Orthopaedic Surgeon Questions Orthopedist

Do broken bones always get a cast?

I'm an older woman who recently dropped a heavy box on my toe. I'm sure it's broken, but it doesn't seem like the doctors can do anything about it. Do broken bones always get a cast?

4 Answers

No, not all fractures get a cast. Many non-displaced fractures that are stable can be protected with a splint or even a removable prefabricated splint designed specifically for that part of the body; wrist and forearm splints are popular as well as leg and knee braces as well as walking fracture boots.
Not all broken bones need a cast. We often buddy tape the broken toe to the normal toe to serve as a splint. Stiff-soled shoes help pain early after the fracture. Most heal in six weeks.

Good luck,

Dr. Louden
Not always. I don't know exactly what type of toe fracture you have, but it sounds like you need a "wooden sole" or stiff shoe. You can tape the broken to to the toe next to it as well.

Hope it helps!!

Dr. Bose
Not all broken bones (also called fractures) require a cast. There are a number of factors that are taken into account by your provider to include which bone is involved, where it’s located on that bone (such as in the middle or by the joint), if it is still lined up or if it needs to be reduced or “set” back into place, if the break pushed through the skin and is open to the air, how long ago you broke the bone, how active you are, and your age.

Many types of finger and toe fractures do not need much of any treatment and other types require immediate surgery. So I would ensure you have a thorough evaluation by a knowledgable medical provider, such as an Orthopedic Surgeon, or some other provider trained in musculoskeletal care.