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.
Treatment:
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.
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