In addition to pre-fabricated and removable splints, multiple other non-casting alternatives have been found to be equally safe in the management of paediatric torus fractures of the distal forearm. Numerous other studies have highlighted safe and efficacious management of these injuries in a similarly ‘minimalist’ fashion. Radiographs become necessary only in the setting of re-injury or continued pain after the treatment period. Van Bosse et al 5 described treatment with removable splint application at time of injury, appropriate patient and caregiver counselling, a short (three to four week) period of immobilization and either self-discontinuation of the splint at home or a single follow-up appointment with clinical examination only. However, emerging literature over the last two decades has supported a ‘minimalist’ approach to managing these injuries.
TREATMENT TORUS FRACTURE HUMERUS SERIAL
The traditional management of paediatric torus fractures of the distal forearm has mirrored that of other fractures in this region, including cast immobilization and serial radiographic and clinical follow-up to assess for displacement until fracture union. 1 They are stable due to the thick periosteum present in this patient population and, unlike other paediatric wrist and forearm fractures, the risk of future displacement is minimal. Torus (buckle) fractures of the distal forearm are common injuries in children and young adolescents, typically occurring after a fall on an outstretched arm.
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