A hip spica cast is a sort of orthopedic cast used to immobilize the hip or thigh. It is used to facilitate healing of injured hip joints or of fractured femora.
A hip spica includes the trunk of the body and one or both legs. A hip spica which covers only one leg to the ankle or foot may be referred to as a single hip spica, while one which covers both legs is called a double hip spica. A one-and-a-half hip spica encases one leg to the ankle or foot and the other to just above the knee. The extent to which the hip spica covers the trunk depends greatly on the injury and the surgeon; the spica may extend only to the navel, allowing mobility of the spine and the possibility of walking with the aid of crutches, or may extend to the rib cage or even to the armpits in some rare cases. Hip spicas were formerly common in reducing femoral fractures. Spica casts are used for treating hip dysplasia (developmental dislocation of hip). [1] [2]
Spica casts are typically made using a soft padded lining, which tightly wrapped around the leg and hip joint. It is then wrapped in either a fiberglass or plaster cast. Fiberglass is generally preferred, as it is stronger than plaster and significantly lighter. It also dries faster than plaster casts.[ citation needed ]
In some cases, a hip spica may only extend down one or more legs to above the knee. Such casts, called pantaloon casts, are occasionally seen to immobilize an injured lumbar spine or pelvis, in which case the trunk portion of the cast usually extends to the armpits.[ citation needed ]
Some spica casts also include a cross bar attached the legs near the knee or calf to add additional stability. Spica casts have a large opening in the front and back to allow the wearer to use the toilet. For babies, the opening is large enough to tuck a diaper on the inside, and then an additional diaper is worn over the cast to keep the inside diaper in place. Many casts also include a Gore-Tex lining, which is similar to the texture of a thin raincoat. It provides waterproofing on the inside of the cast and allows the inside to be wiped down with wipes or water as needed.[ citation needed ]
The human leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.
In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia, and one between the femur and patella. It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis.
Orthopedic surgery or orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.
Professional wrestling holds include a number of set moves and pins used by performers to immobilize their opponents or lead to a submission. This article covers the various pins, stretches and transition holds used in the ring. Some wrestlers use these holds as their finishing maneuvers, often nicknaming them to reflect their character or persona. Moves are listed under general categories whenever possible.
A splint is defined as "a rigid or flexible device that maintains in position a displaced or movable part; also used to keep in place and protect an injured part" or as "a rigid or flexible material used to protect, immobilize, or restrict motion in a part". Splints can be used for injuries that are not severe enough to immobilize the entire injured structure of the body. For instance, a splint can be used for certain fractures, soft tissue sprains, tendon injuries, or injuries awaiting orthopedic treatment. A splint may be static, not allowing motion, or dynamic, allowing controlled motion. Splints can also be used to relieve pain in damaged joints. Splints are quick and easy to apply and do not require a plastering technique. Splints are often made out of some kind of flexible material and a firm pole-like structure for stability. They often buckle or Velcro together.
An orthopedic cast, or simply cast, is a shell, frequently made from plaster or fiberglass, that encases a limb to stabilize and hold anatomical structures—most often a broken bone, in place until healing is confirmed. It is similar in function to a splint.
Genu varum is a varus deformity marked by (outward) bowing at the knee, which means that the lower leg is angled inward (medially) in relation to the thigh's axis, giving the limb overall the appearance of an archer's bow. Usually medial angulation of both lower limb bones is involved.
Casualty lifting is the first step of casualty movement, an early aspect of emergency medical care. It is the procedure used to put the casualty on a stretcher.
In vertebrate anatomy, hip refers to either an anatomical region or a joint.
Cradleboards are traditional protective baby-carriers used by many indigenous cultures in North America and throughout northern Scandinavia among the Sámi. There is a variety of styles of cradleboard, reflecting the diverse artisan practices of indigenous cultures. Some indigenous communities in North America still use cradleboards.
A leglock is a joint lock that is directed at joints of the leg such as the ankle, knee or hip joint. A leglock which is directed at joints in the foot is sometimes referred to as a foot lock and a lock at the hip as a hip lock. Leglocks are featured, with various levels of restrictions, in combat sports and martial arts such as Sambo, Brazilian Jiu-Jitsu, catch wrestling, mixed martial arts, Shootwrestling and submission wrestling, but are banned in some sports featuring joint locks such as judo. The technique has been seen across a wide range of different combat sports and is reportedly over 2,500 years old, having been seen in the lost art of Pankration in the original Olympic Games.
A traction splint most commonly refers to a splinting device that uses straps attaching over the pelvis or hip as an anchor, a metal rod(s) to mimic normal bone stability and limb length, and a mechanical device to apply traction to the limb.
A hip dislocation is when the thighbone (femur) separates from the hip bone (pelvis). Specifically it is when the ball–shaped head of the femur separates from its cup–shaped socket in the hip bone, known as the acetabulum. The joint of the femur and pelvis is very stable, secured by both bony and soft-tissue constraints. With that, dislocation would require significant force which typically results from significant trauma such as from a motor vehicle collision or from a fall from elevation. Hip dislocations can also occur following a hip replacement or from a developmental abnormality known as hip dysplasia.
In medicine, physiotherapy, chiropractic, and osteopathy the hip examination, or hip exam, is undertaken when a patient has a complaint of hip pain and/or signs and/or symptoms suggestive of hip joint pathology. It is a physical examination maneuver.
An elastic bandage is a "stretchable bandage used to create localized pressure". Elastic bandages are commonly used to treat muscle sprains and strains by reducing the flow of blood to a particular area by the application of even stable pressure which can restrict swelling at the place of injury. Elastic bandages are also used to treat bone fractures. Padding is applied to the fractured limb, then a splint is applied. The elastic bandage is then applied to hold the splint in place and to protect it. This is a common technique for fractures which may swell, which would cause a cast to function improperly. These types of splints are usually removed after swelling has decreased and then a fiberglass or plaster cast can be applied.
Hip dysplasia is an abnormality of the hip joint where the socket portion does not fully cover the ball portion, resulting in an increased risk for joint dislocation. Hip dysplasia may occur at birth or develop in early life. Regardless, it does not typically produce symptoms in babies less than a year old. Occasionally one leg may be shorter than the other. The left hip is more often affected than the right. Complications without treatment can include arthritis, limping, and low back pain. Females are affected more often than males. Risk factors for hip dysplasia include female sex, family history, certain swaddling practices, and breech presentation whether an infant is delivered vaginally or by cesarean section. If one identical twin is affected, there is a 40% risk the other will also be affected. Screening all babies for the condition by physical examination is recommended. Ultrasonography may also be useful.
Orthotics is a medical specialty that focuses on the design and application of orthoses, sometimes known as braces or calipers. An orthosis is "an externally applied device used to influence the structural and functional characteristics of the neuromuscular and skeletal systems." Orthotists are professionals who specialize in designing these braces.
A controlled ankle motion walking boot, also referred to as a controlled ankle movement walking boot, below knee walking boot, CAM boot, CAM walker, or moon boot, is an orthopedic device prescribed for the treatment and stabilization of severe sprains, fractures, and tendon or ligament tears in the ankle or foot. In situations where ankle motion but not weight is to be limited, it may be used in place of a cast.
Orthopedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal injuries, sports injuries, degenerative diseases, infections, bone tumours, and congenital limb deformities. Trauma surgery and traumatology is a sub-specialty dealing with the operative management of fractures, major trauma and the multiply-injured patient.