![]() ![]() 8 – 10 Finally, there is the need for specialized resources for application and removal of the cast. 7 The noise from a cast saw and fear of its use, as well as discomfort of the cast are among the most common negative aspects from a child’s perspective. 3, 5 However, a cast complicates hygiene for a child, and there may be risks that result from a poor fit. The mainstay of treatment for these fractures has been the use of a short arm cast for four to six weeks and several follow-up visits to an orthopedic surgeon. 3 – 5 These minimally angulated fractures generally do not require reduction, have an excellent long-term prognosis and rarely result in complications such as malunion or deformity. 2 Although such fractures are often angulated at the time of injury, physicians often accept those with minimal angulation (≤ 15°) because of the unique capacity of skeletally immature bones in children to heal through remodelling. Casting also will help reduce the swelling and in turn reduce the pain.Fractures of the distal radius are the most common fracture in childhood 1 and a frequent reason for visits to the emergency department. When a cast is used it is normally a soft cast. Before it is cast or splinted the orthopedic physician will make sure that the bone is aligned correctly. Casting or splinting will make sure that the bone is aligned properly so it will heal correctly. This is an important part of healing because it helps in the normal healing process of the fractured bone by keeping it from moving. The orthopedic physician may give you a prescription for stronger pain medication if needed but it depends on the age of the child. Your orthopedic physician will usually prescribe over-the-counter non-steroidal anti-inflammatory (NASIDs) like ibuprofen and acetaminophen to help with the pain. There are three main treatments that are used to treat buckle fractures which are: Pain managementĪs soon as the bone is fractured there is pain and it is very uncomfortable especially with children and the elderly. The bones will naturally heal by themselves but to keep the area immobilized and prevent further damage and to help it heal properly the orthopedic physician will splint or cast the injured area. This is the physician who has specialized in treating different bone problems, including fractures. To treat a buckle fracture you will have to see an orthopedic physician before any treatment is done. Most buckle fractures are treated by splinting or casting them. If the physician cannot get a positive diagnosis as to whether it is a buckle fracture or not they may have a CT scan or MRI done. The x-ray can diagnosis if it is a buckle fracture and if not, what type of fracture it is and how severe it is. The most common way to diagnosis a buckle fracture is by having an x-ray taken. Having a fractured finger will prevent the range of motions in that finger, especially the fine motor movements.Ī buckle fracture can also happen because of trauma such as a car wreck or being hit by something heavy called blunt force trauma. Finger – this is not as serious buckle fracture nor as common as other buckle fractures.This type of buckle fracture accounts for approximately thirty percent all fractures that occur in children and the elderly. Wrist – this is one of the more common condition or problem in a child’s wrist because when a child falls most of the time they extended their hands for support when they fall so they can try to catch themselves.These are the two bones found in your forearms. This is because they are so carefree and seem to fall a lot as they run, play, and jump with their arms outstretched.Radius and ulna – approximately fifty percent of fractures that children and the elderly have are this type of buckle fracture.There are many different types with each one having a different cause as to why it happened. When move the affected area they have an uncomfortable feeling.The buckle fracture is one that is also found in most elderly people after falling, especially involving the radius and ulna bones in their forearms and the bone in their wrist because their bones are fragile. It is a fracture that you will commonly see in children, especially during the phase when their bones are still growing and their bones are still soft unlike adults who bones are harder. ![]() The difference between the two is that when you have a buckle fracture it does now bow out. It is a type of fracture that is often compared to a greenstick fracture in which with this type of fracture one side of the bone bends outward and the other side of the bone breaks. It is also referred to as a torus fracture. It is a type of fracture that affects the side of a bone making the side of the bone bend outward but it does not fully break. ![]()
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