Fractures- Kahoot! 

Yes the question is asking about after the cast is removed, shouldn’t it be to do the ROM exercises

After removal of a long leg cast, the PRIORITY is prevention of compartment syndrome, which can still occur after removal. While ROM may be a good thing to improve circulation, the guaranteed method of draining that site of any edema that occurred during casting is elevation Remember, exercise, including ROM exercises, after removing a cast, is done gently and slowly, over time until patient builds up strength in affected limb Hope that helps 🙂

@@carlystone5994 what causes compartment syndrome??

​@nozinhlenkomo2739 Think of it as fluid build up inbetween 2 or more muscles, which can cause increased pressure to that area. Pressure to that area chokes off oxygen supply, nutrients, and blood circulation to that area which causes cells to breakdown and die. When cells die, myoglobin, a type of protein, is released into blood, which can clog up kidneys When the kidneys are affected, this starts to break down the kidney functioning, which can lead to kidney failure, thus oliguria, thus other organ failure The cause of the increase in fluid build up between muscles can be injury, such as a fracture, which can puncture vessels, and thus contents of bone marrow, and blood , can spill into this " 3rd space"...like pleural effusion, or anasarca Also, pressure, such as pressure from a cast, can impede circulation, and cause changes to vessels ( like inflammation) that further impede circulation , and cause compression syndrome Raising legs while with cast and immediately after cast removal can improve circulation After cast removal it may take a little while for inflammation to go down and circulation to come back to normal. Thus, the need for continued elevation of leg after removal for a short while

​@@nozinhlenkomo27392nd msg, ....also, remember, the raising of legs is for possible PREVENTION of compartment syndrome. Once one has compartment syndrome, raising legs won't help much. At that point draining the compartment, or having a fasciotomy surgery are the solutions usually