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Do wrist buckle fractures in children need follow-up? Buckle fractures’ follow-up

Riera-Álvarez, Luis; Pons-Villanueva, Juan

Journal of Pediatric Orthopaedics B: November 2019 - Volume 28 - Issue 6 - p 553–554
doi: 10.1097/BPB.0000000000000646
Trauma
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Buckle or torus fractures in the distal forearm are characterized by a bulging of the cortical bone. They are a frequent reason for consultation in pediatric emergencies. The treatment and follow-up of this type of fractures varies from soft immobilizations to a plaster cast. The purpose of this study is to assess the stability of buckle fractures of the distal radius. We reviewed 106 pediatric patients with buckle fractures and analyzed the radiographs at the time of initial consultation and at the last follow-up. None of these fractures displaced further, regardless of the treatment given. Buckle or torus fractures do not need follow-up radiographs. As they are stable, the simpler immobilization treatment is sufficient.

Orthopedic Surgery and Traumatology Department, Clínica Universidad de Navarra, Pamplona, Spain

Correspondence to Juan Pons-Villanueva, MD, PhD, Orthopedic Surgery and Traumatology Department, Clínica Universidad de Navarra, Av. Pio XII 36, Pamplona 31008, Spain Tel: +34 948 255400; fax: +34 948 296500; e-mail: jponsdevi@unav.es

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