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Case Report
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| What lies beneath? A case of a rare complication of orthopedic casting | ||||||
| Christina A. Fleming1, Shane C. O'Neill2, Prasad Ellanti3, Paul Moroney4 | ||||||
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1Surgical SHO, Department of Orthopedic Surgery, Mater Misericordiae University Hospital, Dublin 7, Ireland.
2Surgical SHO, Department of Orthopedic Surgery, MMUH, Dublin 7, Ireland. 3Registrar, Department of Orthopedic Surgery, MMUH, Dublin 7, Ireland. 4Consultant, Department of Orthopedic Surgery, MMUH, Dublin 7, Ireland. | ||||||
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| How to cite this article |
| Fleming CA, O'Neill SC, Ellanti P, Moroney P. What lies beneath? A case of a rare complication of orthopedic casting. Int J Case Rep Images 2015;6(4):220–223. |
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Abstract
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Introduction:
Orthopedic casting is a fundamental technique in orthopedic practice. While orthopedic casting is effective it is not without complications.
Case Report: We discuss a case of a 65-year-old male who following a scaphoid fracture, developed a severe acute allergic contact dermatitis to fiberglass orthopedic cast. He had no previous history of atopy and had orthopedic casting previously, 20 years ago. He was treated symptomatically initially without cast removal but deteriorated. His condition was successfully managed conservatively with a combination of cast removal and use of a canvas splint, intravenous antibiotics, oral antihistamine and topical steroids. He achieved full fracture healing clinically and radiologically. Conclusion: A high index of suspicion should be kept when patients with an orthopedic cast present with any symptoms to the emergency department. Any symptoms beneath a cast should prompt cast removal and full examination. | |
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Keywords:
Cast dermatitis, Contact allergic dermatitis, Orthopedic casting, Scaphoid fracture
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Author Contributions
Christina A. Fleming – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Shane C. O'Neill – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Prasad Ellanti – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Paul Moroney – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Christina A. Fleming et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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