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

Journal of Clinical Orthopaedics | Vol 7 | Issue 2 |  Jul-Dec 2022 | page: 15-17 | Chintan Doshi

DOI: 10.13107/jcorth.2022.v07i02.515

Author: Chintan Doshi [1]

[1] Consultant Orthopedic Surgeon, Department of Orthopedics, Seth V.C. Gandhi & M. A Vora Municipal General
Rajawadi Hospital, Mumbai, India.

Address of Correspondence
Dr. Chintan Doshi,

1304, Building No 92, B wing, Road No 13, Tilaknagar, Chembur West, Mumbai 400089, India.


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.

Keywords: Pediatric fractures, Upperlimb cast, Casting, Cast technique, Cast complication


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How to Cite this article: Doshi C. The magic of moulding – Applying upper limb cast in a child. Journal of Clinical Orthopaedics Jul-Dec 2022;7(2):15-17.

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