How to Put on a Thumb Spica

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Fractures of the wrist or forearm are one of the most common diagnoses we make in the emergency department. The ability to put on a good plaster or brace is an essential skill. Sometimes what we put on resembles something carved out of a log of wood, certainly mine did. However my techniques has improved over the years, as I teach you in the Procedures Workshop, it is easy to put on a plaster or a simple thumb spica.

The indications for a thumb spica include:

1 Scaphoid injuries(the major one) and

2 First Metacarpal Injuries. There are more, but these are probably the most important.

We recently held a workshop at Monash for plastering and here is part one, “How to put on a thumb spica”.

How to put on a plaster will follow.

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Dr Peter Kas

Emergency Physician, Educator. Key Interests: Resuscitation, Airway, Emergency Cardiology, Clinical Examination. Creator resus.com.au.

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