Complication of plaster casts

 COMPLICATION OF PLASTER CASTS

Complication

Sign and symptoms

1.      Impaired blood flow

Absences of pulse in the extremity below the plaster cast.

Pallor, blanching or cyanosis of the skin.

Pain

Coldness of the skin.

Swelling

Numbness

Motor paralysis

2.      Nerves damage

Persistent and increasing pain.

Numbness

Motor paralysis

3.      Tissue necrosis and infection

Unpleasant odour

Feeling of hot sensation

Drainage through the cast.

Sudden elevation of unexplained body temperature.

4.      Volkman’s ischemic contracture

All the sign and symptoms of impaired blood flow.

Absence of radial/pedal pulse.

Infraction and necrosis of the muscles.

Absences of the finger/ toe movements.

Absences of the pain which was intense in the beginning.

5.      Cast syndrome

Prolonged nausea and vomiting.

Abdominal distension.

Vague abdominal pain.

6.      Complication due to immobility

 

Hypostatic pneumonia.

Foot drop

Renal calculi

Stiffness of joints

 

7.      Surgical complication

Insomnia

Phlebo – thrombosis and pulmonary embolism.

Wound infection.

 


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