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Dermatologic complications of orthopedic casts in pediatric patients
Manisha Ravi1, Esteban Fernandez Faith1,2, Amanda Whitaker3
1The Ohio State University College of Medicine, Columbus, Ohio, USA.
Insights
Pediatric cast immobilization can cause skin issues. This review covers common dermatologic complications from casts and offers management recommendations for patients and families.
Area of Science:
- Pediatric Dermatology
- Orthopedic Complications
Background:
- Cast immobilization is common in children for fractures, post-operative care, and congenital deformities.
- Pediatric dermatologists frequently encounter patients with casts.
Purpose of the Study:
- To review dermatologic complications associated with pediatric cast immobilization.
- To provide recommendations for managing cast-related skin issues.
Main Methods:
- Literature review of dermatologic complications of cast immobilization in pediatric patients.
- Synthesis of information on causes and presentation of skin conditions.
Main Results:
- Complications arise from cast application/removal, the inner cast environment, and physical effects.
- Common issues include irritation, infection, and pressure sores.
Conclusions:
- Awareness of potential dermatologic issues is crucial for pediatricians and dermatologists.
- Management strategies can mitigate or resolve cast-related skin problems.
Abstract:
Cast immobilization is performed in pediatric patients to support fracture healing, provide post-operative protection, or correct congenital deformities. Pediatric dermatologists will likely encounter the casted patients in their practice. These patients may present with cast-related complications that can arise due to the cast application or removal process, the inner cast environment, direct physical effects of the cast, or other external factors. This article provides a review of the dermatologic complications of cast immobilization, as well as useful recommendations for patients and their families.
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