Lesson 1Clinical assessment: inspection, palpation, deformity recognition, neurovascular exam for wrist injuriesThis part explains a step-by-step clinic check for wrist injuries, covering looking, feeling, spotting odd shapes, and nerve/blood vessel checks to decide on scans, fixing position, and splint 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 and describes supplies for wrist fixing, like stockinette sizes, padding amounts, plaster or fibreglass choices, splint boards, tape, and safe water prep for setting and shaping.
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 fixing options for wrist breaks, explaining when to use short arm casts, volar backslabs, sugar-tong splints, and thumb spica types 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 fracturesThis part introduces key wrist scans, when to do PA, side, and angled X-rays, how to position, and spotting Colles, Smith, and joint breaks that 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 patternsThis part goes over lower arm bone, ulna end, wrist joint structure, linking outer marks to usual break types, shifts, and joint effects that shape fixing and splint plans.
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 fixing, like raising the arm, pain relief, when to come back urgently, what not to do, splint care, and when for next check and scan.
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 fixing, covering blood flow, movement, feeling tests for main nerves, and noting changes needing 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 and acute limb ischemia recognition in distal forearm injuriesThis part teaches spotting tight muscle areas and sudden blood lack in lower arm hurts early, with repeat checks, danger signs, and quick steps to stop lasting harm.
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 guides full wrist fixing steps, from placing patient and padding to slab/cast fitting, shaping for straightness, and folding for useful, less painful 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
