Childhood Diseases

Posted by: Tal | 2012/09/13


Greenstick fracture on arm

Good day Dr. I would just like to query, my 24 month old has a greenstick fracture on his arm. They put a cast of plaster of parris onto his arm on the 27th August. I was initially told it needs to be on for 10 days. On the 10th day i was told 4 weeks. Before i take him on the 23rd to have it removed, i would like your opinion on how long it should actually remain on for. He is a VERY active toddler and is still using his arm alot even with the cast on. I just dont want to do something that will cause him to hurt it again or perhaps cause problems for him in the future. Another aspect is i have osteogenesis imperfector (diagnosed at the age of 8) and osteoporosis runs in the family. How is one tested for this again and should i have my son tested? Thank you for taking the time to respond to my questions. Have a wonderful day / evening!

Expert's Reply



You have asked a very good question. The question here really is how 'easily' did your son get this greenstick fracture? Was it due to a very slight fall or was there a significant fall or injury that led to his fracture. The usual time that the cast is left on a child's arm with this kind of fracture is 4 weeeks. If you think that a trivial injury caused your son's fracture it is worthwhile taking him to see your paediatrician for testing for osteogenesis imperfecta.A good start here would be to look carefully at the Xrays taken of your son's arm.

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