Simon and Neil get plastered

A practical guide to the application of backslabs, splints, CAM boots and Darco shoes for your paediatric and adult patients.

The videos are designed to show you how to do each backslab when required, indications are listed but those that are not are usually discussed with orthopaedics (protocols may vary at different sites). Follow the links at the bottom for additional tips and videos.

Volar Backslab:

• Volar plate avulsion fractures
• Phalangeal fractures
• Metacarpal fractures

Thumb Spica:

• 1st Metacarpal fracture
• Scaphoid fracture (in some shops)

Below Elbow Backslab:

• Scaphoid fracture (in our shop)
• Buckle fracture involving the volar surface
• Distal radius fracture

Buckle Splint:

• Buckle Fracture only involving a breach in the dorsal cortex

Above Elbow Backslab and 3/4 backslab:

• Distal radius and ulnar fractures (more than the ulnar styloid)
• Distal radius fracture with significant angulation
• Supracondylar fractures (however Gartland I and II are usually placed in a collar and cuff)
• Medial condyle fracture
• Olecranon fracture (non-displaced and not involving the joint)
• Radial neck fractures
• Mid shaft radius and ulnar fractures

Darco Shoe:

• Undisplaced Toe Fractures

The CAM Boot:

• High grade ankle sprains
• Simple avulsions fracture of the distal fibula
• Undisplaced salter Harris I or II fractures of the distal fibula
• Base of 5th Avulsion fractures
• Undisplaced metatarsal fractures

Below Knee Backslab:

• Multiple metatarsal fractures
• Base of 5th fractures that are not avulsion fractures

Above Knee Backslab:

• Undisplaced Tibial shaft Fractures

Richard Splint:

• Patella Dislocation
• Patella Fracture

Additional Resources

• Spaso Breaks his silence – Spaso Miljesic reduction and immobilisation techniques
• Plaster, Fibreglass and Splints – Dan Smith plaster tips and tricks
• Simon and Neil get plastered – Backslabs, splints, CAM boots and Darco shoes
• A better way to get plastered – Plaster Template PDF Resources
• Getting a leg over – Lower limb plaster techniques
• Buddy strap no more – Management of dorsal and volar phalangeal fracture

Vimeo showcase

• Paediatric guide to fracture management
• Plaster, Fibreglass and Splints
• Spaso reductions and immobilisation

Further reading

• The therapeutic clunk
• FARES method (shoulder reduction)
• Spaso technique (shoulder reduction)
• Cunningham method (shoulder reduction)
• Abraham Colles and the Colles fracture (1814)
• Robert William Smith and the Smith fracture (1847)

[cite]