A buckle (torus) fracture is a stable, minor bend or buckle in the bone rather than a full break — one of the mildest and most common childhood wrist injuries.
This page explains how a buckle (torus) fracture of the distal radius is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your child's personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
A buckle (torus) fracture is a stable, minor bend or buckle in the bone rather than a full break — one of the mildest and most common childhood wrist injuries.
A buckle fracture is stable and usually needs comfort and short protection—not repeated prolonged casting.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
A short-arm splint, typically worn for about 3 weeks.
No weight bearing (limb use) through the arm for about 4 weeks.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
No resistance or strengthening (NRM) for about 4 weeks. Gentle, comfortable use of the fingers and hand is fine.
Usually none; home finger and wrist motion after splint removal if comfortable.
A 1-week alignment X-ray to confirm the bone is healing in a good position, then a 4-week X-ray to confirm healing and clear the weight-bearing restriction.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
School: School as tolerated in the splint; avoid lifting and playground falls until cleared.
Sports or High-Risk Activity: Return after painless motion and use, usually about 4–6 weeks.
Unexpected deformity, increasing pain, numbness, color change, skin breakdown, or failure to resume use.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A short-arm splint, typically worn for about 3 weeks.
Return to activity as tolerated (PRN) once out of the splint.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.