![]() ![]() ![]() Most children will not need a follow-up appointment or X-ray, because buckle fractures usually heal quickly without any problems.Your child should wear a removable backslab (partial cast) or splint for three weeks.A buckle fracture in the wrist is a small area of compressed bone.In adults, the commonest form of buckle fracture seen is a buckle fracture of the ribs. An arm sling is optional, and may help reduce any pain or discomfort.īuckle fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Buckle fractures or torus fractures are stable due to the thick periosteum present in this patient population and unlike other pediatric wrist and forearm fractures, the risk of future displacement is minimal 3.īuckle fractures are treated by wearing a removable backslab (a partial cast held in place with bandages) or ready-made splint, which should be worn as much as possible but can be removed for bathing or showering. There is no deformity in the wrist, which means the wrist will not be out of its usual shape.īuckle fracture or torus fracture is a stable fracture, meaning that the broken pieces of bone are still in position and have not separated apart (displaced). ![]() The wrist may be tender, slightly swollen, and painful to move. The bone will have a very small fracture, which is so minor that it may be difficult to see on X-ray (Figure 2). ![]() The injury affects the radius bone in particular. The most common type of buckle fracture in children occurs in the forearm, near the wrist, usually after a child falls onto an outstretched arm. Torus (buckle) fractures of the distal forearm are common injuries in children and young adolescents, typically occurring after a fall on an outstretched arm 2. Torus or buckle fracture occurs in the transition zone between metaphyseal and diaphyseal bone 1. The topmost layer of bone on one side of the bone is compressed, causing the other side to bend away from the growth plate. Your child should avoid rough play and contact sports, as well as activities such as trampolining and skateboarding for a total of SIX weeks after the injury.Buckle fracture also called torus fracture, is an incomplete fracture of the shaft of a long bone that occurs when a bone “buckles” or slightly crushes in on itself and is characterized by bulging of the cortex of the bone. This should improve over the next week or two. Expect the wrist to be stiff for a few days after removal. After three to four weeks the splint should be able to be removed and left off. This is for your child to be reassessed to make sure pain is controlled and the splint is well-fitting. You may be asked to see your GP within 1 week. This is best done overnight so that the splint can be put back on for daytime activities. Hand wash in lukewarm water with mild detergent. Splints are usually more comfortable for the child and easier to care for. Research has shown that wrist buckle fractures will heal well in a splint which gives support and protection. If severe pain continues, or if there is a lot of swelling or numbness you should bring your child to your local doctor or the Emergency Department for review. Ask your child to move their shoulder, elbow, and fingers, so they don’t get stiff. If your child gets any numbness in the hand, you should loosen the splint. Give your child the dose that is recommended on the packaging for their age and weight. Pain medication like paracetamol or ibuprofen should be given regularly until your child is comfortable. However, the splint can be taken off for bathing, or if you need to wash the splint itself, as long as the removal is well tolerated by your child (Figure 2). A removable wrist splint should be worn for comfort for three to four weeks, day and night (except when it is removed for washing and drying) to reduce the chance of further injury. These fractures heal well with rest and time. This fracture is very common in children and presents as a bulge in the bone as it has been squashed If your child has fallen onto their wrist, they may have an injury known as a “buckle” fracture (Figure 1). The two bones in your child’s forearm are called the radius and ulna. ![]()
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