Results In terms of diagnosis, the ultrasound was found to be more sensitive than X-rays for diagnosing these fractures. Patients were randomized (single blindly) to the studied treatment groups. 30 Techniques 4 4.5 ( 169 ) 68 Topic Podcast Images Summary Distal radius fractures are the most common orthopaedic injury and generally result from fall on an outstretched hand. Buckle fractures do not put a patient at higher risk for another fracture in the future. Methods We prospectively included 79 patients suffering from undisplaced greenstick and torus fractures of the distal radius. If the patient does not have pain at that point, he or she may quit using the brace and resume normal activities.īuckle fractures do not involve the growth plate, so there are no complications with a difference in the lengths of the forearms or with deformity. At 3 to 4 weeks, the parent can give the child’s wrist a firm squeeze. It should be worn at all other times for a total of 3 to 4 weeks. Classification Systems limited to extra-articular Colles fracture first system to incorporate shortening of distal radial fragment (relative to distal ulna). We present an atypical case of distal radius torus fracture in a. These fractures are inherently stable and have an excellent prognosis. As the pain improves, the brace may be removed for sleeping and even swimming. their treatment therefore consists in immobilisation of the joint for three to four weeks. Distal radius buckle fractures are one of the most common wrist fractures in children. It involves the bending of one side of the bone while the opposite side of the bone stays straight. 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. Buckle fractures Buckle (or torus) fractures are most commonly seen in the distal radial metaphysis and are a result of compressive forces from an axial load. 1 If a person is doing better after 4 weeks, repeat X rays are not needed. Outline the treatment and management options available for greenstick fracture. Review the X-ray features of a greenstick fracture. Treatment Removable splints result in better outcomes than casting in children with torus fractures of the distal radius. Objectives: Identify the pathophysiology of greenstick fractures. Notice that there is not a fracture line extending across the bone.īecause buckle fractures are not complete fractures, they are very stable fractures and heal quickly. Diagnosis Projectional radiography is generally preferable. Arrows point to the buckle in the cortex.
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