Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(17):8 Lancet. 2022 Jul 2;400(10345): 39-47.What this means for my practice?
Equivalence in pain intensity was reported in both groups after 3 days and 6 weeks in children with distal radius torus fractures. Moreover, quality of life, patient satisfaction, and functional recovery were similar at 6 weeks. Therefore, either a bandage or splint can be offered to the patient who presents with distal torus fractures of the wrist.
Study Summary
Nine hundred and sixty-five pediatric patients were randomized to receive either a bandage (n=489) or a splint for rigid immobilization (n=476) for the treatment of distal torus fractures of the wrist. The primary outcome of this trial was pain intensity after 3 days using the Wong-Baker FACES Pain Rating Scale. Secondary outcomes included functional recovery measured via the Patient Report Outcomes Measurement System Upper Extremity Score for Children Computer Adaptive Test, health-related quality of life via the EuroQol 3-level EQ-5DY questionnaire, and satisfaction via a 7-item Likert scale. Equivalence was apparent at 3 days and over the course of the 6-week follow-up period, with regard to pain intensity. No safety concerns were reported for both groups.
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