Due to low bone density, decreased soft tissue reaction, and bone deformity in some people with OI, nondisplaced fractures may not be discernible on early x-rays. If it is fractured, the patient will be much more comfortable with the limb immobilized. If it is not fractured, a few extra days of immobilization should not cause permanent damage. The bone usually cracks before the ligaments and tendons tear. If an orthopedist is not immediately available, use appropriate splinting techniques to immobilize the affected limb until definitive orthopedic treatment.
Bone deformities require added consideration when immobilizing a fracture.
If the patient has an orthotic, it can often serve as an effective splint. Orthopedics should be called early in the process. Casting should be done by the most experienced person available.