These injuries require rigid immobilization and orthopedic consultation. 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 key caveat is to ensure that the radiological diagnosis of distal radius buckle fracture is correct. If you have a displaced fracture, your doctor might need to move the pieces back into position (reduction). This type of fracture is also more common in children. 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. One side of the bone is compressed, which causes the other side to bend (buckle). Follow-up with an orthopedic surgeon is not routinely necessary and these children can be safely followed up with a primary care physician.
#Buckle fracture thumb 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). Most children use the splint regularly for two to three weeks and about 99% are fully recovered by four 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. Created for people with ongoing healthcare needs but benefits everyone. Most buckle fracture are healed within 4-6 weeks. The cosmetic and functional prognosis of this fracture is excellent even if it associated with an ulnar buckle/styloid fracture. buckle fracture: Children heal faster than adults. 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.
This article reviews the evidence that recommends that management of the distal radius buckle fracture. 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. An extra-articular transverse or oblique fracture is often the outcome of the described trauma, whereas torsion injuries might cause an oblique or spiral fracture of. 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. Hyperextension and abduction of one of the fingers tend to cause a base fracture of the proximal phalanges, most frequently to the fourth or fifth finger.
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