What Is a Buckle Fracture in Children?

Buckle fractures are an incomplete break in the bone most commonly seen in children as a result of trauma. These fractures have a unique, non-displaced appearance which makes them look as if the bone has 'buckled' under pressure, without breaking or separating.

Buckle fractures are seen most frequently around the wrist area due to the fact that children fall on outstretched hands. When a child falls, the palm of the hand may come into contact with the ground, which causes the wrist to bend backwards and the force is transmitted to the forearm bone. This can lead to a buckle fracture in the distal radius, which is the bone in the forearm closest to the wrist.

Symptoms of buckle fractures include localized pain, tenderness, and swelling around the affected area, as well as reduced range of motion. The area around the fracture site might also appear bruised.

In order to diagnose a buckle fracture, a healthcare professional will usually conduct a physical examination and palpate the affected area to feel for any tenderness or instability. Imaging studies such as X-rays are often ordered to visualize the bone structure and confirm the diagnosis of a buckle fracture.

Treatment typically involves immobilization of the affected area using a splint or cast. Closed reduction, which involves manipulating the bone fragments back into their proper position without making any incisions, may also be performed in some cases.

Buckle fractures generally heal relatively quickly, often within 2-4 weeks, depending on the severity of the injury. Follow-up care will likely include monitoring the healing process through regular check-ups and X-rays. It's important to follow the healthcare provider's instructions and attend any scheduled appointments to ensure proper healing and prevent complications.