What is the treatment of choice for a torus (buckle) fracture of the distal radius?

The treatment of choice for a torus (buckle) fracture of the distal radius is to use an ace wrap or anterior splinting. A torus fracture, which is common in children due to the pliability of their bones, typically involves a subtle buckling of the cortex without complete fracture. The management aims to provide stability while allowing for healing in a non-invasive manner.

Using an ace wrap or anterior splint allows for gentle immobilization, which is crucial in preventing further injury or movement at the fracture site. This method is effective because it permits adequate blood supply and healing while accommodating the natural growth and remodeling of pediatric bone. The splinting is generally sufficient, given that these types of fractures tend to heal quickly and do not usually require more invasive interventions such as casting or surgical options.

In contrast, other options like open reduction and internal fixation or closed reduction and casting are typically reserved for more complex fractures that require precise alignment and stabilization. Corticosteroid injections are not indicated for fracture treatment and would not provide the necessary support for a healing torus fracture.