![]() demonstrated that patient compliance and safety are the foremost concerns impeding the use of removable splints among emergency medicine and pediatric orthopaedic physicians in North America. Prior work by this group and other investigators has sought to identify these barriers. 18, 19ĭespite the evidence supporting a new standard of care for the treatment of pediatric buckle fractures in this minimalist fashion, adoption has been slow and barriers to implementation still remain. 4– 7, 11– 15 While the minimalist approach to treatment is equally effective and decreases healthcare costs 14 and patient burden, it has not been implemented into clinical practice in all settings 16, 17 and is not the preferred method of treatment among many specialist providers. splinting) and minimal clinical and no radiographic follow-up produces the same outcome as historical treatment protocols. 3– 10 Although buckle fractures were historically managed with cast immobilization and routine radiographic monitoring, evidence emerging in the last two decades demonstrates that treatment with removable immobilization (i.e. 1, 2 Torus (buckle) fractures of the distal forearm are among the more common variants of these injuries and are characterized by an inherent stability that has enabled a recent shift towards treatment methods other than casts which were traditionally employed in the acute management of most types of pediatric forearm fractures. Fractures of the distal forearm are common injuries seen in childhood and adolescence with increasing incidence.
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