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Torus Fracture/Buckle Fracture of the Distal Radius, MedPix™ : 5374 - Medical Image Database and Atlas
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More Like This ? Torus Fracture/Buckle Fracture of the Distal Radius
Topic 5374 - Created: 2003-12-19 01:32:46-05 - Modified: 2004-01-09 09:09:29-05
ACR Index: 4.4

Derived from the latin word "Tori" meaning swelling or protuberance, the "torus" or cortical buckle fracture is a very common fracture involving the distal third of the radius in children. It usually results from a fall on an outstretched hand/wrist, resulting in a cortical kinking or buckling which may assume a vast array of configurations. Because children have softer bones, an incomplete fracture occurs, in which one side of the bone buckles upon itself without disrupting the other side. Therefore, one hallmark of the torus fracture is that it is frequently only well visualized in one radiographic projection; this applies especially to buckle fractures of the posterior/dorsal surface of the distal radial metaphysis, which are often only seen on a well-positioned lateral view.

Torus fractures in children may take the form of Colles’ fracture (posterior cortical buckling with dorsal angulation of the distal radial fragment) or Smith’s fracture (anterior cortical buckling with volar angulation of the distal radial fragment) “equivalents.”

Treatment of torus fractures is by casting for a short duration (usually about three weeks) since these injuries usually heal much more quickly than the similar greenstick fractures.

Contributor Credits

Topic Submitted by: Richard P. Moser, III - Author Info
Affiliation: Walter Reed Army Medical Center
Topic approved by: Timothy G. Sanders, M.D. - Editor Info
Affiliation: Uniformed Services University

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