Indications
Fractures in the area of the wrist. The cast extends from the knuckles to approx. 3cm under the elbow. Duration: 4-5 weeks.

Procedure
The stockinette with a hole for the thumb is slipped over fingers, hand, forearm and elbow. It should exceed the ends of the cast by 5cm at least. To set the bones a suspension with a weight of 2-3kg on the upper arm is used.

Then a cotton wool bandage is wrapped, which should exceed the ends by 5cm at least. Particularly the area of the wrist should be padded well. After that, paper bandages are applied to compress the padding.

A longuette with a hole for the thumb is put on the inner side of forearm and hand. If fibreglass is used the longuette is dispensable. Now one casting bandage follows. It is important that the line of knuckles is not squeezed. After the suspension is removed corrections of the cast could be made.

Finally the padding is fold down at the thumb and both ends of the cast. It is secured under the last layer of casting bandages.

If swellings could occur the cast should be split on one side and an elastic bandage be wrapped round.

  The photo series shows the procedure with fibreglass bandages.