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.

Pediatric Dermatology
|December 10, 2021
PubMed

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.

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