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Updated: Jun 26, 2026
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Myth Busting-Casting Buckle or Greenstick Fractures
Tessa Davis1, Helena Winstanley1, Dani Hall2
1Department of Paediatric Emergency Medicine, Blizard Institute, Queen Mary University of London, London, UK; Department of Paediatric Emergency Medicine, Royal London Hospital, London, UK.
Abstract:
The authors examine 3 controversies in pediatric fracture management. The first is the use of point-of-care ultrasound versus radiography for buckle fractures. The second is the need for immobilization for stable distal radius fractures. The third is the role of using a cast or splint versus no immobilization in the management of toddler's fractures. Recent evidence supports potentially more minimalist approaches. The use of ultrasound, soft bandaging, and nonimmobilization can be as effective as traditional methods.
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