Improving Throughput, Mythbusting, Pediatrics, Pediatrics

Paging Dr Buckle, Part Two.

We can add two more pieces of literature to suggest that removable splinting alone is sufficient for the management of distal forearm torus fractures. This piece looked at 142 pediatric patients randomized to short arm cast or removable wrist splint for 3 weeks without a significant difference in pain, compliance, or complications.

Then there is this article that looked at 119 consecutive pediatric torus fractures over a one year period seen by an APRN who were immobilized with a soft cast. There were no adverse events, and no subsequent visit to fracture clinic. In comparison to previous standards of fracture clinic referral, there was a cost savings of $18596 euro (20k USD) in total.

The AAOS says, “The use of removable splints is an option when treating minimally displaced distal radius fractures.”  Since this 2009 recommendation, there are now 5 publications (the two articles above, plus three from this previous post suggesting nondisplaced pediatric Torus fractures can be safely treated with a removable splint at a significant cost savings to all involved.

Standard

One thought on “Paging Dr Buckle, Part Two.

  1. Pingback: Should you MRI Salter Harris 1’s? | EM in Focus

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