How effective is removable splintage for undisplaced wrist compression (buckle) fractures in children?
Some of the trials used poor methods that meant their results were potentially unreliable. Although subcutaneous wire fixation prevents redisplacement, the effects on longer term outcomes including fracture were not established.
Approximately one third of all fractures in children occur at the wrist as a result of falling onto an outstretched hand. Some fractures are relatively minor, involve a bulging of the bone surface (buckle fractures) and are traditionally treated with a below-elbow plaster cast. Where there is bone displacement, treatment usually involves an above-elbow cast or surgical fixation.