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Buckle vs Greenstick Fractures in a Child’s Arm: What’s the Difference?

"My child broke their arm"

Buckle Fracture

A buckle fracture (also called a torus fracture) occurs when one side of the bone compresses or buckles under pressure without breaking the other side. It’s like bending a plastic straw until it wrinkles on one side.

Sometimes the bone can be compressed and ‘bubble’ out on both sides – think squishing a marshmallow between two biscuits!

Buckle fractures are usually stable and heal quickly, often requiring a splint for a few weeks and some TLC.

Child with wrist splint playing on slide after fracture treatment with Action Rehab

Greenstick Fracture

In contrast, a greenstick fracture is more like trying to snap a young tree branch. One side of the bone cracks while the other side bends, without a full break.

Greenstick fractures are less stable than buckle fractures and often need a custom splint for proper alignment and healing. Unlike a plaster cast, which can’t get wet, a thermoplastic splint is water resistant and can provide a greater level of function in a shorter time (Quadlbauer et al., 2016).

Child with forearm cast by pool during fracture recovery before seeing Action Rehab Northside in Brisbane for suitable, water resistant splint.

Both types are typically the result of falls or direct impact to the arm—common occurrences in active children.

Symptoms can include:
    • Pain
    • Swelling, and
    • Difficulty using the arm.

Luckily, when treated properly, both are also likely to make a full recovery!

Understanding the difference between these two types of broken bones can help parents respond confidently and support their child’s recovery effectively.

Child wearing a wrist splint for buckle fracture recovery at Action Rehab

At Action Rehab, we can assist with acute management of all types of children’s fractures – no referral needed.

 

We provide expert advice, education, and personalised treatment plans to support your child’s recovery, keeping them happy, active, and on track to heal well.


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If you’ve sustained a closed hand, wrist, elbow or shoulder injury, call us first or come straight in for urgent care.

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