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A child in a cast: protection and warning signs

An illustrated guide to cast precautions and signs needing review. Follow the instructions given for weight-bearing, hygiene and removal.

A child with a forearm cast resting on a dry towel, supported by a parent.
A child with a forearm cast resting on a dry towel, supported by a parent.

Protect the cast

Keep it dry as instructed. Do not insert objects, cut it or modify it yourself.

A child at a desk with the casted leg supported on a stool, without putting weight through the foot.
A child at a desk with the casted leg supported on a stool, without putting weight through the foot.

Loading and activity are individual

Follow instructions for weight-bearing, school and movement. Less pain does not authorise removing the immobilisation.

A doctor checking the exposed fingers of a child whose casted forearm is supported on a cushion.
A doctor checking the exposed fingers of a child whose casted forearm is supported on a cushion.

Signs that should not wait

Cold, pale or blue fingers or toes, numbness, loss of movement or severe pain need urgent assessment.

General information; this guide does not replace an individual medical assessment.

Dr Daniele Priano — Paediatric orthopaedics

Sources