Fractures
Most passengers with treated fractures can travel safely by air. The only
potential problem is swelling of the tissues under the cast that can occur due to a
decrease in barometric pressure at altitude. This could interfere with healing and
cause pain. In general, the risk of swelling is greatest the first 72 hours after the
cast is set. It is, therefore, advisable to wait 3 days before traveling. However, if
this is not possible, your physician can fix the cast in such a way that it can be
loosened (by splitting it along the sides and wrapping with an elastic bandage—
called bivalving), if necessary. A bivalved cast will probably have to be replaced
at the destination.