Indications:

• Diaphys. Humerus fractures.
• Positioning splint.
• Physio purposes.

The patient should be in a position which is comfortable to him/her and the person applying the bandage. This may vary depending on the extent of the injury, the diagnosis, the treatment method and the patient's condition.

Materials required: 1 x 10 cm Delta Cast Conformable polyester support bandage and hydrogel-coated casting gloves, toweling tubular bandage, velcro tape (e.g. Orthoplast T&C), 2 cm wide strip of X-ray film, bandage scissors, felt-tip pen.

Photo 1:
The toweling tubular bandage is pulled over the elbow joint, upper arm and shoulder to provide padding. To help with the cutting a narrow strip of unusable X-ray film is inserted beforehand.

Photo 2:
The cast is applied using circular movements. It should be wrapped around with 1 to 2 layers in the elbow area, 2 to 4 layers in the upper arm area and 1 to 2 layers in the shoulder area. In order to achieve the best fit and bonding of the layers, the cast should be applied relatively tightly (extending it by about 50% to 70%).

Photo 3:
The cast is molded to the upper arm. The rubber fibers woven into the material give the cast excellent elasticity and it can therefore easily be pulled lengthwise at the proximal end to cap the shoulder.

Photo 4:
After the molding phase which should take approximately four to six minutes, the cutting lines are marked with a felt-tip pen.

Photo 5:
The cast is opened along the inserted strip of X-ray film. A notch is cut into the cast in order to prevent movement of the cut edges after re-application. The cast is then trimmed for individual fit using the bandage scissors.

Photo 6:
After checking for a perfect fit, the finished upper arm brace is applied to the patient. The positioning of a brace cast has to be checked daily for accuracy and the use of velcro tape makes it easier to adjust and fix the cast in place. The small number of layers means that the cast remains semi-flexible and can be adjusted individually (looser or tighter) depending on the state of the swelling.

Humerus brace without sholdercap or distal condyle brace of the elbow. Here the shouldercap or distal condyle brace of the elbow get cut away with bandage scissors.