What You Need to Know About Getting a Cast Removed

What You Need to Know About Getting a Cast Removed

The experts in our Fracture Clinic specialize in caring for broken bones. Depending on the child and the nature of the injury, a cast may be needed to treat the break. Learn more about our Fracture Clinic, located at our Frisco campus, and what it is like to have a cast removed. Watch the video. When you arrive:
  • Check in at the Fracture Clinic desk and complete a health history questionnaire.
  • A Child Life specialist can be available to talk with you, to make sure the experience is smooth and enjoyable, plus they can prepare you for what to expect.
  • The cast technician will let you look at the tools beforehand and will explain what is going to happen.
During the removal:
  • You can wear head phones, if you are sensitive to loud sounds.
  • Some people even think it tickles.
After the cast comes off:
  • Try not to scratch the skin.
  • Blot warm water on the area if the skin itches.
  • You can use lotion on the skin, but not right away. Speak with your provider before using lotion.
  • A follow up X-ray may be needed.
  • Your provider will then examine you, to confirm the bones are properly healing.
Learn more about our Fracture Clinic and walk-in hours or call 469-515-7200 to schedule an appointment.
Michael – BMW Dallas Marathon Patient Champion

Michael – BMW Dallas Marathon Patient Champion

Since 2007, the Patient Champion program has enlisted Scottish Rite Hospital patients to help encourage
and cheer on runners in the BMW Dallas Marathon. This program is a way to highlight some of the
wonderful kids the marathon generously supports each year. We’re excited to introduce you to Michael!

Michael, age 16, of Mesquite, has been treated at both our fracture clinic and our Center for Excellence in Hand, where Christopher Stutz, M.D., and the rest of the expert team treated his fractured finger. As both an outside linebacker and a running back for the Mesquite Skeeters Football Team, making a full recovery was of the utmost importance to this dedicated athlete.

“Everyone is caring, understanding, and wants to help you,” says Michael in regards to the staff at Scottish Rite Hospital. “They do everything they can to get you back to doing the things that you love.”

Michael loves football, and being able to play again was of the utmost importance to him. His determination on the football field will translate well into his aspirations of becoming a stockbroker.

Although Michael won’t be competing in the race this year, he’ll likely be “carb-loading” with his favorite meal, spaghetti. He’ll need the energy to cheer on the Dallas Marathon runners on Sunday, Dec. 10.

We invite you to join our team of fundraisers on behalf of Patient Champions like Michael and all the patients of Scottish Rite Hospital through our marathon fundraising page.

For more event information, visit: bmwdallasmarathon.com.

Patient Education: Hand Cast Care Guidelines for Small Children

Patient Education: Hand Cast Care Guidelines for Small Children

How to keep the cast dry:

  • The cast must stay dry. No water! No exceptions! This includes:
    • Indoor and outdoor faucets
    • Dog and cat bowls
    • Water toys
    • Lakes and pools
  • Do not bathe or clean the child in the sink or tub. Casts get wet with less than one inch of water in the sink or tub.
  • Put towels on the bed and give your child a sponge bath with a tightly wrung-out washcloth.

How to keep the cast clean:

  • Parents play a vital role in the healing process by providing good cast care.
  • After the sponge bath, put a long white tube sock over the cast to help keep it clean and dry.
  • Use sippy cups to prevent juice or milk from spilling on the cast.
  • Do not give sweet or sticky liquids to your child to drink (soda, sugary drinks).
  • Keeping the cast clean can help prevent wound infection. Your child may need to be hospitalized and have additional surgery if there is an infection.

How to keep the cast cool:

  • Remember: moisture + heat = germs.
  • Avoid activities that might cause sweating.
  • Stay inside when it is hot outside to prevent overheating and sweating.

Our Fracture Clinic Is Here to Help

Our Fracture Clinic Is Here to Help

A young gymnast’s experience with our Fracture Clinic

When Riley broke her arm during a front handspring at the gym, she and her mom were both afraid that she would need surgery. Thankfully, a friend at her gym told them exactly where to go for expert fracture care. On their first visit to Scottish Rite Hospital, they met with Gerad Montgomery, a certified pediatric nurse practitioner who specializes in nonoperative fracture care. He explained to them that surgery was not the only option for Riley’s injury. After discussing the pros and cons of each treatment option and getting answers to all of their questions, Riley and her mother decided to continue care without surgery. Fractures like Riley’s can be challenging to manage and often require a series of several specialized casts to keep the bones aligned correctly and allow them to heal.

Riley tells us she has gotten lots of questions about her cast, which was specially molded to help align her bone. “I tell people my bones are sticking out,” Riley said with a smile as she talked about the bulges from spacers in the cast. Then, she laughed saying she assures them that her bones are fine.

“When I called to ask about some feelings Riley was describing, Gerad asked to speak directly with her about what she was feeling,” her mom explained. She and Riley thought this was a great example of the outstanding service they received from the moment they met the Fracture Clinic team.

Riley is now back in the gym and able to participate in some activities. She is still wearing a cast, since the healing process takes time. “She’s happy this doesn’t keep her out of her training,” her mom and former coach tells us. “In pediatrics and sports medicine, we look for ways to keep kids engaged in their activities; we know this is good for them physically and psychologically,” Gerad says.

Bumps and bruises are sometimes a normal part of kids being kids. However, if your child breaks a bone, you can call our Fracture Clinic directly at 469-515-7200.

To learn more about our Fracture Clinic on our North Campus, visit our Fractures page.

Little Fingers, Big Problems: Tips From Our Fracture Clinic

Little Fingers, Big Problems: Tips From Our Fracture Clinic

Did you know that some of the more common injuries we see in young children occur inside the home from normal everyday objects like doors, cabinets and drawers? Young children don’t recognize the dangers associated with these and love to play with them. Since children have naturally slow reactions, fingers or toes often get caught when they slam closed.

We call these crush injuries, and they can range from minor to severe. Gerad Montgomery, Lead Clinical Provider for our Fracture Clinic, says, “Many people don’t realize that crush injuries of the fingers and toes can result in cuts in the skin, nail bed injuries, broken bones and, in severe cases, partial amputation.”

Prompt evaluation by a pediatric specialist is important if any of the following signs are present:

  • Swelling or deformity
  • Skin that is split open around the nail
  • Bleeding from around or under the nail
  • Persistent pain or inability to move
  • Concern for a serious injury or the feeling that your young child just needs to be seen

Accidents happen and we can’t protect our young and curious children from everything, but we have some suggestions to help avoid injuries:

  • Teach young children early that doors and cabinets are not toys.
  • Child-proof cabinet doors and drawers with latches.
  • Be aware of doors and drawers in your child’s environment.

Bumps and bruises are a normal part of kids being kids! However, if your child has a crush injury or breaks a bone, you may call our Fracture Clinic directly at 469-515-7200. Learn more about our Fracture Clinic.