A waterproof cast liner earns high marks.

Nondisplaced and stable fractures or severe sprains may be casted using fiberglass and a waterproof liner. Application of the liner is illustrated and described here. Allergic reactions, liner bulkiness, cast application and removal, and cost of materials have not proven to be problems. Among 337 patients fitted with this liner, odor, itching, and difficulties with drying were minimal, even though patients swam, bathed, or received hydrotherapy. Minor skin complications occurred in 5.9% of patients. Physician and patient satisfaction with the liner was high.