Fergal Monsell, Dalia Sepulveda
Note: Be aware of nonaccidental injuries in infants.
Careful scrutiny of the x-rays is important to identify the presence or absence of a metaphyseal component, as this may be the only radiologically visible sign of a corner/bucket handle fracture.
This injury very often goes undiagnosed as it does not show on x-ray. If clinically suspected, investigation by ultrasonography is helpful.
If this fracture is undisplaced or minimally displaced, it can be managed with a removable splint, which is retained until symptoms resolve (usually 2-3 weeks, depending on age).
Alternatively, a simple plaster of Paris slab can be bandaged on, over appropriate padding. This can be removed by the parents/carer after a similar interval.
Rapid return to normal function should be expected.