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Can a child move a broken arm?

Published in Pediatric Fractures 3 mins read

Often, a child cannot move a broken arm without experiencing significant pain.

The ability to move a broken arm depends on several factors, including the severity and location of the fracture. Here's a more detailed explanation:

  • Severity of the Fracture:

    • Complete Fracture: If the bone is completely broken, movement will likely be very painful and limited. The child will instinctively avoid moving the arm.
    • Incomplete Fracture (e.g., Greenstick Fracture): In some cases, particularly in children, the bone might only be partially fractured (a greenstick fracture). While movement will still be painful, the child might be able to move the arm to some extent.
    • Hairline Fracture: A small hairline fracture may allow for more movement, but pain will still be present.
  • Location of the Fracture:

    • Fractures near a joint: Fractures close to or involving a joint (like the elbow or wrist) will severely restrict movement and cause intense pain.
    • Shaft fractures: A fracture in the middle of the long bone may allow for a small amount of movement, but any attempt will cause pain.
  • Pain Tolerance: Children have varying pain thresholds. What one child perceives as unbearable pain, another might tolerate slightly better. However, pain is always a key indicator of a fracture.

  • Muscle Spasms: The muscles around the fracture site will often spasm, further restricting movement and intensifying pain.

Symptoms of a Broken Arm to Watch For:

While movement may or may not be possible, other symptoms indicate a potential fracture:

  • Severe pain, especially when attempting to move the arm
  • Swelling
  • Bruising
  • Deformity (the arm looks out of shape)
  • Tenderness to the touch
  • Inability to bear weight or pressure on the arm

What to Do If You Suspect a Broken Arm:

If you suspect a child has a broken arm, it's essential to:

  1. Immobilize the arm: Use a splint or sling to keep the arm still.
  2. Apply ice: This helps reduce swelling and pain.
  3. Seek immediate medical attention: A doctor will need to examine the arm and take X-rays to confirm the diagnosis and determine the appropriate treatment.

In summary, while it might be possible for a child to have some limited movement in a broken arm, particularly with less severe fractures, the associated pain will typically prevent significant or comfortable movement. Suspected fractures should always be evaluated by a medical professional.

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