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

Evaluation
Compression of the cortex and the metadiaphyseal junction consistent with a torus fracture
  • 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.
  1. Management of Pediatric Forearm Torus Fractures: A Systematic Review and Meta-Analysis. Jiang N1, Cao ZH, Ma YF, Lin Z, Yu B.
  2. JournalFeed Summary Velcro Wrist Splint vs. Cast for Torus Fracture
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