1 Introduction topenlarge
Note: Be aware of nonaccidental injury in infants.
Careful scrutiny of the x-rays is important to identify the presence, or absence, of a metaphyseal component, as this may be the only radiologically visible sign of a corner/bucket handle fracture.
2 Short arm cast topenlarge
The purpose of the cast is to provide symptomatic relief during the period of fracture healing.
A short arm cast is sufficient for these fractures and is applied according to standard procedure:
Note: In young, small, or noncompliant patients, it is safer to apply a long arm cast.
Splitting the cast
If a complete cast is applied in the acute phase after injury, it is safer to split the cast down to skin over its full length.