Cast Pressure Evaluation
The evaluation of cast and splint problems includes:
- Checking for normal blood flow to the hand or foot below the cast or splint
- Checking for normal nerve function to the hand or foot below the cast or splint
Physical findings in those with cast and splint problems include:
- Loss of sensation below the cast or splint
- Moderate or severe pain when the examiner moves the patient's fingers or toes
- Paleness or coolness of the skin of the fingers or toes
- Severe swelling of the fingers or toes
- Weakness of the fingers or toes
An additional sign of cast and splint problems includes delayed capillary refill
Instructions for testing capillary refill:
- Pinch the nail against the finger or toe until the nail bed turns white.
- Quickly release the nail.
- The capillary refill is delayed if the nail bed remains white for more than 2 seconds.
Continue to Cast Pressure Treatment
- Ha Van G, Siney H, Hartmann-Heurtier A, Jacqueminet S, Greau F, Grimaldi A. Nonremovable, windowed, fiberglass cast boot in the treatment of diabetic plantar ulcers: efficacy, safety, and compliance. Diabetes Care. 2003 Oct;26(10):2848-52. 
- Haley CA, DeJong ES, Ward JA, Kragh JF Jr.Waterproof versus cotton cast liners: a randomized, prospective comparison. Am J Orthop. 2006 Mar;35(3):137-40. 
- Kadiyala RK, Waters PM. Upper extremity pediatric compartment syndromes. Hand Clin. 1998 Aug;14(3):467-75.