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Management of Paediatric Buckle (Torus) Wrist Fractures in Irish Emergency Departments: A National Survey

A Abdelhady1, A Ahmed1, E Umana1

  • 1Department of Emergency Medicine, University Hospital Galway, Galway

Irish Medical Journal
|December 7, 2018
PubMed

Insights

Most Irish hospitals still use traditional casting for paediatric buckle fractures, despite guidelines recommending simpler immobilization. This survey highlights a gap between evidence-based practice and current management of these common wrist injuries.

Area of Science:

  • Orthopedics
  • Pediatric Trauma

Background:

  • Buckle fractures are the most frequent wrist fractures in children.
  • Current National Institute for Clinical Excellence (NICE) guidelines advocate for non-rigid immobilization and no follow-up for these fractures.

Purpose of the Study:

  • To assess the current management practices for paediatric buckle fractures in Irish hospitals.
  • To identify variations in treatment approaches compared to NICE recommendations.

Main Methods:

  • A telephone survey was conducted.
  • Twenty-eight Irish centers managing paediatric trauma were contacted regarding their management of buckle fractures.

Main Results:

  • Over 70% of surveyed Irish centers continue to use traditional backslab casts and fracture clinic follow-up for paediatric buckle fractures.
  • This indicates a significant deviation from NICE guidelines recommending simpler immobilization.

Conclusions:

  • There is a slow adoption of evidence-based practices for paediatric buckle fracture management in Ireland.
  • A national consensus is needed to align clinical practice with current research and guidelines.

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