Does a fractured elbow require a cast?

Answered by Jason Smith

A fractured elbow typically requires a cast for proper healing. The type of cast used may vary depending on the severity of the fracture and whether or not surgery is required.

In most cases, a supracondylar elbow fracture will require a cast and sling. The cast helps to immobilize the elbow joint and provide support to the fractured bones while they heal. This is important for ensuring proper alignment and preventing further injury or complications.

If surgery is required to treat the fracture, a full cast will typically be used. This type of cast extends from the upper arm to the hand, completely immobilizing the elbow joint. The cast is usually made of plaster or fiberglass material and is applied by a healthcare professional. It may be necessary to use anesthesia during the casting process for younger children who may not be able to tolerate the procedure.

On the other hand, if surgery is not necessary, a backslab or partial cast with bandages may be used. This type of cast provides some support and immobilization to the elbow while allowing for easier monitoring of the injury. It is usually applied in the emergency department or by an orthopedic specialist.

Regardless of the type of cast used, it is important to follow the instructions of the healthcare professional regarding proper care and maintenance of the cast. This may include avoiding getting the cast wet, keeping the arm elevated, and regularly checking for any signs of discomfort, swelling, or skin irritation.

During the initial days after the injury, it is recommended to elevate the arm to help reduce swelling and promote healing. This can be done by propping the arm up on pillows or using a sling to keep the arm elevated above heart level. Elevation helps to improve blood flow and reduce edema, which can aid in the healing process.

It is essential to adhere to the recommended duration of wearing the cast to ensure proper healing of the fractured elbow. The duration of cast immobilization will vary depending on the severity of the fracture and the individual’s healing capacity. Your child’s healthcare provider will monitor the progress of the healing process and determine when it is safe to remove the cast.

A fractured elbow typically requires a cast for proper healing. The type of cast used may vary depending on the severity of the fracture and whether or not surgery is required. Following the healthcare professional’s instructions for cast care and maintenance, as well as keeping the arm elevated during the initial days after the injury, can help promote healing and prevent complications.