ArticleActa orthopaedica2009
Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures.
Article in Acta orthopaedica, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Interventions for treating wrist fractures in children.The Cochrane database of systematic reviews · 2018Pooled it
- Musculoskeletal ultrasound in traumatic emergencies: what radiologists need to know.La Radiologia medica · 2026Review
- Soft bandages in buckle fracture treatment.Canadian family physician Medecin de famille canadien · 2026Article
- Effects of mechanical and electrical stimulation on accelerating greenstick fracture Healing: Insights from finite element analysis and experimental validation.Journal of orthopaedics · 2025Article
- Direct discharge for children with a greenstick or torus fracture of the wrist is a non-inferior satisfactory solution to traditional treatment.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Article
- Estimated Incidence of Pediatric Distal Radius Buckle Fractures in the United States.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Pediatric Diaphyseal Forearm Fracture Management with Biodegradable Poly-L-Lactide-Co-Glycolide (PLGA) Intramedullary Implants: A Longitudinal Study.Journal of clinical medicine · 2024Article
- Clinical Validation of an Artificial Intelligence Model for Detecting Distal Radius, Ulnar Styloid, and Scaphoid Fractures on Conventional Wrist Radiographs.Diagnostics (Basel, Switzerland) · 2023Article
- Patient and parent satisfaction with soft cast immobilization and a single visit for buckle fractures.Journal of orthopaedics · 2023Article
- A Review of Pediatric Distal Radius Buckle Fractures and the Current Understanding of Angled Buckle Fractures.Cureus · 2022Review
- Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature.Musculoskeletal surgery · 2021Review
- Describing pediatric fractures in the era of ICD-10.Pediatric radiology · 2020Review
- Institutional Variation in Surgical Rates and Costs for Pediatric Distal Radius Fractures: Analysis of the Pediatric Health Information System (PHIS) Database.The Iowa orthopaedic journal · 2020Article
- Core curriculum illustration: pediatric buckle fracture of the distal radius.Emergency radiology · 2019Article
- Trends in paediatric distal radius fractures: an eight-year review from a large UK trauma unit.Annals of the Royal College of Surgeons of England · 2019Observational
- Differentiating stable buckle fractures from other distal radius fractures: the 1-cm rule.Pediatric radiology · 2019Article
- A Review of Pediatric Lower Extremity Data for Pedestrian Numerical Modeling: Injury Epidemiology, Anatomy, Anthropometry, Structural, and Mechanical Properties.Applied bionics and biomechanics · 2018Review
- Behavioral Differences of Laying Hens with Fractured Keel Bones within Furnished Cages.Frontiers in veterinary science · 2016Article
- Treatment of diaphyseal forearm fractures in children.Orthopedic reviews · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeNumerous follow-up visits for wrist fractures in children are performed without therapeutic consequences. We investigated the degree to which the follow-up visits reveal complications and lead to change in management. The stability of greenstick and buckle fractures of the distal radius was assessed by comparing the lateral angulation radiographically. PATIENTS AND
methodsThe medical records of 305 distal radius fractures in patients aged less than 16 years treated at our institution in 2006 were reviewed, and any complications were noted. The fracture type was determined from the initial radiographs and the angulation on the lateral films was noted.
resultsOnly 1 of 311 follow-ups led to an active intervention. The greenstick fractures had more complications than the buckle fractures. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. The greenstick fractures displaced 5 degrees on average, and continued to displace after the first 2 weeks. On average, the complete fractures displaced 9 degrees .
conclusionBuckle fractures are stable and do not require follow-up. Greenstick fractures are unstable and continue to displace after 2 weeks. Complete fractures of the distal radius are uncommon in children, and highly unstable. A precise classification of fracture type at the time of diagnosis would identify a smaller subset of patients that require follow-up.
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Registered trials
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