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Is a Splint or Cast Better for a Buckle Fracture?

Published in Buckle Fracture Treatment 2 mins read

For a buckle fracture, both a ready-made splint and a removable backslab (a type of partial cast) are effective and commonly used treatments. The key characteristic of the preferred treatment for a buckle fracture is that it can be removed, allowing for greater convenience and hygiene.

Understanding Buckle Fractures and Their Treatment

A buckle fracture, also known as a torus fracture, is a common type of incomplete fracture often seen in children. It occurs when one side of a bone buckles or bends without completely breaking. Due to its stable nature, these fractures typically do not require full immobilization with a traditional, non-removable cast.

Preferred Treatment Approaches

Treatment for buckle injuries focuses on stabilizing the affected area while allowing for practical day-to-day care. The primary options include:

  • Removable Backslab (Partial Cast): This is a type of partial cast held in place with bandages. Its design allows it to be removed, differentiating it from a full, non-removable cast.
  • Ready-Made Splint: A pre-fabricated device designed to support and immobilize the injured area. Like a backslab, it offers the benefit of being easily removable.

Both of these options are suitable because they provide the necessary support to the healing bone while offering flexibility.

Key Considerations for Fracture Care

Regardless of whether a splint or removable backslab is used, the main principles of care remain consistent:

  • Wear as Much as Possible: The splint or backslab should be worn most of the time to ensure proper healing and minimize movement of the fracture site.
  • Removability for Hygiene: A significant advantage of both splints and removable backslabs is that they can be taken off for activities like bathing or showering, which helps maintain skin hygiene and comfort.
  • Optional Arm Sling: An arm sling may be recommended as an optional aid. It can help reduce pain or discomfort by providing additional support and limiting movement of the injured limb.

The choice between a splint and a removable backslab often comes down to clinical preference, patient comfort, and the specific location of the buckle fracture. Both aim to achieve the same positive outcome for this type of injury.