100 children between the ages of 2-10 years, with a closed, non-displaced, type 1 supracondylar humeral fracture or a closed, acute elbow injury with a positive posterior fat pad sign were randomly assigned a standard long-arm hard, fiberglass cast or a soft, removable long-arm fiberglass cast. The purpose of this study was to compare the use of the soft removable cast to the traditional hard cast in terms of fracture displacement, range of motion, pain, and patient satisfaction. The results displayed that both casting methods were comparable in terms of all outcomes assessed over the 8 week period, and no cases of fracture displacement or angulation were noted in either group