Torus fracture: Difference between revisions
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*Often occur at the end of long bones | *Often occur at the end of long bones | ||
==Diagnosis== | ==Clinical Features== | ||
*Frequently involves distal radial metaphysis | |||
*Minimal visual deformity | |||
*Soft tissue swelling and point tenderness at injury | |||
[[File:torus.JPG|thumbnail]] | |||
==Differential Diagnosis== | |||
*[[Greenstick fracture]] | |||
*[[Corner fracture]] (Bucket Handle) | |||
==Evaluation== | |||
[[File:MPX1777 synpic23441.png|thumb|Compression of the cortex and the metadiaphyseal junction consistent with a torus fracture]] | |||
*Soft tissue swelling and point tenderness | *Soft tissue swelling and point tenderness | ||
*Visible deformity is unusual | *Visible deformity is unusual | ||
== | ==Management== | ||
*"A simple volar slab or velcro wrist splint or "soft cast" was better than a rigid cast for pediatric torus fractures of the forearm." <ref>[https://www.ncbi.nlm.nih.gov/pubmed/26555307 Management of Pediatric Forearm Torus Fractures: A Systematic Review and Meta-Analysis. Jiang N1, Cao ZH, Ma YF, Lin Z, Yu B.]</ref><ref>[https://journalfeed.org/article-a-day/2017/velcro-wrist-splint-vs-cast-for-torus-fracture JournalFeed Summary Velcro Wrist Splint vs. Cast for Torus Fracture]</ref> | |||
*Splint in position of function | *Splint in position of function | ||
==Disposition== | ==Disposition== | ||
* | *Follow up with pediatrician in 1 week | ||
==See Also== | ==See Also== | ||
[[ | *[[Fractures and dislocations (peds)]] | ||
*[[Fractures]] | |||
== | ==References== | ||
*Geiderman JM, Katz D: General Principles of Orthopedic Injuries, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 46:p 473-474. | *Geiderman JM, Katz D: General Principles of Orthopedic Injuries, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 46:p 473-474. | ||
*Hopkins-Mann C, Ogunnaike-joseph D, Moro-Sutherland D: Musculoskeletal Disorders in Children, in Tintinalli JE, Stapczynski JS, Ma OJ, et al (eds): Tintinalli’s Emergency Medicine, ed 7. New York, The McGraw-Hill Companies Inc., 2011, (Ch) 133 | |||
[[Category: | *Koelink, Eric, et al. “Primary Care Physician Follow-up of Distal Radius Buckle Fractures.” Pediatrics, vol. 137, no. 1, 2015, doi:10.1542/peds.2015-2262. | ||
[[Category: | [[Category:Pediatrics]] | ||
[[Category:Orthopedics]] | |||
Latest revision as of 16:29, 5 December 2019
Background
- Compressive force leads to bulging of the periosteum/cortex
- Also known as buckle fracture
- Often occur at the end of long bones
Clinical Features
- Frequently involves distal radial metaphysis
- Minimal visual deformity
- Soft tissue swelling and point tenderness at injury
Differential Diagnosis
- Greenstick fracture
- Corner fracture (Bucket Handle)
Evaluation
- Soft tissue swelling and point tenderness
- Visible deformity is unusual
Management
- "A simple volar slab or velcro wrist splint or "soft cast" was better than a rigid cast for pediatric torus fractures of the forearm." [1][2]
- Splint in position of function
Disposition
- Follow up with pediatrician in 1 week
See Also
References
- Geiderman JM, Katz D: General Principles of Orthopedic Injuries, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 46:p 473-474.
- Hopkins-Mann C, Ogunnaike-joseph D, Moro-Sutherland D: Musculoskeletal Disorders in Children, in Tintinalli JE, Stapczynski JS, Ma OJ, et al (eds): Tintinalli’s Emergency Medicine, ed 7. New York, The McGraw-Hill Companies Inc., 2011, (Ch) 133
- Koelink, Eric, et al. “Primary Care Physician Follow-up of Distal Radius Buckle Fractures.” Pediatrics, vol. 137, no. 1, 2015, doi:10.1542/peds.2015-2262.