Exam (elaborations)
Orthopaedic Technologist Certification Exam: Casting & Splinting
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Orthopaedic Technologist Certification Exam: Casting & Splinting
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Name: Score:38 Multiple choice questions
Definition 1 of 38
Feels hard in 10-15mins.
Truly takes 24-48hrs.
Aggravating Factors
Bi-valving
Setting
Disease Specialty
Definition 2 of 38
TX: stable wrist fx's
Trop should start on forearm ~2" under antecubital crease to prevent cast from irritating upper
arm. Bottom should end proximal to MC heads. Padding should end @ distal palmar crease.
Allows flx of MCP jts. Allow free movement of thumb -- thumb injury may require thumb spica
addition.
PAD WELL: Ulnar tuberosity, thumb.
Thumb spica cast
Gauntlet cast
Short arm cast
Long arm cast
,Term 3 of 38
Cast padding, AKA
Kerlix
Esmarch
Kling
Webril
Term 4 of 38
Valving should be used if.....
Uses springs, elastic bands, to provide constant force to control position/ROM.
-Warmer increases the heat given off by plaster.
-Affects setting time
-Cold water takes longer to set
....surgery is in the near future.
....pt is uncomfortable, but NV status is intact.
-Allows for swelling
-Allows for monitoring of wounds
-Easily removed
-Transitional tx after casting
-Removed for rehab
, Term 5 of 38
Baseball splint
2 pads of plaster placed on either side of an extremity, help in place by a dressing. May use
1 U-shaped pad instead.
Holds arm in position of abduction @ shoulder level. Forearm in flx, strut used for support.
TX: fx of distal phalanx
Pre-fabricated. Applied to volar side of hand and forearm. Looks like baseball is being held
in hand.
TX: non-displaced fx's of lower leg and knee
Extends from upper thigh to MT heads. Knee @ 15-20* flx. (prevents lower leg from rotating,
permits ambulation w/crutches as leg can swing freely)
Term 6 of 38
Airplane splint
Allows the arm to hang freely while providing minimal support.
Keeps the arm close to the body with the elbow extended.
Supports the arm in a vertical position with the forearm straight.
Holds arm in position of abduction @ shoulder level. Forearm in flx, strut used for support.
Definition 7 of 38
Usually begin as a cellulitis. Most are due to Staphylococcus aureus & respond readily to oral
antibiotics. Occasionally infection involves deeper tissues and bone and may persist despite the
use of antibiotics. The stability of the fixation is thereby impaired. Deep infections may also persist
after removal of the wire or pin if there is a ring sequestrum.
Wrist Dorsal Blocking Splint
Pin-site Infections
Gauntlet Cast
Dynamic Splint
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