Which treatment strategy would typically not be effective for a torus fracture?

A torus fracture, also known as a buckle fracture, is a type of incomplete fracture often seen in children, characterized by a bulging on one side of the bone without significant disruption on the other side. Treatment strategies for torus fractures focus on stabilizing the fracture and allowing it to heal naturally, as these fractures typically do not require surgical intervention.

Open reduction and internal fixation is a surgical approach that involves directly accessing the fracture site to align the bone fragments and secure them with hardware. This method is generally unnecessary for torus fractures, as the injury usually does not involve displacement that requires such invasive procedures. The goal in managing a torus fracture is to provide adequate support, which can be effectively achieved through non-surgical means.

Other options like applying an ace wrap or anterior splinting, as well as closed reduction and casting, are appropriate for managing recognition of the fracture and ensuring stability while it heals. Corticosteroid injection is not applicable as a treatment strategy for this type of fracture; it is used more commonly for inflammatory conditions rather than for structural bone injuries.