Bucket handle fracture

Bucket handle fracture is a type of bone fracture that primarily affects the long bones in the human body, such as the femur (thigh bone) or the tibia (shin bone). This term is derived from the appearance of the fracture on radiographic imaging, where the fractured piece of bone resembles the handle of a bucket. It is a specific form of a torus fracture, which occurs when the bone is compressed and bends without completely breaking.

Causes

Bucket handle fractures are most commonly seen in children due to the unique properties of their growing bones. Children's bones are more flexible and have a thicker periosteum (the outer layer of the bone), which can partially contain the fracture, creating the "handle" appearance. These fractures can occur from a variety of mechanisms, including falls, direct blows, or twisting injuries.

Symptoms

The symptoms of a bucket handle fracture include:

• Pain at the site of the injury
• Swelling and tenderness
• Difficulty or inability to move the affected limb
• Visible deformity in severe cases

Diagnosis

Diagnosis of a bucket handle fracture is primarily based on radiography (X-rays). The characteristic "bucket handle" appearance of the fracture can usually be seen on the X-ray images. In some cases, additional imaging techniques such as MRI (Magnetic Resonance Imaging) or CT scan (Computed Tomography) may be required to fully assess the injury.

Treatment

Treatment for bucket handle fractures typically involves immobilization of the affected limb. This can be achieved through the use of casts or splints, allowing the bone to heal properly. In more severe cases, surgical intervention may be necessary to realign and stabilize the fracture fragments. Physical therapy may also be recommended as part of the rehabilitation process to restore function and strength to the affected limb.

Prognosis

The prognosis for individuals with bucket handle fractures is generally good, especially in children, who tend to heal more quickly and completely than adults. With proper treatment and rehabilitation, most individuals can expect to regain full function of the affected limb.

See also

• Bone fracture
• Periosteum
• Radiography
• MRI
• CT scan