Presentation
Fall off bike onto outstretched hand. Painful distal forearm.
Patient Data
Age: 6 years
Gender: Female
From the case:
Distal radial greenstick fracture
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This is an incomplete fracture of the distal radius. The intact cortex is the dorsal cortex which is the concave aspect of the angulated bone. The fracture is on the convex aspect. This is therefore a greenstick fracture.
Case Discussion
The majority of distal radial fractures in children are buckle fractures, or occasionally, complete transverse fractures.
While many people may use the term greenstick as a catch-all for any incomplete fractures, greenstick fractures are actually not common in the distal radius.
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