Lesson 1Clinical assessment: inspection, palpation, deformity recognition, neurovascular exam for wrist injuriesDis part explain structured clinical check for wrist injuries, including looking well, touching careful, checking shape changes, and neurovascular exam to guide x-rays, reduction, and immobilization 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 mixingDis part list and explain materials for wrist immobilization, like stockinette sizes, padding layers, plaster and fiberglass choices, splint boards, casting tape, and safe water temp for mixing and molding.
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 variantsDis part compare immobilization options for wrist fractures, explaining when to use short arm cast, volar backslab, sugar-tong splint, or thumb spica for different injury types.
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 fracturesDis part introduce key wrist x-rays, when to do PA, lateral, oblique views, how to position, and spot Colles, Smith, and joint fractures dat guide treatment.
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 patternsDis part review anatomy of distal radius, ulna, wrist joint, linking surface marks to common fracture patterns, shifts, and joint issues dat affect reduction and immobilization.
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 timingDis part outline advice afta immobilization, like elevate limb, pain relief, cast care, activity limits, warning signs for quick return, and follow-up times.
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 distributionDis part focus on nerve and blood vessel checks before and afta immobilization, testing circulation, movement, feeling for median, ulnar, radial nerves, and noting changes.
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 injuriesDis part explain early spotting of compartment syndrome and blood flow block in forearm injuries, stressing repeat checks, key warnings, and quick actions to save tissue.
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 positionDis part guide full steps for wrist immobilization, from positioning patient, padding, placing slab or cast, molding straight, and creasing for good working 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
