![]() The new findings, coupled with earlier research into the effectiveness of splints versus casts, have led to a recent change in the standard treatment of uncomplicated forearm buckle fractures in the emergency department at St. Without an expensive liner, children can’t get them wet, which results in significant inconvenience regarding swimming and hygiene.” “Traditionally, forearm buckle fractures have been managed with casts, which can be heavy, uncomfortable and, in the summer, hot and cumbersome. Luhmann, MD, an associate professor of pediatrics and physician in the emergency department at St. “Our goal is to manage these fractures in a manner that allows healing while maximizing comfort and convenience yet minimizing disruptions in children’s active lifestyles,” said senior author Janet D. Louis shows that removable splints are clearly preferred by patients and their parents, building on earlier findings that such splints are just as effective as casts. (Photo: Elizabethe Holland Durando)Īmong the most common pediatric injuries seen in emergency rooms are fractures that occur when children fall and try to catch themselves with an outstretched hand.įor many, that tumble on the playground, around the bases or off a bunk bed results in a “buckle fracture,” a forearm injury traditionally treated with a cast.īut new research from Washington University School of Medicine in St. Their research found that such splints are preferred over casts by patients and their parents in the treatment of uncomplicated buckle fractures in children’s forearms. Williams, MD, models a removable splint alongside study co-author Janet D. No further x-ray will be required.Kristine G.
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