![]() (demonstrating extension of fracture line to volar cortex with angulation of the volar cortex) Imaging Findings of the Distal Radio-Ulnar Joint in Trauma - Scientific Figure on ResearchGate.Įxample xray of greenstick fracture of distal radius: Buckle fractures of the volar cortex should be in the same way as greenstick fractures, with below elbow backslab and fracture clinic 1 week.Įxample xray of Salter Harris type 2 fracture of distal radius:.Ensure there is no angulation especially of the volar cortex.Ensure the fracture line does not extend to the volar cortex.From the case rID: 10733īe careful not to misdiagnose Salter Harris II or Greenstick fractures as a simple Buckle fracture, as these can be unstable 3 requiring immobilisation with cast, and orthopaedic follow up. ![]() The bulge may be seen at both the ulnar and radial aspects of the bone.Įxample xray of distal radius buckle fracture:Ĭase courtesy of Dr Maulik S Patel,. This is most frequently seen on the dorsal aspect of the distal radius but can appear on distal ulna or both distal ulna and radius. 1īuckle fractures are common injuries sustained by children >2 years old 2, typically following a fall on the outstretched hand.Īs the developing bone is relatively soft, the trabeculae is compressed, resulting in the appearance of a bulge. Incomplete compression fracture at the metaphysis of the distal radius, ulna or both in which one cortex is disrupted, and the other remains intact. If there are any concerns regarding the content then please consult with senior clinical staff to confirm. It reflects best practice at the time of authorship / last review and remains safe for use. ![]() November 2023: This guidance is currently under review as it has gone beyond the standard review date.
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