The new findings, coupled with earlier research into the effectiveness of splints versus casts, have led to a change in the standard treatment of these type of fractures at St. Without an expensive liner, children can’t get them wet, which results in significant inconvenience regarding swimming and hygiene.” “Traditionally, forearm buckle fractures have been managed with casts, which can be heavy, uncomfortable and, in the summer, hot and cumbersome. Luhmann, MD, an associate professor of pediatrics and physician in the emergency department at St. “Our goal is to manage these fractures in a manner that allows healing while maximizing comfort and convenience, yet minimizing disruptions in children’s active lifestyles,” says senior author Janet D. Your child should avoid rough play and contact sports, as well as activities such as trampolining and skateboarding for a total of SIX weeks after the injury.Among the most common pediatric injuries seen in emergency rooms are fractures that occur when children fall and try to catch themselves with an outstretched hand.įor many, that tumble on the playground, around the bases or off a bunk bed results in a buckle fracture, a forearm injury traditionally treated with a cast.īut new research from the School of Medicine shows that removable splints are clearly preferred by patients and their parents, building on earlier findings that such splints are just as effective as casts. This should improve over the next week or two.
Expect the wrist to be stiff for a few days after removal. After three to four weeks the splint should be able to be removed and left off.
This is for your child to be reassessed to make sure pain is controlled and the splint is well-fitting. You may be asked to see your GP within 1 week. This is best done overnight so that the splint can be put back on for daytime activities. Hand wash in lukewarm water with mild detergent. Splints are usually more comfortable for the child and easier to care for. Research has shown that wrist buckle fractures will heal well in a splint which gives support and protection. If severe pain continues, or if there is a lot of swelling or numbness you should bring your child to your local doctor or the Emergency Department for review. Ask your child to move their shoulder, elbow, and fingers, so they don’t get stiff.
If your child gets any numbness in the hand, you should loosen the splint. Give your child the dose that is recommended on the packaging for their age and weight. Pain medication like paracetamol or ibuprofen should be given regularly until your child is comfortable. However, the splint can be taken off for bathing, or if you need to wash the splint itself, as long as the removal is well tolerated by your child (Figure 2). A removable wrist splint should be worn for comfort for three to four weeks, day and night (except when it is removed for washing and drying) to reduce the chance of further injury. These fractures heal well with rest and time. This fracture is very common in children and presents as a bulge in the bone as it has been squashed If your child has fallen onto their wrist, they may have an injury known as a “buckle” fracture (Figure 1). The two bones in your child’s forearm are called the radius and ulna.
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