TORUS FRACTURE RIGHT DISTAL RADIUS ICD 10 TRIAL

Williams KG, Smith G, Luhmann SJ et al (2013) A randomized controlled trial of cast versus splint for distal radial buckle fracture: an evaluation of satisfaction, convenience, and preference. J Bone Joint Surg Br 83(8):1173–1175Ĭallender O, Koe S (2015) Using softcast to treat torus fractures in a paediatric emergency department. Ir Med J 105(1):18–21ĭavidson JS, Brown DJ, Barnes SN, Bruce CE (2001) Simple treatment for torus fractures of the distal radius. Meaney S, Williamson E, Corcoran P et al (2012) The incidence of injury presentations to emergency departments: what we don’t know can hurt us. This would represent both an economical and resource saving for patients, parents and the health service. There is no need for fracture clinic follow-up or repeat radiological imaging once patients are given adequate information at the time of diagnosis. ConclusionsĬurrent research indicates that torus fractures should be managed with a removable splint supplied in A&E and worn for 3 weeks. A Cochrane review and 8 systematic reviews were also identified and manually searched for missed articles and this yielded a further 3 articles. The initial search identified 143 papers which following application of the inclusion and exclusion criteria 21 articles were deemed eligible. Our outcomes focused on 5 aspects of patient care: immobilisation method and duration, clinical follow-up, radiological follow-up and the use of diagnostic ultrasound. All prospective, retrospective or randomised trials involving the management of distal radius torus fractures in patients aged 0–18 years were included. MethodsĪn online review of Pubmed, EMBASE, Biomed, and the Cochrane library using keyword searches combining “radius”, “torus”, “buckle” and “fracture” was performed. Unfortunately current practice conflicts with the evidence base and there is no guideline which highlights all the evidence as one clear, concise management protocol. Traditional approaches to their management involved immobilisation in a circumferential cast but the evidence now supports the use of removable splints with or without radiological and clinical follow-up. A torus is the convex portion of the upper part of the base of a Greek column and resembles the appearance of the cortical buckling seen in the 'column' of bone which has been fractured in the pattern discussed in this article.Torus fractures, also known as buckle fractures, of the distal radius are a very common reason for presentation to emergency departments. The term torus is the Latin word meaning protuberance.

$torus fracture right distal radius icd 10$

Sometimes a cast may be applied, but often a splint is all that is required with a period of rest and immobilization. They are self-limiting and typically do not require operative intervention, although a manipulation may be required if the angulation is severe. In some cases, angulation is the only diagnostic clue Subtle deformity or buckle of the cortex may be evident This most commonly occurs at the distal radius or tibia following a fall on an outstretched arm the force is transmitted from carpus to the distal radius and the point of least resistance fractures, usually the dorsal cortex of the distal radius. Cortical buckle fractures occur when there is axial loading of a long bone.

$torus fracture right distal radius icd 10$

Torus fracture right distal radius icd 10