877-359-0009
 

Below you will find three examples of casting using different techniques,
and scroll all the way down to view examples of Supinatus Correction.


Click to view the STS Casting Video   /   Click to view the Plaster Casting Video
 
  Neutral Suspension – Plaster Technique
Patient Positioning: Supine, knee flexed 20°-30°  Plaster Requirements: 3 splints, 5”x30”
(folded to double thickness 5”x15”)		 NOTE: Use felt pen, this is critically important to allow accurate placement of anatomic ankle hinge axis as well as proper length of foot orthotic component.  
STEP 1
Foot held 90 degrees dorsiflexed. Outline lateral malleolus. Make large dot at distal (tip) of malleolus.		 Outline medial malleolus. Make large dot at distal-bisection (tip) of malleolus.
 

STEP 2
APPLY PLASTER

Splint#1 Folded around back of ankle & heel, around malleoli – leave front of ankle uncovered.

 Splint #2  Place around heel & rear foot.  
  Splint #3  Place over tips of toes and cover plantar forefoot. STEP 3
POSITION FOOT

Grip 4th & 5th toes. Lift foot – load midtarsal joint. Position Subtalar joint in neutral. Push down gently on top of 1st Metatarsal.		  
  STEP 4
REMOVE CAST

Expand anterior ankle and dorsal foot portions of cast. Pull off cast in distal-plantar direction.		 Check cast to assure transfer of skin markings.  
 

For more detailed photos of the STS sock, Click HERE

The Richie California AFO Casting using the STS Mid Leg Casting Sock


 

SUPINATUS CORRECTION
Forefoot “Supinatus” must be removed when casting for The Richie Brace®.
Push down gently on top of 1st Met head:


Corrected cast is shown on the right, uncorrected cast on the left. Cast on the right actually produces a better arch contour, comfort and fit of the Richie Brace® orthotic foot plate.



Soft tissue contracture, resulting from everted heel/inverted forefoot is easily reduced by pushing down on the First
Metatarsal while lifting the 4th and 5th toes, locking and pronating the midtarsal joint.

 

Note that “False Forefoot Varus”
Has been eliminated in the corrected cast on the right.

 

 

ORDERING INFORMATION: For a doctor in your area who can fit you with a Richie Brace®, or, if you are a provider and would like information on casting, submitting casts, order forms etc, Check out our Lab Partners page for contact information.