![]() ![]() ![]() Important is that misdiagnosis of the torus fracture at initial presentation should be minimized. Surgery is typically performed through an incision over the volar aspect of your wrist (where you feel your pulse). Soft BT is safe in all children without risk of further angulation and with a pain score equal to cast therapy. The overall Visual Analog Score of the patients was lower than in previous studies. Childrens bones tend not to fracture completely but buckle instead. Four patients needed an additional nonsteroidal antiinflammatory drug or an antalgic plaster cast. Children present with pain and swelling around the wrist/distal forearm region. The diagnosis, assessment, fracture reduction, and casting of distal forearm fractures in children and the care of pediatric proximal or midshaft forearm fractures are discussed separately: (See 'Distal forearm fractures in children: Diagnosis and assessment'. ![]() A total of 49 patients with a torus fracture were included in statistical analysis. Seven patients were misdiagnosed as torus fractures but were actually greenstick fractures and had to be excluded. These injuries occur throughout the pediatric age range but are particularly common between the ages of 7 to 12 years old. Specifically, 50 of pediatric wrist fractures are buckle fractures. Primary endpoint was secondary angulation secondary endpoint was pain on Visual Analog Score. Distal radius and buckle fractures make up 27.2, which, by far, is the most common bone to be injured and sustain a buckle fracture. Your child will not need surgery, but they will need some form of protection while the bone heals. They’re very common in children under 12, and can almost always be treated with a splint or cast. The aim of our study was to validate these studies by treating all patients presenting to emergency department with a torus fracture with BT and investigate whether any complications occur.Īt a single-center from January 2009 to June 2009, all patients with an impacted greenstick fracture of the distal radius and/or ulna without exception were treated using BT. Buckle fractures are usually caused by kids falling onto their outstretched arms. Two previously done studies compared soft bandage therapy (BT) with cast therapy in the treatment of torus forearm fractures in children and showed this is safe and does not cause any complications. True torus (buckle) fractures of the distal radius and ulna are inherently stable and may be managed with 34 weeks of immobilisation in a splint, or a soft. In a torus fracture, there is an intact cortex at the side of the fracture which gives more intrinsic stability than in greenstick fractures, where one side of the cortex is disrupted. ![]()
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