Comparison of splinting and casting in the management of torus fracture
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Comparison of splinting and casting in the management of torus fracture

Emma Neal Senior staff nurse Children’s emergency care, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London

Emma Neal assesses whether self-fastening splints should be used to manage a form of wrist injury that is unique to children and young people

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.

Emergency Nurse. 21, 9,22-26. doi: 10.7748/en2014.02.21.9.22.e1260

Correspondence

emma.neal@imperial.nhs.uk

Peer review

This article has been subject to double blind peer review

Conflict of interest

None declared

Received: 13 November 2013

Accepted: 09 December 2013