Clinical Pearl Wednesday #106

Falling Easter Mess Easter Basket  - lisatener / Pixabay

Buckle fractures in pediatric patients are extremely common. It is also extremely common to overtreat these.

If you have a pediatric patient with a non-complicated buckle fracture of the distal radius, a simple splint works just as well and is more preferred over a cast. Studies have demonstrated that home splint removal once symptoms resolve are likely safe in the majority of patients vs. an orthopedic visit.

Often times I will put a child in a simple removable wrist splint with thumb support and have them follow up in 4-6 weeks with excellent results.

https://pubmed.ncbi.nlm.nih.gov/15832147/

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