Page 76 - Orthopedic Casts and Splints2
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Performance Steps
20c
Application of interosseous mold
d. Apply firm and gradual pressure beginning at the wrist and progress up the forearm while
maintaining the wrist in correct position.
CAUTION: Excessive pressure may result in further patient injury. Talk to the patient while performing
this procedure ( e. g. How do you feel?, Is the pressure too much ? )
e. Remove heels of each hand from cast when contours of the wrist and forearm have been
shaped to the wrist/forearm and cast is cured.
21. Check range of motion ( ROM ) of phalanges and thumb.
a. Have patient extend, flex fingers.
b. Have patient rotate thumb and touch all fingers to thumb.
CAUTION: The finished edge of the cast should end proximal to the base of the thumb to avoid radial
nerve impingement.
22. Check alignment of wrist with goniometer(Refer to figure 3-x).
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