Article Text

PDF
G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius: wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up
  1. RA Crowder,
  2. AG Rowland,
  3. M Handford,
  4. S Tan,
  5. MJ Stuart
  1. Emergency Department, North Manchester General Hospital, The Pennine Acute Hospitals NHS Trust, Manchester, UK

Abstract

Background and objectives In July 2013, the Paediatric Emergency Department (ED) of a UK District General Hospital ED seeing approximately 30000 children aged under 16 years of age per year in the ED, began managing children diagnosed with a torus fracture of the distal radius with a wrist splint and written self-care information, rather than a wrist splint and hospital-based fracture clinic follow-up. This study assessed the impact of this change in practice.

Methods A 14 month retrospective review of all children diagnosed with a torus fracture of the distal radius was conducted. Referrals to fracture clinic and the number of children re-attending the ED with complications related to the initial injury (such as pain or splint problem) were analysed. All children had appropriate wrist immobilisation.

Results 197 children were diagnosed with a torus fracture of the distal radius. 161 (median 14/month) attended pre-change in practice and 36 (median 12/month) attended post-change.

131 (66%) were referred to the fracture clinic, (126 (78%) pre-change in practice and 5 (14%) post-change). The remainder were discharged with written self-care information.

In the one month following initial attendance, 34 (21%) re-attended the ED pre-change in practice and 3 (8%) post-change.

Conclusions Children with a torus fracture of the distal radius can be appropriately managed with a wrist splint and written self-care information, rather than by hospital fracture clinic follow-up. This more efficiently uses healthcare resources, reduces re-attendances during the month following initial injury and reduces social inconvenience for children and their families.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.