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A ‘torus’ (Greek for ‘bulge’ often seen at the base of Greek columns) fracture, or a ‘buckle’ fracture of the wrist, is one of the most common minor injuries seen in a Paediatric Emergency Department. Many centres will recommend cast immobilisation, discharge, follow-up, and repeat imaging. Is that the best way? Perry DC et al [Lancet 2022; 400: 39–47. DOI:https://doi.org/10.1016/S0140-6736(22)01015-7] and the PERUKI research network have published a beautifully pragmatic, properly powered, randomised, open, equivalence study which compared pain and function in children with a distal radial torus fracture offered a soft bandage and immediate discharge and no …
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