Buckle Fracture (Impacted Fracture): Symptoms, Causes, Treatment

What are the symptoms of a buckle fracture?

A buckle fracture, also known as a torus fracture, is an incomplete fracture of the bone. It typically occurs in children and is a common injury due to the elasticity of their bones. The symptoms of a buckle fracture can include:

1. Pain, swelling, and tenderness around the injured area.
2. Difficulty moving the affected limb.
3. Bruising or redness over the fracture site.
4. Possible deformity or misalignment of the bone, although this is less common with buckle fractures.

Buckle fractures are often stable and usually do not require extensive treatment. Immobilization with a splint or cast may be necessary to allow the bone to heal properly. It’s important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment plan.

What bones are subject to buckle fracture?

Buckle fractures, also known as torus fractures, commonly occur in the long bones of the body, particularly in children. The bones most frequently affected by buckle fractures include:

1. Radius and Ulna: These are the two long bones in the forearm. Buckle fractures in these bones often result from falling onto an outstretched hand.
2. Tibia and Fibula: These are the two long bones in the lower leg. Buckle fractures in these bones can occur from direct trauma or twisting injuries.
3. Radius: This bone is located on the thumb side of the forearm. Buckle fractures in the radius are common in children due to the way they fall on an outstretched hand.
4. Femur: The thigh bone, although less common, can also experience a buckle fracture, usually from a significant impact or trauma.
5. Metatarsal Bones: These are the long bones in the foot, and buckle fractures in these bones can occur from direct trauma or twisting injuries.

Buckle fractures are more common in children because their bones are softer and more flexible than those of adults, making them more prone to this type of injury.

What are the causes of a buckle fracture?

Buckle fractures, also known as torus fractures, are typically caused by compressive forces applied to a bone. They are common in children because their bones are softer and more flexible than those of adults. The main causes of a buckle fracture include:

1. Falls: Falling onto an outstretched hand or onto a knee can result in a buckle fracture in the forearm or lower leg.
2. Direct impact: A direct blow to a bone, such as from a sports injury or accident, can cause a buckle fracture.
3. Twisting injuries: Twisting or bending a limb forcefully can lead to a buckle fracture, especially in the forearm or lower leg.
4. Overuse: In some cases, repetitive stress on a bone, such as from certain sports or activities, can cause a buckle fracture.
5. Weak bones: Conditions that weaken bones, such as osteoporosis, can make them more susceptible to buckle fractures, especially in older adults.

Buckle fractures are often considered stable fractures because the bone does not completely break. Instead, it buckles or bends, causing a bulge in the bone. These fractures usually heal well with conservative treatment, such as immobilization with a splint or cast, and do not typically require surgery.

What is the treatment for a buckle fracture?

The treatment for a buckle fracture, also known as a torus fracture, often involves simple and non-invasive measures. Here’s what it typically involves:

1. Immobilization: The affected limb may be placed in a splint or cast to prevent movement and allow the bone to heal. This is usually done for about 3 to 4 weeks.
2. Pain management: Over-the-counter pain medications, such as acetaminophen or ibuprofen, may be recommended to help manage pain and reduce swelling.
3. Rest and limited activity: Resting the affected limb and avoiding activities that could worsen the fracture is important during the healing process.
4. Follow-up visits: Regular follow-up visits with a healthcare provider may be necessary to monitor the healing progress and make any adjustments to the treatment plan if needed.
5. Physical therapy: In some cases, once the fracture has healed, physical therapy may be recommended to help restore strength and range of motion to the affected limb.
6. Monitoring for complications: While buckle fractures typically heal without complications, it’s important to monitor for any signs of infection or other issues during the healing process.

In most cases, buckle fractures heal well with conservative treatment and do not lead to long-term problems. However, it’s essential to follow your healthcare provider’s recommendations for treatment and follow-up care to ensure proper healing.