![]() In general, kids tend to recover their motion and strength much more quickly than adults, and most kids are back to themselves after a couple of months. Throughout treatment, it is important to continue to move the fingers to prevent stiffness and minimize swelling. After the fracture heals, therapy may occasionally be needed to recover motion of the wrist, strength, and function. The diagnosis of a torus fracture is made from both anterior/posterior and lateral projections. Torus fractures of the distal radius are among the most common fractures in children but management varies widely between immediate discharge from the emergency department to repeated outpatient reviews with casting and imaging. Minimally displaced fractures usually heal uneventfully in a cast or splint. Occasionally, the fracture fragments are shifted or notably angled. In these cases, setting the bone may be required to minimize growth disturbances and optimize function of the hand going forward. While certain types of fracture have a high rate of complications and require careful monitoring, others do not. ![]() ![]() The older the child, the less time available for the bone to straighten itself out with normal growth. Older kids (>10 years old) have less ability to "remodel" the bone. Buckle fractures commonly affect the radius and ulna (the bones that connect your forearm to your wrist), but they can happen to any long bone. While most buckle fractures of the wrist heal uneventfully, some wrist fractures in kids may need to be set. The degree of “displacement” (the shift or angulation of the bone pieces), along with the child’s age determines the ideal treatment.
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