Oakley EA, Ooi KS, Barnett PL (2008) A randomized controlled trial of 2 methods of immobilizing torus fractures of the distal forearm. Plint AC, Perry JJ, Correll R et al (2006) A randomized, controlled trial of removable splinting versus casting for wrist buckle fractures in children. Karimi Mobarakeh M, Nemati A, Noktesanj R et al (2013) Application of removable wrist splint in the management of distal forearm torus fractures. Pediatr Emerg Care 29(5):555–559īae DS, Howard AW (2012) Distal radius fractures: what is the evidence? J Pediatr Orthop 32(Suppl 2):S128–S130įirmin F, Crouch R (2009) Splinting versus casting of “torus” fractures to the distal radius in the paediatric patient presenting at the emergency department (ED): a literature review. Williams KG, Smith G, Luhmann SJ et al (2013) A randomized controlled trial of cast versus splint for distal radial buckle fracture: an evaluation of satisfaction, convenience, and preference. J Bone Joint Surg Br 83(8):1173–1175Ĭallender O, Koe S (2015) Using softcast to treat torus fractures in a paediatric emergency department. Ir Med J 105(1):18–21ĭavidson JS, Brown DJ, Barnes SN, Bruce CE (2001) Simple treatment for torus fractures of the distal radius. Meaney S, Williamson E, Corcoran P et al (2012) The incidence of injury presentations to emergency departments: what we don’t know can hurt us. This would represent both an economical and resource saving for patients, parents and the health service. There is no need for fracture clinic follow-up or repeat radiological imaging once patients are given adequate information at the time of diagnosis. ConclusionsĬurrent research indicates that torus fractures should be managed with a removable splint supplied in A&E and worn for 3 weeks. A Cochrane review and 8 systematic reviews were also identified and manually searched for missed articles and this yielded a further 3 articles. The initial search identified 143 papers which following application of the inclusion and exclusion criteria 21 articles were deemed eligible. Our outcomes focused on 5 aspects of patient care: immobilisation method and duration, clinical follow-up, radiological follow-up and the use of diagnostic ultrasound. All prospective, retrospective or randomised trials involving the management of distal radius torus fractures in patients aged 0–18 years were included. MethodsĪn online review of Pubmed, EMBASE, Biomed, and the Cochrane library using keyword searches combining “radius”, “torus”, “buckle” and “fracture” was performed. Unfortunately current practice conflicts with the evidence base and there is no guideline which highlights all the evidence as one clear, concise management protocol. Traditional approaches to their management involved immobilisation in a circumferential cast but the evidence now supports the use of removable splints with or without radiological and clinical follow-up. Torus fractures, also known as buckle fractures, of the distal radius are a very common reason for presentation to emergency departments.
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