Body cast (hip spica): Caring for your child's castBBody cast (hip spica): Caring for your child's castBody cast (hip spica): Caring for your child's castEnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Spine;Upper leg;HipSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2011-06-27T04:00:00ZJudith Fanaken, RN1493.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Body casts cover the trunk of the body and hip spicas extend from the chest to below the knees. Learn how to care for your child's body cast or hip spica.</p><figure> <span class="asset-image-title">Body cast</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_body_cast_child_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A body cast is mostly used for children with spinal injuries. The cast can also extend over the shoulders.</figcaption> </figure> <p>A hip spica is a special type of cast that helps keep hip joints and/or the thigh in place.</p><p>Your child may need a hip spica or body cast in the following situations:</p><ul><li>to keep the ends of a broken bone (fracture) together so they can heal correctly</li><li>to prevent a body part from moving after a surgery</li><li>to correct a deformity like club foot or a hip displacement</li></ul><h2>Key points</h2> <ul> <li>A hip spica is a special type of cast that helps keep hip joints and/or the thigh in place.</li> <li>A doctor or orthopaedic technologist will apply a cast made of either fibreglass or plaster of Paris material. </li> <li>If your child has a hip spica, be careful not to get the cast wet. </li> <li>Turn your child every four to six hours during the night. You may turn them from side to side or from stomach to back.</li> <li>Check the colour, feeling and movement of your child's limbs regularly and if you find any consistent changes, or if you have any other concerns, contact your doctor. </li> <li>Your child's cast will be taken off when the bones have healed. Your child's doctor will decide when the cast needs to be removed. </li> </ul><h2>The length of the hip spica will vary depending on the injury</h2> <p>It usually extends anywhere from the mid-chest down to below the knees. If the problem is in both the hips and the thighs, then the cast will extend below one knee, most of the time. </p> <p>There is a hole in the cast that covers the groin area, so your child is able to urinate.</p> <p>A body cast may cover the trunk of the body, and one or more limbs. They are mostly used for small children who have spinal injuries.</p> <figure> <span class="asset-image-title">Hip spica on an older child</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_hip_spica_child_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The length of the hip spica cast will depend on the injury. If the problem is in both the hips and the thighs, the cast usually extends below one knee.</figcaption> </figure> <h2>Applying the cast</h2> <p>A doctor or orthopaedic technologist will apply a cast made of either fibreglass or plaster of Paris material. The cast has soft padding and will feel warm to your child when it is first applied. </p> <p>A fiberglass cast can take up to 40 minutes to dry.</p> <p>A plaster of Paris cast can take up to 48 hours to dry.</p> <p>Some casts are a combination of both fiberglass and plaster. These can also take up to 48 hours to dry as well.</p> <p>Do not cover the cast. This will help make sure that it dries properly.</p><h2>Who to call if you have any concerns</h2> <p>For any emergency, please go to the nearest Hospital Emergency.</p> <p>You can also call or visit your family doctor.</p> <p>You may also call the orthopaedic unit at 416-813-6948 to speak with a nurse.</p> <p>For your follow up appointments or to make an appointment please call 416-813-5840 Monday to Friday from 8 a.m. to 4 p.m.</p> <p>To speak with an orthopaedic technologist call (416) 813-5785</p>
Corset de plâtre (spica de la hanche) : Soins à apporter au corset de votre enfantCCorset de plâtre (spica de la hanche) : Soins à apporter au corset de votre enfantBody cast (hip spica): Caring for your child's castFrenchOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Spine;Upper leg;HipSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2011-06-27T04:00:00ZJudith Fanaken, RN6.0000000000000080.00000000000001493.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Le corset de plâtre couvre le tronc et le spica de la hanche s’étend de la poitrine jusqu’au-dessous des genoux. Apprenez comment prendre soin du corset de plâtre ou du spica de la hanche de votre enfant.</p><figure> <span class="asset-image-title">Plâtre corporel</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_body_cast_child_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Le plâtre corporel sert principalement pour les enfants qui ont une lésion médullaire. Le plâtre peut aussi couvrir les épaules.