Below-elbow complete cast plaster of paris Splitting a below-elbow cast.
The majority of proximal humeral fractures occur in the elderly with 70 occurring in women presumably due to the greater incidence of osteoporosis. Apply extra layers over prominent points Measure and Trim Plaster Slab Basic slab is 10 layers of plaster ie. Radial neck fracture References Study of treatment methods for undisplaced supracondylar humeral fractures in children.
Plaster backslab fibreglass backslab aluminiumwireheat-mouldable plastic splints. Distal radius and ulnar fractures more than the ulnar styloid Distal radius fracture with significant angulation Supracondylar fractures however Gartland I and II are usually placed in a collar and cuff Medial condyle fracture Olecranon fracture non-displaced and not involving the joint. Radiohumeral joint located no associated fracture of ulna.
Monteggia Proximal 13 ulnar shaft fracture with proximal radial head dislocation. How to apply the Above elbow backslab. Ortho consult for ORIF.
Ortho consult for ORIF. BELOW ELBOW BACKSLAB The plaster slab extends from a point about 5 cm below the top of the olecranon to the level just proximal to the knuckles in the dorsum of the hand and the distal crease in the palmar aspect. MeSH terms Arm Injuries therapy Casts Surgical Fracture Fixation methods Fractures Bone therapy.
Displaced fractures or 30 degrees angulation should be discussed with the Orthopaedic team for reduction. They can also occur as a result of a posterior dislocation or reduction of the elbow joint. A randomized controlled trial comparing above-elbow posterior fiberglass slab and broad arm sling with collar and cuff immobilization without plaster slab was conducted at a childrens hospital emergency department.
On-line referral to virtual fracture clinic. Lower Limb Above-knee complete cast. Above-elbow backslab for supracondylar fracture.
This is Fibreglass Above Elbow Backslab by The Royal Childrens Hospital on Vimeo the home for high quality videos and the people who love them. Patients presenting with undisplaced supracondylar fractures were enrolled and reviewed after 2 weeks of immobilization. The EM3 education team demonstrates how to apply an above elbow backslab for patients followed by some helpful aftercare advice.
5 take home learning points. Place the slab longitudinally in position over limb fold any un-neat edges Mould by rubbing it smooth with flats of both palms and fingers Turn the ends of the webril back over the ends of the plaster Unroll the broad gauze bandage circumferentially around the limb to secure the plaster and free ends of webril roll layers should overlap by 50. Position Elbow at 90 forearm and wrist in neutral fingers free and shoulder relaxed Crepe Brown tape 3x approximately 10cm lengths Plaster shears Follow Orthopaedic Resource Hub QR code to view the cast application videos.
Above elbow POP backslab. Above elbow plaster backslab at 90 degrees flexion with Orthopaedic Fracture clinic follow up in 7-10 days. A demonstration showing the application of an above elbow backslab.
5 sheets measured to length and doubled over Below Elbow SlabAbove Elbow Slab use 20cm plaster for BIG arms use 15 cm plaster for SMALL arms Below Knee SlabAbove Knee Slab back slab plus 5 layers for stirrups x 2. Above Elbow backslab Extends from the middle of the upper arm to the point just proximal to the knuckles in the dorsum of the hand. Orthopaedic review required in instances where surgical management may be indicated.
A slab equal to the above length is prepared dry as described above in 6 - 8 layers using a 15 cms POP roll The patients forearm is held in mid prone position with the elbow in 90 flexed position. 1 Most of these occur at home due to a fall and in most cases they are an isolated injury. Above Elbow Backslab and 34 backslab.
Conservative immobilisation can be used for most fractures without above properties and also to stabilise fractures temporarily in case of delay before reductionfixation Splints and casts Splint non-circumferential immobiliser eg. Simon and Neil get plastered. Apply a layer of dry gauze bandage around the forearm to just below the elbow.
Above-elbow backslab in supination. In order to achieve effective splinting and casting a good understanding of the basic skeletal anatomy of the. Grade one supracondylar fracture is a stable fracture however is managed in an AEBS as above.
Principles of fractures. Below-knee backslab fibreglass Below-knee complete cast. Above-elbow backslab in supination.
These are useful for supracondylar fractures radial head fractures midshaft radius or u. It examines how above-elbow back slabs should be applied following fracture of the forearm elbow and distal humerus. Stable.
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