![]() ![]() These are commonly seen in the 2-12 year age group and so are a significant component of on-mountain paediatric injuries, particularly among snowboarders. They are cortical bulges of the distal radial metaphysis without extending through the cortex and result from compression (often by a fall onto the outstretched hand). Buckle fractures (sometimes called Torus fractures) account for 50% of paediatric wrist fractures and 20% of all paediatric fractures. Wrist injuries are common orthopaedic injuries in children. There is tenderness over the radial dorsal aspect of that wrist and the boy has a full wrist range of motion. On examination, he has no swelling or deformity of the right wrist. His mother noted he would favour his right arm when pushing up from the floor. The next day he rode his bike to school and home again but complained of a sore wrist again that evening. He was sore in the coccyx region and right wrist, and the weather had deteriorated so the family called it a day. In the afternoon he fell backward after catching his heel edge and landed primarily on an outstretched right hand. At Intrepid Medical Conferences we like to approach learning in a practical way, so today we are presenting a case study and some questions related to the case.Ī 10 year old boy had his first day snowboarding two days ago. It is surprising the varied approaches to the management of this common condition. Kids Health Info is supported by The Royal Children’s Hospital Foundation.As a primary care doctor, you are likely to find yourself dealing with a buckle fracture, whether in general practice, urgent care, emergency department or as a sports doctor. Please always seek the most recent advice from a registered and practising clinician. This information is awaiting routine review. We acknowledge the input of RCH consumers and carers. After your child no longer needs the backslab or splint, they will return to their normal strength and ability.ĭeveloped by The Royal Children's Hospital and the Victorian Paediatric Orthopaedic Network. It may take some time for the muscles to regain their strength if the limb has been held still in a backslab. There is no ongoing weakness of the bone following a buckle fracture. Will the fracture area be weaker forever? This is because the bone does not move out of alignment (correct position) and the fracture is small. In nearly all cases, buckle fractures heal quickly and with no complications. Why doesn’t my child need a follow-up appointment?
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