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Casting options for 3-year-old with arm fracture

Casting options for 3-year-old with arm fracture
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Casting options for 3-year-old with arm fracture

Question:
My 3-year old daughter fell down and the result of the x-rays /XR WRIST RIGHT/ is: “Minimal buckling is seen, distal radius and distal ulna most consistent with minimal torus ulna approximately 1 cm from the growth plate of the distal radius and the distal aspect of the ulna. Minimal buckling of the distal radius torus fracture is seen dorsally”.

What do you think – what is the best way to treat that – do you think she will need a cast or something different to do with that? The doctor said she will not do the cast. I’m not sure that is the right decision, I prefer not to follow his directions; I found on the internet that the cast is simply the way to treat these things.

Answer:

From the report it sounds as if the fractures are not displaced much. If that is the case then a cast for a few weeks will work well. If there is displacement of the fractures then a closed reduction followed by casting would be required.

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