View source for Greenstick fracture

==Background==
*Cortical disruption and periosteal tearing on convex side of bone only
*More stable / less painful than complete fracture

==Clinical Features==
*Pediatric fracture type

[[File:Greenstick fractures.jpg|thumb|Radius and ulna greenstick fractures]]

==Differential Diagnosis==
*[[Torus fracture]]

==Evaluation==
*Ultrasound scanning seems to be as sensitive as plain x-rays and may be better at demonstrating the degree of cortical deformity

==Management==
*Need for reduction determined by angulation, location, and age of child
*As a general rule, manipulation may be considered for deformity obvious to the naked eye or if more than the following acceptable angles<ref>Cadman, E. Wrist torus and greenstick fractures, Don't Forget the Bubbles, 2019. Available at: http://doi.org/10.31440/DFTB.21125</ref>:
**>10 years old then < 10 degrees is acceptable.
**<10 years old then < 15 degrees is acceptable.
Traditionally these fractures have been treated by immobilisation in plaster for a period of around 3 to 6 weeks
*Fractures not requiring manipulation have a universally good outcome regardless of treatment
*Higher levels of patient satisfaction with a Futura type splint

==Disposition==
*Patients not requiring manipulation can be discharged with a backslab and advice to remove in 3 weeks or a Futura type splint and advice to remove when comfortable. There is no evidence that routine follow up is necessary.

==See Also==

==References==
<references/>
[[Category:Pediatrics]]
[[Category:Orthopedics]]