The Cast Syndrome

Thomas F. Warner; Roy G. Shorter; Donald C. McIlrath; Emmett L. Dupree

doi:10.2106/00004623-197456060-00021

September 1, 1974Journal of Bone and Joint Surgery

The Cast Syndrome

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Key Points

To review the clinical characteristics, anatomical mechanisms, and management strategies associated with the development of cast syndrome.
Evaluation of clinical reports and historical case presentations involving patients developing acute upper gastrointestinal obstruction following application of body casts or spinal traction.
Arteriomesenteric duodenal compression occurs due to hyperextension or altered spine curvature, causing acute mechanical obstruction of the third portion of the duodenum.
Primary clinical sequelae include acute gastric dilatation, persistent vomiting, severe electrolyte disturbances, and potential gastric necrosis if decompression is delayed.
Conservative therapy consisting of immediate cast removal or alteration, nasogastric suction, fluid resuscitation, and prone positioning successfully resolves obstruction in the majority of cases.

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Implication

Clinical review describes superior mesenteric artery syndrome following orthopedic casting, highlighting diagnostic vigilance to prevent acute duodenal obstruction.

Abstract

WARNER, THOMAS F. C. S.; SHORTER, ROY G.; McILRATH, DONALD C.; DUPREE, EMMETT L. JR. Author Information

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Cite This Study

Warner et al. (1974) studied this question.

synapsesocial.com/papers/6a895e5d5c716ca1a5d4403c https://doi.org/10.2106/00004623-197456060-00021

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The Cast Syndrome

Key Points

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Implication

Abstract

Discussion

Cite This Study

The Cast Syndrome

Key Points

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Implication

Abstract

Discussion

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