II. Indications
- Third degree Ankle Sprain
- Distal non-displaced tibia Fracture or fibula Fracture
- Fifth Metatarsal Fracture at base
III. Contraindications
- Mortis Fracture at ankle
IV. Images
V. Technique
- Apply Stockinette
- Cut stockinette long enough for patient to reach
- Patient can assist procedure by pulling stockinette
- Dorsiflexes foot to maintain functional position
- Determine landmarks of Casting
- Start of cast
- Cast to tibial tuberosity
- Avoid apply cast too high posteriorly
- Results in irritation to popliteal space
- End of cast
- Cast to first Metatarsal heads
- Tips of all toes should be clearly visible
- Start of cast
- Apply padding (web-roll)
- Apply padding evenly to prepare all areas to cast
- Apply additional padding to high pressure areas
- Tibial tuberosity
- Base of foot
- Apply fiberglass material
- Pearls
- Apply fiberglass loosely
- Gently and smoothly roll to avoid constriction
- Use 3" fiberglass at foot
- Apply additional layering underlying sole of foot
- Use with Cast Boot only!
- Apply fiberglass loosely
- First layer
- Apply without wetting fiberglass
- Roll smoothly over length of padding
- Fold stockinette over top of first layer
- Subsequent layers
- Apply wet
- Pearls
- Modification: Toe plate extension
- Indications
- Toe immobilization
- Technique
- Extend the cast beyond the distal toes
- Mold medial longitudinal arch with ankle at 90 degrees
- Indications