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Application of removable wrist splint in the management of distal forearm torus fractures

Mahmood Karimi Mobarakeh1, Ali Nemati1, Reza Noktesanj1

  • 1Department of Orthopedic and Trauma Surgery, Kerman University of Medical Sciences, Shahid Bahonar Hospital, Kerman, IR Iran.

Trauma Monthly
|December 19, 2013
PubMed

Insights

Removable wrist splints (RWS) offer a cost-effective and satisfactory treatment for distal forearm torus fractures (DFTF) in children. This approach is comparable to short arm casts, with no significant differences in pain, compliance, or complications.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Traumatology

Background:

  • Distal forearm torus fractures (DFTF) exhibit varied treatment protocols, ranging from conservative bandaging to rigid cast immobilization.
  • Optimal management strategies for pediatric DFTF remain a subject of clinical debate.

Purpose of the Study:

  • To evaluate the efficacy and patient acceptance of removable wrist splints (RWS) as a treatment for distal forearm torus fractures in pediatric patients.
  • To compare the outcomes of RWS treatment with traditional short arm cast (SAC) immobilization.

Main Methods:

  • A prospective study involving 142 children under 17 with DFTF.
  • Randomized allocation to either RWS or SAC treatment for a duration of three weeks.
  • Comparative analysis of treatment outcomes between the RWS and SAC groups.

Main Results:

  • No statistically significant differences were observed in pain levels, patient compliance, or complication rates between the RWS and SAC groups.
  • The RWS group demonstrated potential for resource savings and increased patient and parent satisfaction without compromising care quality.

Conclusions:

  • Removable wrist splints (RWS) represent a viable, cost-effective, and well-tolerated treatment option for pediatric distal forearm torus fractures.
  • RWS management is associated with minimal complications and high acceptability, offering a practical alternative to casting.
Abstract

Keywords:
ForearmFractures, BonePediatricsWrist Joint

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