There is no evidence that further follow-up is required. The patient should be reviewed on the following day to confirm the diagnosis and to give appropriate advice. We suggest that a 'Futura-type' wrist splint can be used to treat these fractures. The questionnaire showed a marked variation in the way in which these injuries are treated with regard to the method and period of immobilisation, the number of follow-up visits and radiographs taken. Only one patient did not tolerate the splint which was replaced by a cast. What is the treatment Buckle fractures heal quickly with a splint. There was no difference in outcome between the two groups, and all patients had a good result. The injury is commonly caused by falling onto the arm. All patients were treated for a period of three weeks, followed by clinical and radiological review. Over a six-month period, we randomised 201 consecutive patients with this injury to treatment with either a traditional forearm plaster-of-Paris cast or a 'Futura-type' wrist splint. Based on the results of a postal questionnaire and a prospective, randomised trial, we describe a simple treatment for this injury, which saves both time and money. These injuries require rigid immobilization and orthopedic consultation.Torus (buckle) fractures of the distal radius are common in childhood. Radiographs should be scrutinized for other diagnoses since minimally displaced greenstick and Salter–Harris II fractures of the distal radius may be mistaken for buckle fractures 6. The brace can be removed for bathing but should otherwise be worn at all times while the patient has pain. A cast is not usually necessary, and we typically treat these with a removable Velcro wrist brace. The key caveat is to ensure that the radiological diagnosis of distal radius buckle fracture is correct. Because buckle fractures are not complete fractures, they are very stable fractures and heal quickly. 3,5,6 An orthopedic surgeon should be consulted if the child’s condition is not improving over time or the child has not fully recovered by six weeks. Follow-up with an orthopedic surgeon is not routinely necessary and these children can be safely followed up with a primary care physician. It is more than likely that the buckle fracture has healed sufficiently. They will be given a Velcro wrist brace (Picture 1). Your child will have an X-ray that shows a distal buckle (torus) fracture (break). It is an incomplete fracture that normally heals within one month.
#Buckle fracture wrist healing time free#
2 Activities that could lead to re-injury should be avoided until the child has been free of symptoms for two weeks (about 6-8 weeks from time of injury). A buckle (also known as torus) fracture of the wrist is when an injury. This fracture causes one side of the bone to bend, but does not actually break through the entire bone. You may be able to feel a lump over the fracture as it heals this is normal and will. Most children use the splint regularly for two to three weeks and about 99% are fully recovered by four weeks. Buckle fractures usually heal in 3 to 4 weeks. The duration of splint use and return to play should be guided primarily by pain and the degree of buckle fracture noted on the x-rays. Treatment with immobilization with a removable splint is used as needed to reduce pain and to protect against re-injury. 4 Further, these RCT’s demonstrated that parents and families preferred the removable splint, and splinting was found to be more cost-effective for the health care system. 2,3 Data from eight randomized control trials conducted in the UK, Canada and the US has demonstrated that treatment with a removable splint is at least as effective as a short arm cast with respect to recovery of physical function. The cosmetic and functional prognosis of this fracture is excellent even if it associated with an ulnar buckle/styloid fracture. 1įigure 1: Buckle Fracture of the Distal Radius Distal Radius Buckle Fracturesīuckle fractures of the distal radius represent about 50% of pediatric fractures of the wrist. It is essential that you give your child appropriate. This article reviews the evidence that recommends that management of the distal radius buckle fracture. The splint can be removed for bathing or showering without any risk to the fracture healing process. Since these fractures are stable and have an excellent prognosis, they do not need to be routinely immobilized in a cast nor followed by an orthopedic surgeon. The dogmas of the past are now being challenged for the most common minor pediatric fractures, distal radius buckle fractures and minor distal fibular fractures.
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