Podcast 834: Peds Buckle Fractures

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Torus (Buckle) fractures are a commonly encountered pediatric fracture pattern</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Typically presents as wrist pain secondary to a child falling on outstretched hand</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">One edge of the bone “buckles” or bends because children’s bones are softer and more pliable</span></li> </ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Management</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Older studies have shown that short term immobilization with a velcro splint and primary care follow up is sufficient</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Recent randomized trial compared immobilization with Velcro splint with as needed wrist support using a gauze wrap</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">No significant differences noted in outcomes between the two cohorts</span></li> </ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Physicians can consider using an ace or gauze wrap as needed for buckle fracture management along with OTC analgesics for pain management</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Asokan A, Kheir N. Pediatric Torus Buckle Fracture. StatPearls. StatPearls Publishing</span></p> <p><span style="font-weight: 400;">Copyright © 2022, StatPearls Publishing LLC.; 2022.</span></p> <p> </p> <p><span style="font-weight: 400;">Kennedy SA, Slobogean GP, Mulpuri K. Does degree of immobilization influence refracture rate in the forearm buckle fracture? J Pediatr Orthop B. Jan 2010;19(1):77-81. doi:10.1097/BPB