A greenstick fracture is a partial break where the bone bends and cracks on one side, similar to a green tree branch — common in growing bones because they are more flexible than adult bone.
This page explains how a greenstick or metaphyseal fracture of the distal radius is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your child's personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
A greenstick fracture is a partial break where the bone bends and cracks on one side, similar to a green tree branch — common in growing bones because they are more flexible than adult bone.
Children remodel well, but early alignment checks matter because an incomplete fracture can still displace.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
A short-arm cast (SAC), typically worn for about 4 weeks.
No weight bearing (limb use) through the arm for about 6 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) for about 6 weeks.
Usually home motion after immobilization; formal therapy only for persistent stiffness.
Weekly alignment X-rays for the first 2 weeks to confirm the bone is healing in good position, then a 6-week X-ray to confirm healing and clear the weight-bearing restriction.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
School: School as tolerated with restrictions; no lifting or fall-risk activity until healing is confirmed.
Sports or High-Risk Activity: Usually 6–8 weeks after painless motion and radiographic healing.
Loss of reduction, increasing deformity, neurovascular symptoms, compartment concern, or skin problems.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A short-arm cast (SAC), typically worn for about 4 weeks.
Return to activity as tolerated (PRN).
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.