Archive | September, 2011

Torus Fracture (a.k.a. Buckle Fracture)

30 Sep
Key Points:
–Torus is derived from Latin (tori) meaning ‘a swelling.‘
–Damage to cortex on compression side, 2-3 cm proximal to physis.
–Torus fractures of distal metaphysis of radius/ulna are the most common forearm fracture in young children.
–Impact of fall on outstretched hand (FOOSH) injury crumples the dorsal cortex, but the volar cortex remains intact; distal fragment is angulated dorsally.
Deformity should not occur in torus fracture because the periosteum and cortex are intact on the side of the bone opposite to fracture.
Short arm cast for 3 weeks for comfort and to prevent further injury.
–BEFORE CAST/SPLINT: Double check the X-Ray. If the fracture is not on compression side, then the patient has greenstick fracture, which may proceed to deform in the cast.
Submitted by K. Sullivan.