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Braces, Splints, and Casts

 

bulletBraces, splints, and casts have long been utilized by physicians to support and/or immobilize injured areas of the body.  Casts are often used to treat fractures.  They can help maintain alignment and immobilize the joints next to the broken bone.  However, they are not removable and are typically hard all the way around the injured extremity.  As a result, the space available for swelling after injury is somewhat limited.  Because of this, quite often after an acute injury, a cast is not applied immediately afterwards, but is applied once the swelling from the injury has decreased and/or stabilizes.

 

bulletSplints are more easily removed.  They are used the same way as a cast to give support to the injured area and also to immobilize the joints next to the injured area.  Typically, a splint is not hard all the way around and does allow for swelling to occur.  After a fracture, this is often the first immobilization device applied to allow room for the expected post-injury swelling.

 

bulletBraces differ from splints in that they are usually used to give support while not fully immobilizing the joint.  That is, they allow joint motion, but may help to control that motion or limit that motion so as to allow for healing and/or participation in activities.  There are many different types of braces used in orthopedics in general and sports medicine, in particular.  Some braces can be bought over-the-counter.   Others are typically given either through a physician’s office or by prescription through a brace shop. These are usually of higher quality than those bought at a store. Furthermore, in office fitting improves chances of obtaining a comfortable and effective brace.

 

bulletThere are several companies that make orthopedic braces. Off-the-shelf braces typically come in several sizes and are fine for treating most conditions. Custom braces require exact measurements and are then made to specifications unique to the individual patient. They are particularly useful for patients with unusual or uncommon sizes.

 

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Last modified: 09/13/05