![]() When the cast is removed, the wrist and elbow joints may be stiff for 2 to 3 weeks. A more serious injury, such as a Monteggia fracture, may need to be immobilized for 6 to 10 weeks. A stable fracture, such as a buckle fracture, may require 3 to 4 weeks in a cast. The length of time the cast is worn will vary depending on the severity of the fracture. Because the growth plate helps determine the future length and shape of the mature bone, this type of fracture requires prompt attention. In most cases, this type of fracture occurs in the growth plate of the radius near the wrist. Also called a "physeal" fracture, this fracture occurs at or across the growth plate. This is a very severe injury and requires urgent care. There is usually a fracture in the ulna and the top (head) of the radius is dislocated. This injury affects both bones of the forearm. There is usually a displaced fracture in the radius and a dislocation of the ulna at the wrist, where the radius and ulna come together. ![]() ![]() The fracture extends through a portion of the bone, causing it to bend on the other side. The fracture is across the upper or lower portion of the shaft of the bone and does not affect the growth plate. This is a stable fracture, meaning that the broken pieces of bone are still in position and have not separated apart (displaced). The topmost layer of bone on one side of the bone is compressed, causing the other side to bend away from the growth plate. There are several types of forearm fractures in children: ![]()
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