Behandelingen & onderzoeken Chirurgie

Buckle/Torus fracture (children)

Your child has a small fracture in the lower-arm, a torus fracture. It is a buckle of the bone. This is treated with a brace and a sling. 

Summary

  • Your child has a small fracture in the lower-arm, at the level of the wrist.
  • This type of injury almost always heals well without any loss of function.
  • A routine follow-up is not necessary for this type of injury.
  • The sling can be removed as pain allows. The brace may be removed after one week. If your child is still in too much pain, then the use of the brace can be reduced in the second week.
  • To prevent the wrist from getting stiff, it is important that your child starts moving his/her wrist after 1-2 weeks.
  • You can find instructions on how to reapply the brace in our Virtual Fracture Care app in the App store (iPhone) or Google Store (Android).
  • If you have any questions, or are experiencing problems with your recovery, you can call the 'Breuklijn' (fracture hotline) on workdays between 10.00-12.00.

Treatment

The torus fracture of the wrist or lower-arm is a common injury in children. The fracture is treated with a brace and a sling.

0-1 weeks
  • Wear the brace.
  • Wear a sling, you may remove it as soon as your child’s pain allows this.
1-2 weeks
  • Wear a brace, remove it as soon as your child’s pain allows this.
3-4 weeks
  • Move your child’s wrist and lower-arm.
After 4 weeks
  • Start sports.

Instructions

Follow the instructions for a good recovery

  • The brace and sling keep your child’s arm in a comfortable position.
  • Wear the brace for one week. Is your child in too much pain after 1 week? Then your child can use the brace in the second week. After the second week your child should not wear the brace anymore.
  • Your child can wear the sling as well, it can be removed if your child’s pain allows you to do this.
  • The fracture is close to your child’s wrist. Therefore it is important that your child starts moving his/her wrist after 1-2 weeks. This prevents your child’s wrist from getting stiff and improves the healing and recovery. No specific exercises are necessary.
  • After 3 weeks your child can carefully start all activities again. This is only when your child’s pain allows this. If your child is still experiencing too much pain to do this, it is better to wait a few more days.
  • When your child takes a shower the brace can be removed. Make sure that your child’s arm is completely dry before putting on the brace again. You can find instructions about putting on a brace in our Virtual Fracture Care app and/or in this video.
  • Is your child in pain? Use a mild pain killer such as acetaminophen. Do not wait with the use of acetaminophen until the pain is too much.

Recovery

  • This type of injury almost always heals well with time and use.
  • No specific treatment is required and routine follow-up is not necessary.
  • Does the pain increase, or does it not improve? Please contact the 'Breuklijn' (fracture hotline). See also the information at the bottom of this page. We will make an appointment if it is needed.

Reapply the brace

In this video and in the Virtua Fracture Care app you can find instructions on how to to reapply the brace.

Exercises

The fracture is close to the wrist. Therefore it is important that your child starts moving the wrist after 1-2 weeks. No specific exercises are necessary.

Virtual Fracture Care app

In our Virtual Fracture Care app, you can find more information about your injury. You can also find exercises here to improve your recovery. You can find the app in the Appstore (iPhone) and in the Google Store (Android). You can also scan the QR-code, automatically you will be transferred to the app.

QR code Virtual Fracture Care app

Questions? Please call the 'Breuklijn'

If there are any questions after reading this information, please call the 'Breuklijn' (fracture hotline) on workdays between 10.00-12.00.

Gerelateerde informatie

Code SEH APP E 04-AD

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