It demonstrates patient positioning on the spica table and proper application of … A spica cast can be used for stabilisation of pelvic or femur fractures, or post reduction/reconstruction for developmental dysplasia of the hip (DDH). Both coronally and axially oriented sequences satisfactorily assessed femoral head position within the acetabulum. Also called single-hip spica c. long-leg c. (LLC): non–weight-bearing cast extending from the upper thigh to the toes; for fractures of the tibia and fibula or ligament injuries of the knee. The child being positioned for the spica cast following an open reduction of the hip. 4. This allows bones and tendons to heal correctly after an injury and/or surgery. Surprisingly, educational material focusing on the principles of hip spica cast application is sparse. Sometimes surgery is … It is made of Fiberglas® casting tape. Trim the edges of the cast, to allow flexion of the opposite hip and adequate access to the perineal area. It may start at the chest Spica Cast Maintenance Information on how you can modify the Spica Cast to help your child be more happy and comfortable. Consider adding waterproof adhesive tape to the perineal edge of the cast. It will be put on in the operating room. This video provides technical tips for proper application of hip spica cast. System in use. Fig. In some cases, the doctor needs to move the hip joint bones into the proper position and then hold them there for several months with a cast. This type of cast is used if a child has a broken bone in the thigh or has had hip surgery. A hip spica cast keeps your child's pelvis and one or both legs from moving. unilateral hip spica c.: cast incorporating the lower torso and entire position of only one leg; for femoral fractures. A hip spica cast usually takes 1-2 hours to apply, and is done under anesthesia in the operating room. Position of the cushions and the gluteal support during application of the spica cast. The technique of application of hip spica cast is an art. Lea esta información en español. Spica Cast Video Tips A series of helpful videos developed by STEPS in the UK covering common situations with children in hip spica casts. A hip spica cast may be applied after different types of hip or leg surgeries, tendon releases or a broken bone. It is not a walking cast; your child should not stand, bear weight or walk while in this cast. • There are several types of spica casts. Once the cast material is hardened transfer the child from the spica box and remove the abdominal towel and the back support from the cast. Position your child so their head and upper body is elevated at all times. Procedure A hip spica is routinely applied after closed or open reduction of the hip in children Fig. A hip spica body cast is used to keep your child's hips and legs from moving after an injury and / or operation. It serves a very specific purpose: to immobilize the hips and legs, and to maintain the corrected position for healing. The actual position of the body and legs in the cast will also vary slightly depending on the reason for the casting. Spica cast. Children having a closed/open reduction to correct hip dysplasia may have the cast on for 12 weeks, with a change of plaster occurring after 6 weeks. Flickr photos, groups, and tags related to the "Hip+Spica" Flickr tag. The cast holds your child's leg(s) in the right position for healing. 5. Conclusions: MRI is a useful tool in evaluating the hips without radiation exposure and without sedation in infants and toddlers after spica cast placement. HIP SPICA CAST CARE Pediatrics Original 8/10/07 Revised 12/11/07 What • A hip spica or body cast is used to keep the hips and legs from moving.