</figcaption> </figure> <p>Un spica de la hanche est un type spécial de plâtre qui maintient en place l’articulation de la hanche ou la cuisse.</p><p>Votre enfant pourrait avoir besoin d’un spica de la hanche, ou d’un corset en plâtre, dans les situations suivantes :</p><ul><li>pour maintenir ensemble les extrémités d’un os cassé (fracture) pour assurer une guérison convenable</li><li>pour empêcher le déplacement d’un membre à la suite d’une chirurgie</li><li>pour rectifier une déformation, tels que le pied bot ou une malformation de la hanche</li></ul><h2>À retenir</h2> <ul> <li>Un spica plâtré est un type spécial d’appareil plâtré qui aide à maintenir en place l’articulation de la hanche ou la cuisse. </li> <li>Un médecin ou un technologue en orthopédie appliquera le plâtre, qui sera fait soit de fibre de verre soit de plâtre de Paris. </li> <li>Si votre enfant porte un spica plâtré, prenez garde de mouiller le plâtre. </li> <li>Pendant la nuit, faites tourner votre enfant toutes les 4 à 6 heures. Vous pouvez le faire tourner d’un côté à l’autre ou de l’estomac au dos. </li> <li>Vérifiez régulièrement la couleur, la sensation et le mouvement. En cas de changements continus ou si vous avez d’autres préoccupations, communiquez avec votre médecin. </li> <li>Le plâtre de votre enfant sera enlevé une fois que les os ont guéri. C’est le médecin de votre enfant qui décidera de retirer le plâtre. </li> </ul><h2>La longueur du spica de la hanche varie en fonction de la lésion</h2> <p>Normalement, il s’étend à peu près du milieu de la poitrine jusqu’au-dessous des genoux. Si le problème se trouve dans les hanches ainsi que dans les cuisses, le plâtre s’étendra alors au-dessous d’un genou, dans la plupart des cas. </p> <p>Un orifice est prévu dans le plâtre au niveau de l’aine, pour permettre d’uriner.</p> <p>Un corset peut couvrir le tronc et un ou plusieurs membres. Il sert principalement dans le cas de petits enfants ayant des lésions de la colonne vertébrale.</p> <figure> <span class="asset-image-title">Spica pour les hanches d'un enfant</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_hip_spica_child_EQUIP_ILL_FR.jpg" alt="" /> <figcaption class="asset-image-caption">La longueur du spica pour les hanches dépendra de la blessure. Si le problème s'étend aux deux hanches et aux cuisses, le plâtre descend normalement jusque sous le genou.</figcaption> </figure> <h2>Application du plâtrecast</h2> <p>Un médecin ou un technologue en orthopédie appliquera le plâtre, qui sera soit en fibre de verre soit en plâtre de Paris. Le plâtre a une matelassure molle, qui donnera une sensation de chaleur à votre enfant au moment de l’application. </p> <p>Un plâtre en fibre de verre peut prendre jusqu’à 40 minutes pour sécher.</p> <p>Un plâtre en plâtre de Paris peut prendre jusqu’à 48 heures pour sécher.</p> <p>Certains plâtres sont une combinaison de fibre de verre et de plâtre. Ces plâtres peuvent prendre également jusqu’à 48 heures pour sécher.</p> <p>Ne couvrez pas le plâtre afin de s’assurer qu’il sèche convenablement.</p><h2>À l’hôpital SickKids</h2> <p>Pour toute urgence, rendez-vous à l’urgence du centre hospitalier le plus proche avec votre enfant.</p> <p>Vous pouvez aussi appeler ou visiter votre médecin de famille.</p> <p>Vous pouvez également appeler l’unité d’orthopédie au 416-813-6948 pour parler à une infirmière.</p> <p>Pour vos rendez-vous de suivi ou pour prendre rendez-vous, veuillez appeler au 416-813-5840 du lundi au vendredi, de 8 h à 16 h.</p> <p>Pour communiquer avec un technologue en orthopédie, veuillez composer le 416-813-5785.</p>

 

 

Body cast (hip spica): Caring for your child's cast1188.00000000000Body cast (hip spica): Caring for your child's castBody cast (hip spica): Caring for your child's castBEnglishOrthopaedics/MusculoskeletalChild (0-12 years);Teen (13-18 years)Spine;Upper leg;HipSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2011-06-27T04:00:00ZJudith Fanaken, RN1493.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Body casts cover the trunk of the body and hip spicas extend from the chest to below the knees. Learn how to care for your child's body cast or hip spica.</p><figure> <span class="asset-image-title">Body cast</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_body_cast_child_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A body cast is mostly used for children with spinal injuries. The cast can also extend over the shoulders.</figcaption> </figure> <p>A hip spica is a special type of cast that helps keep hip joints and/or the thigh in place.