A latest review by at Cochraine Library, an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions, has concluded that removable splints and plaster casts appears to be equally safe and effective for treating minor “buckle” wrist fractures in children.
Buckle fracture or Torus fractures, are extremely common injuries seen in children. Because children have softer bones, one side of the bone may buckle upon itself without disrupting the other side; this is also known as an incomplete fracture.
The word torus is derived from the Latin word ‘Tori’ meaning swelling or protuberance. Children commonly sustain this injury by falling on an outstretched hand.
These fractures are common in toddlers and preschool infants. If these fracturees are correctly diagnosed, these minor fractures can be treated with a removable splint.
When required, the splint can be removed at home only.
The review appears in the current issue of The Cochrane Library. It is a systematic review based on 10 studies involving 827 children withwrist fractures. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.
While this may sound simple and encouraging, it is difficult to motivate a chiild to keep splint on for the required length of time.
This objection to the conclusion of review has been raised and makes a valid point that compliance of the patients in this age is poor.