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@@n3a2i yes, you would just include the 3rd digit in the cast. So you would have the 5th, 4th and 3rd digits included in the cast.

Thank you 😊

You should've applied webroll between the 4th & 5th digits.. besides that You make it look EZ!! I've got some good types 😁💪🏾 🦾

It is all about “feel”. You will quickly learn as you are applying casts how much you can stretch it without being too tight. You have to have it fairly snug so it is giving support/stability. It’s great to practice on coworkers or friends initially so that when you are applying a cast on an actual patient you have a pretty good feel for it.

Thanks for the reply. We use a piece of splint material to reinforce the cast so we don’t have to use as much cast material. If you watch @ 3:04 we talk about putting padding between the digits to help with maceration.

@@mcsmedcastspecialists1285 why not to use stockinettes on both fingers? That is much safer.

I hope your surgery is a success! The hardest part will be not having the ability to rotate your forearm (pronate and supinate). The cast should leave you with plenty of finger motion, but will restrict the wrist/forearm rotation.

@@mcsmedcastspecialists1285 Well that's what I was afraid of but thanks for the reply!

Thanks for the input! We do not have a video showing how to cast with pins. I would be happy to connect with you and share some ideas and how we do it.

Each roll comes individually wrapped in an air-tight package. The roll is fiberglass with a compound that hardens once exposed to air. The fiberglass roll has a residue that will make a mess on anything it touched before it actually hardens. It takes less than 5 minutes for the chemical reaction to happen and the roll hardens up.

@@mcsmedcastspecialists1285 thankyou

It depends on which tendon you damaged. This can be used for flexor tendon injuries in the fingers/hand. That would be totally dependent on the physician treating the injury.

@@mcsmedcastspecialists1285 I damaged the ecu tendon in my wrist

@@adelaidebelinsky2124 this cast would not be ideal for an ECU tendon injury. A regular short arm cast or a wrist brace that would allow all of your fingers to be free would be ideal, but that would need to be determined by a physician.

@@mcsmedcastspecialists1285 that is the point he(aka dr. Hamilton) did a cast up past my Elbow and I’m really annoyed with the fact he didn’t even do a proper wrist cast on my wrist

Thank you for the comment. If you reference (14:40) we talk about only cutting out the anterior portion, but ultimately the physician will decide how much elbow motion they want the patient to have. I have found with the wings and a great mold, even giving them “almost” full rom in the elbow, it will still eliminate pronation and supination.

Hi there! It’s made by Stryker. Thanks for watching!

Good to hear! We are glad they were helpful.

A typical Radial Gutter cast (like this one) will include the 2nd (index) and 3rd (middle) digits. This could mean a number of different injuries: Broken metacarpal, phalanx or even a flexor tendon injury. For this video - we could say that the patient has a distal 2nd metacarpal fracture :)

Absolutely :) I believe we mentioned it in our commentary, but did not show it. I always put some kind of padding between the digit that will be included in the cast. It will prevent rubbing and the skin from getting macerated. You always want to be mindful of the injury you are treating and use the smallest amount of padding possible. Thanks for your comment and watching our videos!

6” soft pad works great. It all comes down to personal preference. Sometimes rolling 6” you can get folds where it becomes loose. Practice with different sizes and use what you are comfortable with. Thanks for the comment and watching :)

I’ll take that as a compliment! Thanks for watching!!

Hello, most of our physicians will splint for 1-2 weeks to allow for swelling to go down and then cast for 3-4 weeks.

@@mcsmedcastspecialists1285 ok, thank you sir

Appreciate the comment. Care to elaborate? We have never heard that, so it would be interesting to learn something. Thanks

@@mcsmedcastspecialists1285 I work as an ER tech and we advise the patients not to get the splint wet because the skin will macerate underneath from the moisture. At our hospital we wet only one side which is enough to activate the fiberglass to harden and we put the dry side toward the patient skin that was wrapped in webril If you accidentally forget to close the foil from the fiberglass than the thing will harden without any water just from the moisture in the air.

@@anaborcean2000 awesome, thanks for your expertise! We also educate patients and let them know that they should never get their splints/casts wet. We lightly wet both sides, but ensure we dry it thoroughly as well. You are right though, it doesn’t take much water to activate, so just getting one side wet should be adequate.

We also have a video specifically for diabetic patients. We will post that one soon!

SWEET! Thank you so much. I appreciate your reply and your videos.

@@tinaaabooo28 You bet!

Use a blow dryer. Don’t remove it unless your physician is okay with it. You may want to even consider going back into the office and have them re-wrap you, depending on how wet you got it.

@@mcsmedcastspecialists1285 thank you!

Yes, typically the physicians I worked with would state whether or not to include the IP joint or leave it free.

The blue is BSN Delta Lite Plus. It is phenomenal. We usually use Delta Lite Conformable for our base layer because of how well it conforms to body parts. It works really well on ulnar/radial gutter casts too!