# LCAST vs Fractures

The clearest difference is review sentiment: Fractures at 100% against LCAST's 0%. Fractures also leads on rating (5.0 vs 4.3) and update cadence (every 9 months vs every 21 months). LCAST's advantage is iOS requirement (9.0 vs 16.4). On price, ratings volume, ads and in-app purchases there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

Fractures holds the better App Store score, 5.0 against 4.3. Both are backed by a comparable volume of ratings — 8 and 22 respectively. Written reviews point the same way: 0% of LCAST's written reviews are positive against 100% of Fractures's.

LCAST ships an update every 21 months, Fractures every 9 months. The most recent releases landed on August 17, 2026 and September 15, 2026 respectively.

## The numbers

| Metric | LCAST | Fractures |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.3 (8 ratings)](https://appshunter.io/ios/app/lcast/id1663066252/reviews) | **[5.0 (22 ratings)](https://appshunter.io/ios/app/fractures-splinting-app/id1664530786/reviews)** |
| Number of ratings | 8 | **22** |
| Positive reviews | 0.0% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 9 months** |
| Monetization | Free | Free |
| Size | 146 MB | 33 MB |
| Requires iOS | **9.0** | 16.4 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 17+ | 17+ |
| Developer | [igNew, LLC dba Slingshot](https://appshunter.io/developer/1663066254) | [Tom Fadial](https://appshunter.io/developer/1316852248) |

## What reviewers say

### LCAST

[App page](https://appshunter.io/ios/app/lcast/id1663066252)

This medical tool aids healthcare professionals in assessing the plausibility of bruising in young children. It utilizes a validated clinical decision rule to help identify potential abuse by analyzing bruise characteristics and body locations. The app serves as a screening tool to inform decision-making and educate users on bruising patterns.

**Highlights:** Bruising clinical decision rule (TEN-4-FACESp), Interactive 3D body model for inputting observations, Compares bruise findings to published evidence, Screening tool for children under 4.0 years, Educational tool for healthcare providers, Data based on multi-center NIH-funded study

**Features:** Vision Pro support

**In-app purchases:** none


### Fractures

[App page](https://appshunter.io/ios/app/fractures-splinting-app/id1664530786)

This free medical reference app provides emergency physicians and healthcare providers with easy-to-use guidance on managing fractures and bony injuries. It features a bone map, step-by-step splinting instructions, and offline access to expert-approved content.

**Highlights:** Bone map for injury selection, Keyword search for fractures, Step-by-step splinting instructions, Offline access to information, Expert-approved and curated content

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is LCAST free?

LCAST is free to download, with no in-app purchases.

### Is Fractures free?

Fractures is free to download, with no in-app purchases.

### Which has better reviews, LCAST or Fractures?

Fractures is rated higher. LCAST averages 4.3 out of 5 from 8 ratings, while Fractures averages 5.0 from 22 ratings.

### Do LCAST or Fractures have ads?

Neither LCAST nor Fractures shows ads.

### Which is updated more often, LCAST or Fractures?

LCAST ships an update every 21 months, and Fractures every 9 months. Most recently, LCAST was updated on August 17, 2026 and Fractures on September 15, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*