Torus fracture

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)

Diagnosis

• Soft tissue swelling and point tenderness
• Visible deformity is unusual

Management

• Splint in position of function

Disposition

• Ortho follow up within 1 week

See Also

• Fractures and dislocations (peds)

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