Torus fracture healing time12/25/2023 ![]() cast/rigid splint) argue that this maximizes pain relief, and minimizes the occurrence of complications, i.e. 2- 7 The proponents of rigid immobilization (i.e. The variation in practice has arisen from a longstanding doctrine of rigid cast immobilization for fractures, 3 tempered with newer evidence to suggest that simpler treatment methods are frequently as effective, or perhaps even more effective. Treatment varies from soft bandaging, to the use of a removable splint, and rigid plaster cast immobilization. There is considerable variation in the management of this injury. Torus fractures are very low risk injuries for complications or deformity in the skeletally immature, and these fractures universally heal well. 1 They occur when the radius and/or ulna bone buckles, such that there is cortical deformation but no break in the cortex. Torus fractures of the forearm account for an estimated 500,000 emergency department attendances a year in the UK. This data directly informed the development of an ongoing nationwide randomized clinical trial – the FORearm Fracture Recovery in Children Evaluation (FORCE) study. Despite national guidelines, there is significant variation in practice. We demonstrate excellent follow-up of patient outcomes using text messages. ![]() We have demonstrated the severity, recovery trajectory, and variation in pain scores among children with torus fractures. Of the 100 units who participated in the nationwide survey, 38% were unaware of any local or national protocols regarding torus fractures, 41% treated torus fractures with cast immobilization, and over 60% of patients had follow-up arranged, both contradictory to national guidelines. Of the 150 potential data points, data was captured in 146, making the data 97.3% complete. In all, 30 patients with a mean age of 8.9 years were enrolled over a six-week period. A cross-sectional survey of current accident and emergency practice in the UK was also undertaken to gauge current practice following the publication of NICE guidance. An automated text message service recorded pain scores at days 0, 3, 7, 21, and 42 postinjury. ![]() Patient consent and study information, including a copy of the Wong-Baker Faces pain score, was issued at the first patient contact. ![]() Prospective data collection on torus fractures presenting to our emergency department. This study sought to estimate the clinical outcomes and describe the nationwide variation in practice, as part of the feasibility workup for a National Institute for Health and Care Excellence (NICE) recommended randomized clinical trial to determine the optimal treatment of torus fractures of the distal radius in children. ![]()
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |