![]() ![]() Treatment of radial head fractures depends on the specific characteristics of the fracture using the Mason classification. Radial head fractures may be difficult to visualize on initial imaging but should be suspected when there are limitations of elbow extension and supination following trauma. Distal radius buckle fractures, or torus fractures, are common injuries sustained by pediatric populations after a ground-level fall. Combined fractures involving both the ulna and radius generally require surgical correction. When treating a distal radius fracture, the goal is to achieve a normal. These fractures are treated with immobilization or surgery, depending on the degree of displacement and angulation. Diagnosis is made by AP and lateral radiographs of the wrist or forearm. Then you will be given a removable wrist splint to wear for comfort and support. Usually a cast will remain on for up to six weeks. It often serves as a final treatment until the bone heals. Isolated midshaft ulna (nightstick) fractures are often caused by a direct blow to the forearm. If the distal radius fracture is in a good position, a splint or cast is applied. It should be noted that these fractures may be complicated by a median nerve injury. A nondisplaced, or minimally displaced, distal radius fracture is initially treated with a sugar-tong splint, followed by a short-arm cast for a minimum of three weeks. In adults, distal radius fractures are the most common forearm fractures and are typically caused by a fall onto an outstretched hand. Depending on the degree of angulation, buckle and greenstick fractures can be managed with immobilization. Greenstick fractures, which have cortical disruption, are also common in children. Although buckle fractures can occur in different areas (arms or legs), they most commonly occur in the forearm, near the wrist, due to blunt trauma or a hard fall on an outstretched hand. Incomplete compression fractures without cortical disruption, called buckle (torus) fractures, are common in children. Buckle fractures typically occur in children under 10 years old, because the bone is still growing and relatively flexible. If initial imaging findings are negative and suspicion of fracture remains, splinting and repeat radiography in seven to 14 days should be performed. ![]() Evaluation with radiography or ultrasonography usually can confirm the diagnosis. A total of 117 children with buckle fracture treated. In most cases, a buckle fracture is treated with a splint and cast. If an operation is needed, we will talk to you about this in. Will my child need an operation No, not usually. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. A buckle fracture is a stable fracture where there is a dorsal cortex compression of the distal radius. A plaster or fiberglass cast will be used to keep the bones in place while they heal. Buckle fractures usually heal in 3 to 4 weeks. Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. Fractures of the distal radius account for one-sixth of all fractures seen in the emergency department. ![]()
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