Bandaging, Casting (Sx Lab)

Question 1

Why is it important to extend bandaging distal to the coronary band in equines?

Answer 1

to avoid coronary band damage

If your bandage ends at the coronary band, the adhesive may disrupt the band, potentially resulting in abnormal hoof growth. That’s not ideal.

Question 2

T/F: When applying a bandage, it is important to roll each layer such that tendons are pulled laterally

Answer 2

False

• Roll each layer such that tendons are pulled medially. This minimizes risk of tendon injury secondary to bandage placement.*
• Bandage from the medial aspect of the limb, moving cranially around the lateral side*

Question 3

How do you stabilize an olecranon fracture in a horse?

Answer 3

• Stack bandage with a palmar splint
• Extend splint from heels to top of elbow

Question 4

Why is it important to incorporate the hoof into the cast in large animals?

Answer 4

To ensure maximum diversion of weight from the limb and ground forces away from the limb to the cast

Question 5

Identify this instrument:

Answer 5

cast spreader

Question 6

What type of splint is seen here?

Answer 6

Thomas-Schroeder Splint

The Thomas-Schroeder splint is useful for radial and tibial stabilization in food animals. It is also used for rupture of the gastrocnemius.

Question 7

What is the splint placement rule for fracture stabilization?

Answer 7

YOU MUST IMMOBILIZE A JOINT ABOVE AND A JOINT BELOW

This is true for casting as well

Question 8

What type of splint is shown here?

Answer 8

Kimsey Leg Saver Splint

Question 9

T/F: The Thomas-Schroeder splint is useful for radial and tibial stabilization in horses

Answer 9

False

The Thomas-Schroeder splint is not used in horses. It IS useful for radial and tibial stabilization (and gastrocnemius rupture) in food animals though.

Question 10

T/F: A ‘stack bandage’ extends from below the coronary band to proximal to carpus or tarsus

Answer 10

True

• Extends from BELOW coronary band to proximal to carpus or tarsus
• After placing secondary layer (cotton sheeting/RediRoll), “stack” another cotton above, covering the proximal aspect of the 1 st cotton
• Secure with brown gauze

Question 11

Which Salter-Harris fractures have a poorer prognosis?

Answer 11

Type III, IV, V

Question 12

T/F: Bandages must be changed immediately if soiled, wet, or slips

Answer 12

True

Question 13

How do you stabilize a radial fracture in a horse?

Answer 13

• Robert Jones Bandage
• Palmar splint from heels to elbow
• Lateral splint from hoof to withers

Question 14

The main purpose for a sweat bandage is to decrease ________

Answer 14

edema

Question 15

For which bandage layer would Vet Wrap or Elastikon be used?

Answer 15

tertiary layer

Question 16

What are some clinical signs of cast failure?

Answer 16

swelling, foul odor, moisture, cracks, increased temp at the cast

Question 17

When would you use a hypertonic dressing (Curasalt) as a primary bandage dressing?

Answer 17

exudative wounds

Question 18

What are the functions of the tertiary bandage layer?

Answer 18

• Secures previous layers
• Provides rigidity / support to bandage
• Helps protect bandage from contamination

Question 19

Casts should be changed at the FIRST sign of any lameness. How often should a cast be changed normally.in an adult horse?

Answer 19

every 6 weeks

If significant swelling at time of 1st cast placement, change in 3 – 5 days.​

Question 20

Casts should be changed at the FIRST sign of any lameness. How often should a cast be changed normally.in a foal?

Answer 20

every 7-14 days

If significant swelling at time of 1st cast placement, change in 3 – 5 days.

Question 21

What type of bandage is shown here?

Answer 21

stent bandage

Question 22

Which bandage layer(s) need to be secured with conforming roll gauze?

Answer 22

primary and secondary layers

Question 23

When placing a cast, you should overlap cast padding and casting tape ____%

Answer 23

50%

Question 24

What type of bandage is shown here?

Answer 24

Question 25

What is the most common complication associated with casting in large animals?

Answer 25

**cast sores** *It is also common to see articular degeneration, loss of bone density, decreased muscle strength*