Indications Certain carpal bone fractures and / or dislocations (eg, lunate / perilunate dislocation, pisiform fracture) Second to fifth metacarpal fractures Contraindications Proximal or mid-forearm fractures (these require immobilization to include the elbow) Injuries that may continue to swell after application of the cast Fractures that require operative care and should be temporarily immobilized with a splint Complications Thermal injury (caused by the exothermic reaction of plaster or fiberglass hardening) Pressure sores Compromised circulation and / or nerve function Compartment syndrome Equipment Stockinette Roll padding Plaster or fiberglass casting material *, 7.5 - to 10-cm (3 - to 4-inch) width Strong scissors and / or shears Lukewarm water and a bucket or other container Nonsterile gloves * Both materials are equally effective.