</p><p>Your child may need a hip spica or body cast in the following situations:</p><ul><li>to keep the ends of a broken bone (fracture) together so they can heal correctly</li><li>to prevent a body part from moving after a surgery</li><li>to correct a deformity like club foot or a hip displacement</li></ul><h2>Key points</h2> <ul> <li>A hip spica is a special type of cast that helps keep hip joints and/or the thigh in place.</li> <li>A doctor or orthopaedic technologist will apply a cast made of either fibreglass or plaster of Paris material. </li> <li>If your child has a hip spica, be careful not to get the cast wet. </li> <li>Turn your child every four to six hours during the night. You may turn them from side to side or from stomach to back.</li> <li>Check the colour, feeling and movement of your child's limbs regularly and if you find any consistent changes, or if you have any other concerns, contact your doctor. </li> <li>Your child's cast will be taken off when the bones have healed. Your child's doctor will decide when the cast needs to be removed. </li> </ul><h2>Protecting your child's skin</h2> <p>Turn your child every four to six hours during the night. You may turn them from side to side or from stomach to back. Ask your child to extend their arms above the head, which will make the turn easier.</p> <p>Make sure the toes or heels are not pressing against the bed or rubbing on the sheets as it may cause skin break down or blisters.</p> <p>You can turn your child more often if you notice any redness or skin break down. When you turn your child, you can massage the skin as well. </p> <p>Do not use any talcum or baby powder inside the cast.</p> <h2>Making sure the cast is not too tight</h2> <p>Check the colour of the affected limb. You can use the other limb to compare. Toes and feet should be pink and warm to touch.</p> <p>If your child can understand you, make sure that they are able to feel when touched. Ask your child to move their toes and feet four to five times a day. </p> <p>If your child is too small to understand, just tickle your child's feet and check for movement.</p> <p>Check the cast more than once a day for any bad smells and re-petal the cast if needed.</p> <p>If you find any consistent changes in the colour, feeling and movement of your child's limbs or if you have any other concerns, contact your doctor. </p> <h2>Diet</h2> <p>If your child is taking narcotic pain medication for too long, it may cause some constipation. Since your child is not moving around as much as before, this can also cause constipation. </p> <p>To prevent constipation, give your child a diet with fibre and plenty of fluids.</p> <h2>Getting around</h2> <p>A doctor will decide whether or not your child needs crutches. If crutches are needed, a physiotherapist or nurse will teach your child <a href="/article?contentid=1048&language=English">how to use the crutches</a>. There is a small charge for the crutches. </p> <p>If your child is small, a regular car seat will not be appropriate and they will need a special kind of car seat. The nurse caring for your child will be able to help you and provide you with all the necessary information you need. </p> <p>Speak to the nurse if you think you will need advice on issues like getting to and from school or home.</p> <p>Your child is allowed any activity as tolerated.</p> <h2>Caring for your child after the cast comes off</h2> <p>After the cast comes off, the skin that was under the cast will be dry and flaky and will need the following treatments:</p> <ul> <li>Wash the skin several times with warm and soapy water.</li> <li>Apply lotion to soften the skin.</li> <li>Do not scratch or rub the skin too hard as it will be very tender.</li> <li>After three to four treatments, the skin should begin to look normal again.</li> </ul> <p>In an older child, you might see more hair than usual. This will fall out after several weeks.</p> <p>After the cast is removed, you will be given more instructions on your child's activities.</p> <p>Your child may need some physiotherapy to learn exercises that will help with improving strength and movement.</p><h2>Seeing the doctor again</h2> <p>When you leave the hospital, you will be given a follow-up date and time if it is available. If not, in the next few days you will receive a call at home with the necessary information. </p> <h2>Taking off the cast</h2> <p>Your child's cast will be taken off when the bones have healed. Your child's doctor will decide when the cast needs to be removed. </p> <p>An electric cast saw will be used to remove the cast. The saw is large and noisy and your child might feel scared. Before the procedure, we will explain to you and your child what is going to happen. This will help your child feel more comfortable. </p> <p>We will also provide your child with an ear protector.