![]() Surgical repair of pediatric hand and wrist fractures is rarely required in situations where the bone cannot be set straight or if it not healing properly with cast treatment. Sometime the fracture will need to be “set” straight before splinting. Delayed treatment of pediatric fractures can lead to undesirable outcomes including malunion (bone doesn’t heal straight), and nonunion (bone doesn’t heal at all).Īnd casting are the mainstays of nonoperative treatment for fractures that are stable and not badly displaced (out of alignment). Even without these warning signs, it is best to seek urgent treatment so that the fracture can be set straight and Or “tight” swelling, significant deformity, or any open wounds around the hand or wrist (possible open or compound fracture). Suspected hand and wrist fractures warrant emergent treatment if your child is experiencing hand numbness and tingling, severe Treatment Buckle fractures usually require a splint for 3-4 weeks while it heals. Your child may have some or all of these symptoms. The usual signs and symptoms include pain, swelling, bruising, and decreased range of motion of the arm or joint. Yes! Some fractures are obvious if there is a deformity, but typically X-ray is used to definitively diagnose the fracture and plan treatment. their bones are softer and more flexible than adult bones. Is There a Test for Hand and Wrist Fractures? Finger hyperextension / jamming injuries.Direct blows to the hand or wrist (sports, vehicle accidents).Fall onto an outstretched hand (most common).Most hand and wrist fractures in children are caused by injuries: The fractures occur around the soft growth plates at the wrist and bases of the fingers. Because children’s bones are more flexible than adults’, sometimes they “bend” or “buckle” like a “green stick” rather than cracking. These are all just different ways of describing a fracture. You’ve been told the bone was “broken”, “hairline”, “green stick”, “buckled”, “cracked”, “chipped”, “split”, “shattered”, or “splintered”, Fractures are simply breaks or cracks in the bone. Unfortunately, fractures are a right-of-passage for most children. Of all ages, and when they land on their outstretched hand or wrist, injuries can occur. ![]() Kids are active, but not always graceful! Falls happen to children No planned follow up is required but if, your child still has a lot of pain or is not willing to use their wrist then you should contact the Emergency Department.What Are Pediatric Hand and Wrist Fractures? There may also be mild swelling of the affected wrist which will again settle a few days after the accident. It may be helpful to ease your child’s discomfort with simple pain killers, such as paracetamol and ibuprofen. Your child may have some pain in their wrist which will settle over a few days. Your child should avoid sporting activities, physical education and rough play for another 6 weeks to avoid further injury. This type of injury heals very well without treatment such as a splint or plaster. This injury is treated like a sprain and does not result in permanent deformity. Your hand therapist at Northside Hand & Upper. What is a buckle fracture?Ĭhildren’s bones are softer and more flexible than adults so instead of breaking all the way through it will often bend on one side rather than break. More-severe greenstick fractures may cause an obvious deformity, accompanied by significant pain and swelling. The pain may subside if the injured limb is protected. This is the most common type of fracture in young children. A buckle fracture causes a lot of acute pain. Your child has sustained a ‘buckle’ fracture (break) of their wrist.
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