This is correct, although the 48 hour rule is being a bit overcautious. We used to fit travel casts which are inflatable, which holds the arm long enough for travel and to be cast properly on return. However, the OP post was about the airline enforcing the rule when he was prepared to prove that he met the guidelines. The staff at the airport refused to call the hospital (at the OP's expense) to confirm this. This would have taken all of 3 minutes, but cutting off the cast would have taken considerably longer. It is this inflexibility that is the the basis of the complaint. The release of a recent cast is medically sound, or alternatively if the OP told the ER doctor he was intending to fly within 48 hours, a different travel cast can be applied.
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