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Comparison of splinting and casting in the management of torus fracture
1St Mary's Hospital, Imperial College Healthcare NHS Trust, London.
Insights
Torus fractures, common in children, are best managed with splinting. This method is cost-effective, promotes faster recovery, and is parent-preferred, though pain relief evidence is inconclusive.
Area of Science:
- Pediatric Orthopedics
- Pediatric Trauma
Background:
- Torus fractures, also known as buckle fractures, are common in pediatric populations.
- Current management strategies for torus fractures exhibit variability in treatment protocols and practitioner preferences.
Purpose of the Study:
- To review and compare the efficacy of splinting versus plaster of Paris (POP) casting for managing torus fractures in children.
- To evaluate cost-effectiveness, functional recovery, parental preference, and pain associated with different management options.
Main Methods:
- A comprehensive literature review was conducted on studies comparing splinting and POP casting for torus fractures.
- Outcomes assessed included cost-effectiveness, return to function, parental satisfaction, and pain levels.
Main Results:
- Splinting demonstrated superior cost-effectiveness compared to POP casting.
- Patients treated with splints showed a quicker return to normal function.
- Parental preference leaned towards splinting as a management option.
Conclusions:
- Splinting is a preferred and more effective method for managing pediatric torus fractures due to its cost-effectiveness and faster functional recovery.
- While splinting offers advantages, further research is needed to conclusively determine its superiority in pain management.
Abstract:
Torus, or buckle, fractures are unique to, and common in, children, but their treatment varies by hospital protocol and practitioners' preference. This article reviews the literature on managing torus fractures with a splint and with plaster of Paris, and concludes that splinting is more cost effective, more likely to ensure quick return to normal function, and is preferred by parents. There is no conclusive evidence, however, that it is less painful.
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