Abstract
### What you need to know Torus (buckle) fractures are the most common fractures of the wrist in children, involving the distal radius and/or ulna bone (fig 1).1 They typically...
Highlights
Torus fractures, known as buckle fractures, are the most common fractures of the wrist in children, involving the distal radius and/or ulna bone [1]
Torus fractures heal very quickly, with pain almost completely resolved by 3 weeks [3]
National Institute for Health and Care Excellence (NICE) concluded that quality of evidence was poor, and recommended that these injuries should not be immobilised in a rigid cast, instead recommending either a splint or a bandage
Summary
The quality of evidence was low or very low reflected the absence of blinding in all trials, and a high rate of participant attrition and imprecise estimates of the effect size owing to low sample sizes. For both studies that evaluated a rigid cast versus either a removable splint, or a bandage, there were no reported differences in serious events and no discernible differences in pain at follow up (1-4 weeks later). There is no evidence that supports the need for follow up of these patients, recent survey practice of Emergency Departments reveals this continues to be offered
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