![]() ![]() The diagnosis of a torus fracture is made from both anterior/posterior and lateral projections. Diagnosis īuckle fracturs can be identified by performing a radiograph. Such orthopaedic injuries are distinctive in children as their bones are softer and in a dynamic state of bone growth and development, with a higher collagen to bone ratio so incomplete fractures such as the buckle fracture are a more common occurrence. As aforementioned, the most common buckle fracture is of the distal radius in the forearm, which typically originates from a Fall Onto an Outstretched Hand ( FOOSH). Physical activities or sports such as bike riding or climbing increase the associated risk for buckle fractures in the potential event of a collision or fall. As with other fractures, the site of fracture may be tender to touch and cause a sharp pain if pressure is exerted on the injured area. ![]() This mechanism is analogous to the crumple zones in cars. As the bone buckles (or crushes), instead of breaking, they are a stable injury as there is no displacement of the bone. Torus fractures are low risk and may cause acute pain. The word "torus" originates from the Latin word "protuberance." A radiograph image of a torus (buckle) fracture Simplified diagram of a buckle fracture Signs and symptoms The compressive force is provided by the trabeculae and is longitudinal to the axis of the long bone, meaning that the fracture itself is orthogonal to that axis. As the bulge is only on one side of the bone, this injury is can be classified as an incomplete fracture. It is a common occurrence following a fall, as the wrist absorbs most of the impact and compresses the bony cortex on one side and remains intact on the other, creating a bulging effect. Kids Health Info is supported by The Royal Children’s Hospital Foundation.A Torus fracture, also known as a buckle fracture is the most common fracture in children. 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? Kids Health Info fact sheet: Plaster cast care.Avoid contact sports for six weeks after the injury.Most children will not need a follow-up appointment or X-ray, because buckle fractures usually heal quickly without any problems.Your child should wear a removable backslab (partial cast) or splint for three weeks.A buckle fracture in the wrist is a small area of compressed bone.your child will not use their wrist, hand or fingers within two to three days of the back slab or splint being removed.your child’s wrist remains very painful or swollen three weeks after the injury.Contact sports (or rough and tumble play) should be avoided for six weeks after the injury. Wrist movement may be a little stiff and sore at first. Three weeks after their injury, your child can just stop wearing their backslab or splint. Further X-rays or physiotherapy are usually not required. Never cut or attempt to modify the cast, and make sure you avoid getting it wet.īecause buckle injuries are stable and heal quickly without problems, most children will not need a follow-up appointment with the GP or hospital. Give the pain relief medication as required, following the directions on the packet or as directed by the Although immobilising the arm with the backslab or splint will help to reduce the pain, additional pain relief (e.g. An arm sling is optional, and may help reduce any pain orīuckle injuries may be painful. If you think your child has a fracture and you are looking for first aid advice, see our fact sheetīuckle injuries are treated by wearing a removable backslab (a partial cast held in place with bandages) or ready-made splint, which should be worn as much as possible but can be removed for bathing or showering. This fact sheet provides information on what to do once your child has been treated in hospital for a buckle injury. There is no deformity in the wrist, which means the wrist will The wrist may be tender, slightly swollen, and painful to move. The bone will have a very small fracture, which is so minor that it may be difficult to see on X-ray. A buckle injury of the wrist is a small area of compressed bone.
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