Torus fracture of the radius

Case contributed by Leonardo Lustosa
Diagnosis certain

Presentation

Direct hit of a football to the hand with the wrist extended.

Patient Data

Age: 9 years
Gender: Male
x-ray

Forearm radiographs revealed a bulging of the cortex of the distal metaphysis of the radius, a torus fracture.

There is a small dorsal angulation.

Case Discussion

Torus fractures, also known as buckle fractures, are incomplete fractures of the shaft of long bones, usually occurring on immature skeletons.

Acceptable residual angulation after closed reduction depends on age. In the present case, the boy was 9 years old, to which the usual acceptable angulation on the sagittal plane is <15º.

In the present case, there was only minimal dorsal angulation, and closed angulation was not necessary before immobilization.

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