Introduction:

Pediatric torus buckle fracture, also known as a torus fracture or buckle fracture, is a common type of bone injury in children. It typically occurs in the long bones of the forearm, but can also affect the lower leg or other bones. This article provides a comprehensive overview of pediatric torus buckle fractures, including their causes, clinical presentation, diagnosis, management, complications, and prognosis. Understanding these key aspects is essential for healthcare professionals involved in the care of children with torus buckle fractures.

Causes of Pediatric Torus Buckle Fracture:

• Fall: The most common cause of torus buckle fractures in children is a fall onto an outstretched hand or a direct blow to the bone.
• Sports-related injuries: Participation in high-impact sports or activities that involve sudden forceful movements can increase the risk of torus buckle fractures.
• Accidental trauma: Other forms of accidental trauma, such as motor vehicle accidents or bicycle accidents, can also lead to torus buckle fractures in children.

Clinical Presentation and Diagnosis:

• Symptoms: Children with a torus buckle fracture may present with localized pain, swelling, and tenderness near the fracture site. They may have difficulty moving the affected limb or experience mild functional impairment.
• Physical examination: A thorough physical examination, including palpation and range of motion assessment, can help identify the location and extent of the fracture.
• Diagnostic imaging: X-rays are the primary imaging modality used to diagnose torus buckle fractures. X-rays typically show a characteristic "buckling" or "bulging" of the bone cortex without complete disruption.

Management of Pediatric Torus Buckle Fracture:

• Immobilization: Most torus buckle fractures can be managed non-operatively with the use of a splint or cast to immobilize the affected limb. This helps promote healing and prevents further injury.
• Pain management: Over-the-counter pain medications, such as acetaminophen or ibuprofen, may be recommended to manage pain and discomfort.
• Follow-up care: Regular follow-up appointments are important to monitor the healing process, ensure proper alignment of the bone, and assess for any complications.

Complications and Prognosis:

• Limited complications: Torus buckle fractures in children generally have a good prognosis with proper management. Complications are rare but may include delayed healing or malunion in cases of severe displacement or inadequate immobilization.
• Full recovery: Most children recover fully from torus buckle fractures within a few weeks to a couple of months. Physical therapy or rehabilitation exercises may be recommended to restore strength and function.

Conclusion:

Pediatric torus buckle fractures are common bone injuries in children, typically involving the long bones of the forearm. Recognizing the causes, clinical presentation, and appropriate management of torus buckle fractures is crucial for healthcare professionals involved in the care of pediatric patients. By providing timely diagnosis, immobilization, and follow-up care, healthcare providers can help ensure optimal healing, reduce the risk of complications, and facilitate a full recovery for children with torus buckle fractures.

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