A buckle fracture of the wrist typically takes 4-6 weeks to heal. If you are still experiencing significant symptoms after 2–3 months, please contact your GP or us for further advice. The vast majority of buckle fractures can be treated in a cast or removable brace. Your child will not use their wrist, hand or fingers within 2–3 days of splint being removed.Your child’s wrist remains very painful or swollen.Are there any possible complications?Ĭontact the paediatric emergency department your child attended if after three weeks from the injury: Rough and tumble play and all sports should be avoided for another week. Wrist movement may be a little stiff and sore at first. Remove your child’s splint three weeks after the injury. Follow up in fracture clinic is not usually required Since these injuries are stable and heal quickly, without problems. Pain is usually mild and can be managed with paracetamol only. We will place your child in a splint to promote bone healing that can be removed for baths or showers only. There is considerable variation in the treatment of torus fractures, from the use of a removable rigid splint, to plaster cast immobilisation, to more flexible. This implies that DRBF misdiagnosis may be clinically insignificant and even the most displaced distal radius fracture patterns may be inherently stable. Go to: Searching PubMed, EMBASE, CINAHL, British Nursing Index and The Cochrane Library were searched for papers published from 1984 to June 2008. The story of how it occurred and an examination of your child’s arm will help us diagnose a buckle fracture.Īn X-ray of the wrist is performed so we will be able to see where the bone is broken and if there it is a more serious injury. A child that is younger than eight years old distal radius can tolerate a fracture with up to 20 degrees of dorsal angulation while still having favorable clinical results overall 7,32,33. Authors' objectives To assess the effect of splinting versus casting in the emergency department for paediatric torus fractures of the distal radius. Children’s bones tend not to fracture completely but buckle instead. Simple treatment for torus fractures of the distal radius. The greenstick fractures displaced 5° on average, and continued to displace after the first 2 weeks. What are the symptoms?Ĭhildren present with pain and swelling around the wrist/distal forearm region. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. What level of immobilisation is necessary for treatment of torus (buckle) fractures of the distal radius in children BMJ. We present an atypical case of distal radius torus fracture in a. It commonly happens after a falling onto an outstretched hand but can also occur after a hyper-extension injury of the wrist. Torus fractures of the distal radius in children may be treated with a removable splint, simple bandage, or no treatment at all, though parents may not feel as good about the last option. their treatment therefore consists in immobilisation of the joint for three to four weeks. What are the common causes of a buckle fracture? It is a very common fracture in children. regarding the treatment of distal radius fractures. It is a minor fracture which heals with minimal intervention. This type of fracture or break is called a buckle or torus fracture.
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