</p><h2>The length of the hip spica will vary depending on the injury</h2> <p>It usually extends anywhere from the mid-chest down to below the knees. If the problem is in both the hips and the thighs, then the cast will extend below one knee, most of the time. </p> <p>There is a hole in the cast that covers the groin area, so your child is able to urinate.</p> <p>A body cast may cover the trunk of the body, and one or more limbs. They are mostly used for small children who have spinal injuries.</p> <figure> <span class="asset-image-title">Hip spica on an older child</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_hip_spica_child_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">The length of the hip spica cast will depend on the injury. If the problem is in both the hips and the thighs, the cast usually extends below one knee.</figcaption> </figure> <h2>Applying the cast</h2> <p>A doctor or orthopaedic technologist will apply a cast made of either fibreglass or plaster of Paris material. The cast has soft padding and will feel warm to your child when it is first applied. </p> <p>A fiberglass cast can take up to 40 minutes to dry.</p> <p>A plaster of Paris cast can take up to 48 hours to dry.</p> <p>Some casts are a combination of both fiberglass and plaster. These can also take up to 48 hours to dry as well.</p> <p>Do not cover the cast. This will help make sure that it dries properly.</p><h2>Caring for your child's cast</h2><p>Read the following to help care for your child's cast.</p><h3>Keeping the cast clean and dry</h3><p>To keep the padding dry, line the edges of the hole near the groin, with "petals" of water-proof tape. This means that each piece of tape should overlap the other just like the petals of a flower. Make sure that each piece of the tape covers at least two to three inches of the padding inside the cast. The nurse or the orthopaedic technician usually shows you how to do this before your child leaves the hospital.</p><p>Your child may have a sponge bath. Be careful not to get the cast wet.</p><p>If the cast does get wet, you may clean the soiled area of the cast with a damp cloth and leave the area open to air until it is dry. You can also use a hair dryer on a cool or cold setting to dry the cast.</p><h3>Changing your child's diaper or toileting</h3><p>If your child is very small, you should tuck a smaller size disposable diaper into the front and back of the cast and a larger size diaper should be worn over the cast.</p><p>Change the diaper as often as every four hours or as soon as the diaper is soiled so that the cast does not get soaked with urine or stool. This could make the cast have a bad smell and may also cause harm to your child's skin.</p><p>If your child is toilet trained, make sure the back of the cast is protected with a plastic wrap that is tucked in well. This is especially important for a girl when she is using a bedpan so that the urine does not spill into the back of the cast. Boys can use a urinal.</p><p>You can elevate your child's head and shoulder when they are on the bed pan. This will prevent the urine from going backward into the cast.</p><p>At night, you can check or change the diaper with position changes.</p> <figure> <span class="asset-image-title">Hip spica for a baby</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Casts_hip_spica_baby_EQUIP_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">A small size diaper can be tucked into the cast. A larger diaper can be worn over the cast.</figcaption> </figure> <h3>Protecting the cast from damage</h3><p>Make sure your child does not walk, kneel or stand on the cast unless the doctor says it is OK. Do not push or pull the leg that is in the cast. It might crack or break the cast or cause pain or injury to the affected leg.</p><p>Make sure your child does not put any small objects or toys inside the cast. Try to avoid food or crumbs from getting into the cast as well. Do not use any sharp objects, like knitting needles or combs, to scratch the skin if your child feels itchy. This may cause pressure, skin irritation, and damage. If your child feels itchy often, contact your doctor.</p><h2>Who to call if you have any concerns</h2> <p>For any emergency, please go to the nearest Hospital Emergency.</p> <p>You can also call or visit your family doctor.</p> <p>You may also call the orthopaedic unit at 416-813-6948 to speak with a nurse.</p> <p>For your follow up appointments or to make an appointment please call 416-813-5840 Monday to Friday from 8 a.m. to 4 p.m.</p> <p>To speak with an orthopaedic technologist call (416) 813-5785</p>https://assets.aboutkidshealth.ca/akhassets/Casts_hip_spica_baby_EQUIP_ILL_EN.jpgBody cast (hip spica): Caring for your child's cast

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