Torus fracture

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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
Torus.JPG

Differential Diagnosis

Evaluation

  • 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

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