What's Wrong with Slipper Casts?


Frame 1 - Foot is placed in its 'apparent' anatomical neutral position with the patient off weight bering (in this case supine).  Note that the foot is positioned in its compensated position (positionally plantarflexed 1st metatarsal - See arrow).  This commonly occurs in patients with the Primus Metatarsus Supinatus foot who are bracers.  (Frame 1 - lateral view)
Frame 2 - plaster strips being applied to the foot
Frame 3 - foot is repositioned as it was in Frame 1  The plantarflexed 1st metatarsal is captured in the cast (See arrow).  (Frame 3 - lateral view)
Frame 4 - the finished slipper cast.  If an orthosis is manufactured from this cast, the orthoses will maintain the foot in its compensated position.