Greenstick fractures


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Definition

By Mayo Clinic staff

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Illustration showing a greenstick fracture 
Greenstick fracture

A greenstick fracture occurs when a bone bends and cracks, instead of breaking completely into separate pieces. This type of broken bone most commonly occurs in children because their bones are softer and more flexible than are the bones of adults.

In some cases, a greenstick fracture can be difficult to diagnose because there may not be much pain or swelling and the child is using the limb and has full motion. Mild greenstick fractures sometimes are thought to be sprains.

Even mild greenstick fractures are usually immobilized in a cast. In addition to holding the cracked pieces of the bone together so they can heal, a cast can help prevent the bone from breaking all the way through if the child falls on it again.

References
  1. Green NE, et al. Skeletal trauma in children. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-4900-5..X1000-X--TOP&isbn=978-1-4160-4900-5&uniqId=406908857-2. Accessed April 2, 2013.
  2. Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed April 2, 2013.
  3. Larson NA (expert opinion). Mayo Clinic, Rochester, Minn. April 11, 2013.
  4. Fractures. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/injuries_poisoning/fractures_dislocations_and_sprains/fractures.html?qt=greenstick&alt=sh. Accessed April 2, 2013.
  5. Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=14. Accessed April 2, 2013.
  6. Tintinalli JE, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, N.Y.: The McGraw Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=40. Accessed April 2, 2013.
  7. Wang J, et al. Diagnosis and assessment of distal forearm fractures in children. http://www.uptodate.com/home. Accessed April 2, 2013.
  8. Forearm fractures in children. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00039. Accessed April 2, 2013.
  9. Schweich P. Closed reduction and casting of distal forearm fractures in children. http://www.uptodate.com/home. Accessed April 2, 2013.
DS00817 June 18, 2013

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