Buckle fracture management
Please use the following checklist and factsheet when managing simple buckle fractures with removable splints.
The definition of a buckle fracture is a metaphyseal fracture with a bulge or bending of only one cortex. Shaft fractures, including greenstick, are not immobilised appropriately with a splint and require a plaster. If in doubt check with a senior.
The definition of a buckle fracture is a metaphyseal fracture with a bulge or bending of only one cortex. Shaft fractures, including greenstick, are not immobilised appropriately with a splint and require a plaster. If in doubt check with a senior.
The following image shows a buckle fracture
| Buckle fracture parents handout |
| Buckle fracture checklist |
The next image shows a greenstick fracture - this requires a plaster cast
Note the breach of the cortex - this is unstable and will not be adequately immobilised in a removable splint. Please use a plaster cast instead