Lesson 1Clinical check: lookin', feelin', spotin' deformity, nerve an' blood vessel exam fi wrist injuriesDis part detail a proper clinical exam fi wrist injuries, includin' lookin', feelin', checkin' deformity, an' focused nerve an' blood vessel assessment fi guide x-rays, reduction choices, an' lock down plannin'.
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 special fi wrist lock down: stockinette sizes, paddin' layers, plaster vs fiberglass rolls, splint boards, castin' tape, water temp an' mixin'Dis part list an' explain materials fi wrist lock down, includin' stockinette sizin', paddin' layers, plaster an' fiberglass choices, splint boards, castin' tape, an' safe water prep fi activation an' moldin'.
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 3Lock down choices: when fi use short arm cast, volar backslab, sugar-tong splint, an' thumb spica kindsDis part compare lock down options fi wrist fractures, detailin' when fi use, good sides, an' limits a short arm casts, volar backslabs, sugar-tong splints, an' thumb spica variants fi different injury patterns.
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 4X-ray basics: when fi do PA, lateral, oblique views an' spotin' Colles, Smith, intra-articular fracturesDis part bring in key wrist x-rayin', coverin' when fi do PA, lateral, an' oblique views, position tips, an' spotin' Colles, Smith, an' intra-articular fracture signs dat guide management.
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 a di distal radius, distal ulna, wrist joint, an' common fracture patternsDis part review distal radius, ulna, an' wrist joint anatomy, linkin' surface marks to common fracture patterns, displacement ways, an' joint involvement dat affect reduction an' lock down strategy.
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 6After lock down instructions: lift up, pain relief, signs fi come back, activity limits, cast care an' follow-up timeDis part outline after lock down talk, includin' liftin' up, pain relief, cast care, activity limits, red flag signs needin' quick check, an' suggest follow-up time fi reassess an' x-ray.
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 7Nerve an' blood vessel safety checks: baseline an' after applyin' circulation, motor an' sensory tests fi median, ulnar, radial nerve areasDis part focus on nerve an' blood vessel safety checks before an' after lock down, detailin' circulation, motor, an' sensory testin' fi median, ulnar, an' radial nerves, an' recordin' changes needin' quick review.
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 an' sudden limb blood block spotin' in distal forearm injuriesDis part explain early spotin' a compartment syndrome an' sudden limb blood block in distal forearm trauma, stressin' repeat exams, key red flags, an' quick actions fi stop permanent tissue 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 applyin': positionin', paddin' way, slab/cast placin', moldin' fi alignment, creasin' fi workin' positionDis part guide di full steps fi wrist lock down, from patient positionin' an' paddin' to slab or cast placin', moldin' fi alignment, an' creasin' fi keep a workin', pain-free position.
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
