Lesson 1Clinical assessment: inspection, palpation, deformity recognition, neurovascular exam for wrist injuriesThis part explains a clear clinical check for wrist injuries, covering looking over the area, feeling for issues, spotting any bends or shapes, and testing nerves and blood flow to decide on X-rays, fixing the bone, and splinting plans.
Inspection for swelling, deformity, and skin breaksPalpation of distal radius, ulna, and carpal bonesAssessing active and passive wrist and finger motionScreening for open fractures and skin compromiseFocused neurovascular exam before immobilizationLesson 2Materials list specific to wrist immobilization: stockinette sizes, padding layers, plaster vs fiberglass rolls, splint boards, casting tape, water temp and mixingThis part lists materials for wrist splinting with explanations, like right-size stockinette, padding amounts, plaster or fibreglass choices, splint boards, tape, and safe water temps for mixing and shaping without burns.
Selecting stockinette width and lengthChoosing padding thickness and overlapPlaster versus fiberglass: pros and consUse of splint boards and support surfacesWater temperature, mixing, and setting controlLesson 3Immobilization choices: indications for short arm cast, volar backslab, sugar-tong splint, and thumb spica variantsThis part compares splint types for wrist breaks, explaining when to use short arm casts, volar backslabs, sugar-tong splints, or thumb spicas based on injury type, pros, cons, and best fit for the break.
Indications for short arm circumferential castsWhen to use a volar backslab for wrist injuriesSugar-tong splints for forearm rotation controlThumb spica variants for scaphoid involvementAdjusting choice for swelling and patient factorsLesson 4Imaging basics: indications for X-ray views (PA, lateral, oblique) and recognizing Colles, Smith, intra-articular fracturesThis part introduces key wrist X-rays, when to do PA, side, and angled views, how to position properly, and spotting Colles, Smith, or joint breaks that change how you treat and splint.
Indications for wrist radiographs after traumaPositioning for PA, lateral, and oblique viewsRadiographic signs of Colles fracturesRadiographic signs of Smith fracturesIdentifying intra-articular step-off and gapLesson 5Anatomy of the distal radius, distal ulna, wrist joint, and common fracture patternsThis part goes over the bones and joints at the end of the forearm and wrist, matching outside signs to usual break types, shifts, and joint issues that guide fixing and splinting choices.
Bony anatomy of distal radius and distal ulnaRadiocarpal and distal radioulnar joint structuresMuscle and tendon forces affecting displacementExtra-articular versus intra-articular fracturesTypical Colles, Smith, and Barton fracture patternsLesson 6Post-immobilization instructions: elevation, analgesia, signs to return, activity restrictions, cast care and follow-up timingThis part covers advice after splinting, like raising the arm, pain relief, when to come back quick, what not to do, how to care for the cast, and when for next check and new X-rays.
Elevation techniques to reduce swellingAnalgesia planning and adjunct measuresCast care, hygiene, and skin protectionActivity restrictions and work or sport adviceWarning signs and follow-up schedulingLesson 7Neurovascular safety checks: baseline and post-application circulation, motor and sensory tests for median, ulnar, radial nerve distributionThis part stresses nerve and blood checks before and after splinting, testing blood flow, movement, feeling in median, ulnar, radial areas, and noting changes needing quick action.
Baseline capillary refill and pulse assessmentMedian, ulnar, and radial motor testing stepsLight touch and two-point discrimination mappingPost-application neurovascular reassessmentDocumenting findings and escalation triggersLesson 8Compartment syndrome and acute limb ischemia recognition in distal forearm injuriesThis part teaches spotting tight muscle swelling or blocked blood flow early in forearm hurts, with repeat checks, danger signs, and fast steps to stop lasting damage.
Pathophysiology in distal forearm traumaPain, paresthesia, pallor, pulselessness, paralysisComparing soft compartments and contralateral limbMonitoring after reduction and immobilizationUrgent escalation and fasciotomy indicationsLesson 9Step-by-step application: positioning, padding technique, slab/cast placement, molding for alignment, creasing for functional positionThis part walks through full wrist splinting, from placing the arm, padding right, putting on slab or cast, shaping for straightness, and folding for easy use without too much pain.
Patient and limb positioning for wrist immobilizationPadding techniques for bony prominences and skinSlab versus circumferential cast application stepsThree-point molding for fracture alignment controlCreasing cast for functional wrist and finger position
