Buckle Fracture – Distal Radius and/or Ulna This is a specific type of fracture that occurs in children’s bones
Healing
This normally takes approximately 3-4 weeks to heal. It is normal for it to continue to ache a little for a few weeks after this. Younger children normally get better quicker.
Pain and swelling
Taking pain medication and elevating their wrist will help. This is usually only needed in the first few days. Using the arm: It is ok to use and move the arm for normal tasks such as getting dressed and gentle play, writing etc. avoid any high impact activities where there is a chance of falling on it such as trampolining, scooters, football, bikes etc for 6 weeks.
The splint
The soft cast helps their pain by keeping the arm still. They will be in the soft cast for 3-4 weeks and then it can be removed at home following the instructions below.
Follow up
Normally we do not follow up patients with this type of injury as they heal well. If after 6 weeks your child still has significant pain or swelling please contact us using the details listed below. Any questions: If you are concerned about their symptoms or are unable to follow this rehabilitation plan please contact the Virtual Fracture Clinic team.
Frequently asked questions
My child reports the splint doesn’t support their wrist enough. What do I do?
If they are still in a lot of pain when wearing the splint we can bring them in for a soft cast which may make it more comfortable. You will need to contact the Virtual Fracture Clinic team to discuss this.
Can my child remove their splint to wash?
Yes, it is safe for them to remove their splint to wash. As they have a stable fracture, the splint is more for comfort and does not significantly affect the healing of the bone.
My child’s symptoms have changed. What do I do?
If you have any of these symptoms, please get in touch
- Increasing joint pain
- Increasing swelling with difficulty to bend the fingers/thumb
- Hypersensitivity to touching the skin
- Shiny/red skin
- Increased hair growth on skin
- A sensation of the hand not belonging to you
When can my child return to sport?
There is a small increased risk of injury for up to 12 weeks, however most children can return to full sports at 4-6 weeks post injury. Non-contact spots e.g swimming can be started as soon as your child is comfortable.
How do I contact the Virtual Fracture Clinic?
Call: 01228 814898
Confidentiality
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For further information on confidentiality contact the Information Governance Team:
Information.Governance@ncic.nhs.uk | 01228 603961
Feedback
We appreciate and encourage feedback, which helps us to improve our services. If you have any comments, compliments or concerns to make about your care, please contact the Patient, Advice & Liaison Service:
pals@ncic.nhs.uk | 01228 814008 or 01946 523818
If you would like to raise a complaint regarding your care, please contact the Complaints Department:
complaints@ncic.nhs.uk | 01228 936302